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Vertical Mammaplasty With a Clamp Technique

The vertical mammaplasty with a clamp technique is a personal adaptation of the clamp technique that leaves a single vertical scar in addition to the periareolar scar. This technique uses a superior pedicle from the dermal vault technique. There is no need for preoperative markings. The glandular tissue is removed with constant reference to the breast base. The skin is excised around a new clamp, which leaves only a vertical scar. This retrospective study includes 100 patients operated between 1996 and 2000. A total of 96% of the patients have been happy with the final cosmetic result. The best results were obtained when breast ptosis and moderate hypertrophy were present. The complication rate was 4%. This technique is as reliable as other procedures using the superior flap technique. A vertical scar is obtained by using a new clamp that allows a perfect match of the gland to its cutaneous cover. It is also a fast technique to perform (75 minutes).