techniques have been proposed as “gold standard” for mastopexy, as for
reduction mammaplasty. The quality of the breast parenchyma should be a primary
factor in selecting the most appropriate technique for an individual case.
Objective: The article describes a simple technique that can be used either for
mastopexy or for reduction mammaplasty, giving optimal breast shape and
position. It is appropriate for patients having some degree of ptosis, and
especially for those in whom the glandular component of the breast
predominates. Methods: The technique entails elevating the entire dome of the
breast, rolling it under, and then stitching the two halves of the breast
parenchyma together (lateral and medial dermoglandular flaps), while the upper
pedicle (a third dermoglandular flap) bearing the nipple areolar complex (NAC)
severed from the two inferior flaps is attached as a cap. The result is a new
and attractive shape of the underlying supporting “barrel”. The technique can
be performed with the T scar or the vertical scar approach. Results: The
procedure was applied for various indications on 45 patients aged 20 - 62
years. Good results were only achieved in 36 women with predominant glandular
component. Nine patients with fatty breasts achieved unsatisfactory results (6
with T scar, 3 with vertical scar) and very poor breast projection.
Conclusions: The best-suited candidates for the proposed technique for
mastopexy or reduction mammaplasty are women in whom the glandular component of
the breast predominates. This simple technique, applicable with either inverted
T scar or vertical scar approaches, carries very low morbidity, affording an
attractive profile, long-lasting results, and conserving the patient’s ability
to breast feed.
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Tebbet, J.B. (2013) A Process for Quantifying Aesthetic and Functional Breast Surgery: I. Quantifying Optimal Nipple Position and Vertical and Horizontal Skin Excess for Mastopexy and Breast Reduction. Plastic & Reconstructive Surgery, 132, 65-73. http://dx.doi.org/10.1097/PRS.0b013e3182910b0a
Swanson, E. (2013) Prospective Comparative Clinical Evaluation of 784 Consecutive Cases of Breast Augmentation and Vertical Mammaplasty, Performed Individually and in Combination. Plastic & Reconstructive Surgery, 132, 30e- 45e. http://dx.doi.org/10.1097/PRS.0b013e3182910b2e
de la Plaza, R., de la Cruz, L., Moreno, C. and Soto, L. (2004) The Crossed Dermal Flaps Technique for Breast Reduction. Aesthetic Plastic Surgery, 28, 383-392. http://dx.doi.org/10.1007/s00266-004-0370-4
Nahas, F.X. and Ferreira, L.M. (2012) Mastoplastia com Retalhos glandulares Cruzados. In: Ribeiro, R.C. and Saltz, R., Eds., Cirurgia da Mama: Estetica e Reconstrutora, 2nd Edition, Revinter, Rio de Janeiro, 487-493.