Central core reduction mammoplasties and Marlex suspension of breast tissue.

The author describes a technique for central core reduction mammoplasty with the same technique being utilized for a mastopexy. By transposition of the nipple areolar complex, the nerve supply as well as the vascular supply is maintained on an inferiorly based dermal pedicle. This technique does not require the recall of a multitude of points or locations or other maneuvers necessary to do the markings to obtain a symmetric, aesthetically pleasing reduction. The author has also developed a technique for the use of Marlex Mesh to support the remaining breast tissue and, by attaching the mesh to the area of the second rib, the support of the breast tissue is converted from cutaneous origin to skeletal origin, giving an internal support of breast tissue and preventing subsequent early ptosis and loss in fullness of the upper portion of the breast. The mesh has been used in 43 patients over the past two years with no serious complications.