This is a new developed procedure of “short scar” breast reduction. It is revised from the classic inverted T surgery but eliminates the vertical scar between the areola and inframammary fold. It is ideal for patients with moderate or severer macromastia (E or larger cup size) and ptosis or those prone to hypertrophic scarring. This surgery combines a periareolar incision with a linear inframammary incision for reduction. First, a large portion of the lower half of the breast tissue and skin should be excised; then, the remaining part is lifted up and stitched to the chest wall (mastopexy) at a higher level; lastly, an appropriate elevation and reduction of the areola and nipple position are performed. Therefore, it could confer the effects of both breast reduction and breast lift. This procedure can effectively reduce most of the breast volume, decreasing the burden by 2–3 cup sizes. It can also be applied as transgender breast ablation for the result of a completely flat chest or even pectoral muscle shaping. The resulting shape of the breasts may be wide and flat due to the tight front chest skin, so it might not ideal for patients looking for small and stiff breasts.
This surgery can successfully avoid vertical scars at the center of the breasts associated with a traditional inverted T incision. The scars over the periareolar area and inframammary fold (crescent-shaped line) would require a year or longer to fade.