Rotation mastopexy: an anatomical approach

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Breast Surgery

Background:

• Breast ptosis, often due to aging and breastfeeding, presents challenges in restoring breast shape and volume.
• Achieving upper pole fullness and a youthful breast contour after correcting nipple position is a significant surgical challenge.
• Existing mastopexy techniques, including glandular flaps and implants, have limitations.

Purpose of the Study:

• To present a new mastopexy technique designed to enhance upper pole fullness and overall breast shape.
• To address the limitations of current methods in achieving a youthful breast mound appearance.
• To detail a surgical approach based on a thorough understanding of breast vascular anatomy.

Main Methods:

• A novel mastopexy procedure involving a large, vascularized flap raised from the lower breast gland.
• Rotation of the flap into a prepared pocket beneath the upper pole to restore volume and shape.
• Application of the technique in a consecutive series of 25 patients.

Main Results:

• The presented technique effectively restores breast shape and volume, addressing ptosis.
• Improved upper pole fullness and a more youthful breast contour were observed.
• The procedure demonstrated feasibility and initial success in the series of patients.

Conclusions:

• The novel mastopexy technique, utilizing a vascularized lower breast gland flap, offers a promising solution for restoring breast aesthetics.
• This approach effectively addresses the challenge of maintaining upper pole fullness and achieving a youthful breast shape.
• Further evaluation of this technique in a larger patient cohort is warranted.