Correction of moderate mastoptosis with the upturned glandular flap / 中华整形外科杂志

ABSTRACT

Objective@#To review and discuss the new method ology of mastopexy for moderate mastoptosis.@*Methods@#Periareolar double-circle incisions were made, and the epidermis between the incisions was removed.Separating was performed widely between subcutaneous tissue and gland tissue. The tongue glandular flap, which was made in the below portion of the breast glands, was transferred upward to the mammary space. Then, the glands on both sides of the lower pole of the breast tissue were sutured to shrink the glandular base area.Vertical incision was made in the middle line of the superior portion of the gland. The medial glandular flap was rotated outward, lateral glandular flap was transferred inward and suture fixed was completed. The appearance of breast was reshaped and the nipple-areola complex was elevated.@*Result@#From Oct. 2008 to Jun. 2017, 15 patients were selected to this method for correcting moderate mastoptosis.All cases healed in good shape, no hematoma, infection, nipple necrosis and other serious complications.3 to 24 months follow-up after operation, two breast were symmetrical with nice shape and nipple sensory function properly. Average pre and postoperative left nipple-to-right nipple distance[(20.43±1.22) cm, (19.73±0.80) cm, P<0.05], sternum notch-to-nipple distance[left (23.03±0.99) cm, (20.40±0.71) cm, P<0.05; right (23.17±0.94) cm, (20.43±0.70) cm, P<0.05], mammary areola diameter[left (4.97±0.55) cm, (4.63±0.68)cm, P<0.05; right (4.97±0.50)cm, (4.57±0.50)cm, P<0.05], lower pole of breast-to-inframammary fold distance [left (2.70±0.36) cm, (0.22±0.38) cm, P<0.05; right (2.77±0.44) cm, (0.22±0.38) cm, P<0.05], thoracic circumference at the nipple[(84.29±1.81) cm, (87.83±2.22) cm, P<0.05]. The differences in the those data are statistically significant.@*Conclusions@#Upward transfer of glandular flap provides a new approch for correcting moderate breast ptosis.