Abstract

Objective: To report the preliminary outcomes of reduction mammaplasty using an inferior pedicle technique without a vertical scar, with a focus on surgical safety, postoperative complications, and aesthetic results.

Methods: This multicenter case series included nine female patients with macromastia who underwent breast reduction using an inferior pedicle technique without a vertical scar at Hue Central Hospital (3 cases) and Cho Ray Hospital (6 case), Ho Chi Minh City, Vietnam, between January 2025 and November 2025. Collected variables included patient characteristics, operative parameters, nipple–areola complex viability, early postoperative complications, aesthetic outcomes, and patient satisfaction.

Results: The mean age of the patients was 28.6 ± 5.4 years, and the mean body mass index was 24.8 ± 2.9 kg/m². The mean resection weight was 620 ± 180 g per breast, with a mean operative time of 165 ± 25 minutes. No cases of partial or total nipple–areola complex necrosis were observed, and no patient required reoperation. Minor complications, including seroma formation and delayed wound healing at the inframammary fold, occurred at a low rate and were managed conservatively. Postoperative aesthetic evaluation demonstrated predominantly good to fair outcomes, and all patients reported being satisfied or very satisfied with the surgical results.

Conclusion: Reduction mammaplasty using an inferior pedicle technique without a vertical scar appears to be a safe and effective option for selected patients with macromastia, providing favorable aesthetic outcomes while preserving nipple–areola complex viability. Further studies with larger sample sizes and longer follow-up are warranted to confirm the long-term effectiveness of this technique.