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OBJECTIVE To evaluate the indications, complications, cosmetic and functional results with submammary skin incision for a median sternotomy in females. METHODS Two hundred and eighty female patients have undergone submammary skin incision for a median sternotomy between 1981 to 1991 ages ranged from 2 months to 42 years (m = 5 +/- 9 years). RESULTS Adequate exposure of the heart was achieved in every case, there were no technical problems, no major complications and the cosmetic and functional results are excellent. CONCLUSIONS Complications associated with this incision are insignificant and the cosmetic and functional results are excellent justified routinely this approach for young women.
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