Introduction: The definition and relation between content and continent are fundamental for the treatment of mammary ptosis. The crossed flaps technique described by Sperli, in 1972, for the treatment of mammary ptosis aims to reach the balance between content and continent and to provide harmonic mammary cone. Method: Sixty patients with ages between 24 to 58 years, with mammary ptosis varying from I, II and III grades, without hypertrophy, were treated by the crossed flaps technique. In case breast reduction was necessary, recommendations of Bozola according his classification for breast reduction were applied. Results: The complications were basically the same as noted in other techniques for breast reduction and mammary ptosis. Conclusion: The technique remolded the mammary content, projection of mammary cone and restored the balance between mammary content and continent. The Bozola's volume reduction principles simplified and improved the application of this technique.
Keywords: Breast/surgery. Mammaplasty. Surgical flaps.