Background: The dermal bra technique was reported by the authors in 2003 for reduction mammaplasty and ptosis correction. The authors have summarized and modified continuously and here share their experience and analyze the long-term safety and efficacy of this technique.
Methods: Three hundred forty-seven patients underwent the dermal bra technique in the authors' department from October of 2003 to October of 2011, and 213 of them were followed successfully for 3 months to 2 years. Patients before and after October of 2006 were divided into early and late groups. The incidence of complications, the long-term satisfaction rate, and modifications that have been developed were noted and analyzed.
Results: Short-term complications occurred in 55 breasts (7.9 percent), including hematoma (seroma), delayed wound healing, fat necrosis, deep folds, necrosis, and numbness of the nipple-areola complex. Long-term complications were found in 28 breasts (6.6 percent), including widened scar and enlarged areola, irregular areola, secondary ptosis, sunken nipple-areola complex, numbness of the nipple-areola complex, cyst, and chronic infection. Except for one case of nipple-areola complex numbness, all complications were corrected successfully. The long-term satisfaction rate was 95.7 percent. With three major modifications (W- or V-shaped gland resection, medial rotation of gland flap, and modified purse-string suture), the short-term and long-term complication rates (p < 0.01) and satisfaction rate (p < 0.05) of the late group were improved significantly compared with the early group.
Conclusion: Effective modifications have significantly improved the safety and efficacy of the dermal bra technique and have made it a mature approach for reduction mammaplasty and ptosis correction.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.