A versatile breast reduction technique: Conical plicated central U shaped (COPCUs) mammaplasty

We performed central plication to achieve a juvenile look in the superior pole of the breast and to prevent postoperative pseudoptosis and used central U shaped flap to achieve maximum NAC safety and to preserve lactation and nipple sensation. The central U flap was 6 cm in width and the superior conical plication was performed with 2/0 PDS. Preoperative and postoperative standard measures of the breast including the superior pole fullness were compared.Forty six patients were operated with the above mentioned technique. All of the patients were satisfied with functional and aesthetic results and none of them had major complications. There were no changes in the nipple innervation. Six patients becoming pregnant after surgery did not experience any problems with lactation. None of the patients required scar revision.Our technique is a versatile, safe, reliable technique which creates the least scar, avoids previously described disadvantages, provides maximum preservation of functions, can be employed in all breasts regardless of their sizes.The breast is one of the most important female organs. The breast has major implications in sexual arousal, as a result of its visual and sensual properties. Also most important feature of the breast is its capability of milk production. None of the plastic surgery operations put as much a heavy burden on plastic surgeons as reduction mammaplasty. Until today, many reduction mammaplasty techniques were described in the literature but the search for an ideal technique continues. In fact, surgical outcomes should not only fulfill patient expectations for an aesthetic appearance but also provide important breast functions. We believe that the most important philosophy in breast reduction surgery should be preservation of reliable neurovascular and lactational integrity to the nipple. Poor outcomes both affect the women undergoing operation and cause babies to feed on less breast milk, which is not acceptable. Attempts to find the id