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Related Experiment Videos

Guidelines in concentric mastopexy.

S L Spear1, M Kassan, J W Little

  • 1Division of Plastic Surgery, Georgetown University Medical Center, Washington, D.C.

Plastic and Reconstructive Surgery
|June 1, 1990
PubMed
Summary
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Concentric mastopexy can effectively correct breast deformities using three key principles to guide surgical planning. These principles ensure predictable outcomes for breast symmetry and areola size, improving patient satisfaction.

Area of Science:

  • Plastic Surgery
  • Cosmetic Surgery

Background:

  • Concentric mastopexy techniques and applications are not well-defined.
  • Patient satisfaction with concentric mastopexy has improved with experience.

Purpose of the Study:

  • To clarify the scope and technique of concentric mastopexy.
  • To present three principles for predictable concentric mastopexy outcomes.

Main Methods:

  • Identification and application of three geometric principles for concentric mastopexy.
  • Principle 1: Doutside ≤ Doriginal + (Doriginal - Dinside).
  • Principle 2: Doutside ≤ 2 X Dinside.
  • Principle 3: Dfinal = 1/2(Doutside + Dinside).

Main Results:

  • The three principles allow maximal areola and periareola skin excision.

Related Experiment Videos

  • These principles prevent adverse effects like poor scarring, areola dilation, or breast malformation.
  • Predictable final areola size is achieved through averaging inner and outer circle diameters.

    • Conclusions:

    • Concentric mastopexy, guided by these three principles, is applicable for mild nipple and glandular ptosis, areola asymmetry, and tuberous breasts.
    • The principles enable confident correction of various breast deformities, with or without augmentation mammaplasty.
    • This technique yields more symmetrical, aesthetically pleasing breasts with predictable areola dimensions.