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.