The search for shorter scars in mammaplasty began a long time ago. Most short-scar techniques focus on first reshaping breast parenchyma and then adjusting the skin, while with inverted T, the skin is initially reduced and redistributed to the required form and shape. Besides the shorter scar, the advantages of L-mammaplasty, when properly executed, are better projection and longevity. The Palma method was developed by me and has been used for 20 years. The legal procedures for patenting the technique and its scientific publication are currently in progress. This method is different, among other aspects, because it aims to compensate for any excess skin in breast surgeries so that it always results in an L-shaped scar. However, the learning curve tends to be longer, which can discourage some surgeons and even make some avoid the technique altogether. The Palma method described here is the result of 20 years of experience in breast surgery with reduced scarring. Performing 4173 surgeries allowed the systematization and standardization of the method in perfectly understandable and reproducible steps that meet the need for correction in various breast surgeries.

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Palma Method: L-Scar Mammaplasty

  • Luciana Brandão Palma

摘要

The search for shorter scars in mammaplasty began a long time ago. Most short-scar techniques focus on first reshaping breast parenchyma and then adjusting the skin, while with inverted T, the skin is initially reduced and redistributed to the required form and shape. Besides the shorter scar, the advantages of L-mammaplasty, when properly executed, are better projection and longevity. The Palma method was developed by me and has been used for 20 years. The legal procedures for patenting the technique and its scientific publication are currently in progress. This method is different, among other aspects, because it aims to compensate for any excess skin in breast surgeries so that it always results in an L-shaped scar. However, the learning curve tends to be longer, which can discourage some surgeons and even make some avoid the technique altogether. The Palma method described here is the result of 20 years of experience in breast surgery with reduced scarring. Performing 4173 surgeries allowed the systematization and standardization of the method in perfectly understandable and reproducible steps that meet the need for correction in various breast surgeries.