The bivectorial full-thickness superiorly based NAC flap: a new option to increase plasticity and decrease tension in...

Area of Science:

• Plastic Surgery
• Surgical Techniques
• Breast Reconstruction

Background:

• Standard split-thickness superior pedicle vertical mammaplasty can cause tension on the nipple-areola complex (NAC).
• Existing techniques may not always provide optimal upper-pole fullness or projection.
• A need exists for modifications to improve outcomes and patient satisfaction.

Purpose of the Study:

• To present a novel bisected full-thickness superiorly based flap technique for vertical mammaplasty.
• To evaluate the ability of this technique to reduce tension on the NAC.
• To assess the impact on upper-pole fullness, breast projection, and overall aesthetic outcome.

Main Methods:

• A bisected full-thickness superiorly based flap is utilized in the context of superior pedicle vertical mammaplasty.
• The flap allows for two distinct vectors of transposition.
• The technique aims to provide improved tissue rearrangement for better aesthetic results.

Main Results:

• The bisected flap technique effectively decreases tension on the nipple-areola complex.
• The procedure leads to increased upper-pole fullness and improved breast projection.
• A more natural breast appearance is achieved with this modified approach.

Conclusions:

• The bisected full-thickness superiorly based flap is a valuable modification to the standard superior pedicle vertical mammaplasty.
• This technique offers a simple yet versatile option for surgeons.
• It enhances aesthetic outcomes by improving breast shape and reducing NAC tension.