ElevéL: Superior Pedicle Reduction Mammoplasty With L-shaped Scar.

BACKGROUND

An L-shaped scar in reduction mammoplasty is a scar pattern that has been gaining popularity among plastic surgeons because of the lower number of complications and improved aesthetic results. The main objective of this article was to describe a new technique of upper pedicle reduction mammoplasty with large tissue resections, always using an L-scar pattern.

METHODS

The ElevéL technique was performed in 270 patients who underwent surgery between 2023 and 2025; follow-up examination was carried out for an average of 1 year. A patient satisfaction survey was conducted (BREAST-Q).

RESULTS

Two (0.8%) patients presented partial necrosis of the nipple-areola complex, 0 patients had surgical infections, 3 patients had wound dehiscence, no patients presented hematoma, and 13 (4.8%) had widening of the areola. Alterations in the sensibility of the nipple-areola complex occurred in 23 patients who had partially recovered sensibility (subjectively reported by the patients).

CONCLUSIONS

Compared with other reduction mammoplasty techniques, the ElevéL technique has shown lower complication rates, coupled with less scarring, making it a good technique for all plastic surgeons to routinely perform.