Initial complaints of embarrassment result in multiple psychological implications and soon become physical as the patient begins experiencing neck, shoulder and back pain.
Psychological evaluation reveals a state of unhappiness and self-consciousness.
In warm climates, where participation in outdoor activities and sports is increasingly stimulated, and where the media promotes the use of lighter clothing, aesthetic complaints are more frequent and become more relevant. Plastic surgery is uniquely suited as an instrument that may be of value in helping the woman with a breast deformity to find harmony with her self-image. A successful result is greatly dependent on a deep comprehension of these concepts by the surgeon. Demarcation dispenses with all rigid measures and sizes, and depends on the patient's anatomy and the surgeon's creativity. Glandular resection is restricted to the inferior half of the breast, respecting the principle of avoiding large dissections.