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Related Experiment Video

Updated: Jun 24, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

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Tailored infolding pattern (T.I.P.) procedure in reduction mammaplasty.

M J Luftman1, J Martello

  • 1Division of Plastic Surgery at the University of Kentucky, Lexington, KY, USA.

Aesthetic Surgery Journal
|March 31, 2009
PubMed
Summary
This summary is machine-generated.

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New surgical techniques, including the tailored infolding pattern (T.I.P.) procedure, achieve aesthetically pleasing, conical breast shapes without ptosis or flattening. These methods offer excellent immediate and long-term results with reduced scarring.

Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Breast Reduction Surgery

Background:

  • Achieving a natural, conical breast shape post-reduction without lower pole deformities is a surgical challenge.
  • Existing techniques may result in flattening, boxiness, or residual ptosis.

Purpose of the Study:

  • To evaluate the efficacy of novel surgical techniques for consistent, aesthetically pleasing conical breast shapes.
  • To assess the prevention of lower pole flattening and ptosis in breast reduction surgery.

Main Methods:

  • The tailored infolding pattern (T.I.P.) procedure, wedge base resection, or a combination were employed in 43 patients.
  • Pre-operative measurements of clavicle-to-nipple distances were compared to ideal distances.
  • Free nipple grafts were utilized in seven patients.

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Last Updated: Jun 24, 2026

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An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
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Main Results:

  • The new techniques successfully created conical breasts without lower pole flattening or ptosis.
  • An average improvement of 7.5 cm in clavicle-to-nipple distance was observed.
  • Complications were minimal (2/50 patients), occurring in a smoker and a diabetic patient.

Conclusions:

  • The T.I.P. procedure and inferior base wedge resection are effective for achieving desired breast aesthetics and shape.
  • These techniques provide immediate, adaptable solutions for natural-looking conical breasts.
  • Excellent aesthetic outcomes and a low rate of hypertrophic scarring were reported.