Correction of breast ptosis utilizing a "fold over" de-epithelialized lower thoracic fasciocutaneous flap

In the operation described, vascularized dense connective tissues, consisting of two layers of dermis or fascia, are supplied from below the inframammary fold and shaped surgically into a supportive subcutaneous "cup." The reconstruction adds to the effect of the dermal mastopexy for the treatment of breast ptosis. This fasciocutaneous type of flap also augments the breast, and a pleasing projection may be achieved without resorting to an implant. The degree of augmentation depends upon the thickness of the subcutis donor site.