Mastopexy utilizing a dermoglandular hammock flap.

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Aesthetic Surgery

Background:

• Various mastopexy techniques exist, aiming for ideal breast position and shape.
• Existing methods include cutaneous reduction, dermal flaps, and mesh implants.
• The search for optimal breast lift procedures continues.

Purpose of the Study:

• To describe a novel dermoglandular hammock flap technique for mastopexy.
• To achieve optimal breast position, shape, and scar quality.
• To evaluate early- and long-term patient outcomes.

Main Methods:

• A superior pedicle dermoglandular flap was raised and transposed.
• The flap was secured as a hammock to the pectoral fascia.
• Wedge-shaped defects were closed with absorbable sutures to reduce tension.

Main Results:

• Twenty-eight patients (ages 19-58) underwent the procedure.
• All patients achieved adequate breast shape and projection.
• Excellent scar quality was noted, with one case of partial suture dehiscence and two of temporary hypertrophy.

Conclusions:

• The dermoglandular hammock flap technique yields satisfactory breast position and shape.
• Good quality, well-placed scars and long-lasting results were observed.
• The technique is simple, preserves breastfeeding potential, and is suitable for moderate ptosis.