Rotation mastopexy: an anatomical approach.
The goal of a mastopexy is to restore the shape and volume of the breast after ptosis of the breast. Ptosis occurs commonly in response to aging and breastfeeding. A low nipple position on the breast mound can be corrected by addressing the skin envelope, but maintenance of upper pole fullness and a youthful shape of the breast is the challenge to surgeons. To address this, techniques using local glandular flaps and implants have been suggested. A new technique has been created with regard to a detailed knowledge of the breast gland's vascular anatomy. The lower breast gland is raised as a large vascularized flap and rotated into a pocket beneath the upper pole. The operative procedure is presented together with the experience of the first author with a consecutive series of 25 patients.
Aesthetic Breast Surgery Centre, 7 St Giles Court, 74 Gheringhap Street, Geelong, VIC, 3223, Australia. niamh@breast-surgery.com.au
Niamh
N
Corduff
G I
GI
Taylor
D000328:Adult; D001940:Breast / Q000098:blood supply; D018427:Breast Implants; D020878:Device Removal; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D009558:Nipples / Q000601:surgery; D012399:Rotation; D013524:Surgical Flaps