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The Circumrotational Technique for Mastopexy.

Gabriele Cáceres Miotto¹, Felmont F Eaves¹

¹Dr Miotto is a Post-Doctoral Fellow, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia. Dr Eaves is a Professor of Surgery, Division of Plastic Surgery, Emory University; Medical Director of the Emory Aesthetic Center and Emory Ambulatory Surgery Center, Atlanta, Georgia, USA; and Evidence-Based Medicine Section Co-editor for Aesthetic Surgery Journal.

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|August 31, 2015

Summary

The novel circumrotational technique improves breast shape and volume after mastopexy, especially for massive weight loss patients. This method addresses upper pole deficiency and recurrent ptosis by rotating and repositioning glandular tissue.

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Area of Science:

Plastic Surgery
Reconstructive Surgery
Aesthetic Surgery

Background:

Standard mastopexy techniques can result in undesirable outcomes like upper pole volume deficiency and recurrent ptosis.
Massive weight loss (MWL) patients present unique challenges due to significant tissue deformation and altered tissue characteristics.

Purpose of the Study:

To introduce and describe the circumrotational technique for mastopexy.
To address limitations of existing mastopexy methods, particularly in MWL patients.

Main Methods:

The circumrotational technique involves breast circumference reduction with maximal glandular rotation and superomedial repositioning.
It enhances anterior projection, defines the lateral breast border, and recruits ptotic lateral tissue into the upper pole.
The technique includes glandular hyperelevation, upper pole tissue stacking, and peripheral fixation to the chest wall.

Main Results:

The technique aims to reduce breast base circumference and improve overall breast shape and projection.
It maximizes upper pole volume by recruiting and repositioning lax glandular and ptotic tissues.
The method provides robust support to combat recurrence and maintain results.

Conclusions:

The circumrotational technique offers a solution for challenging mastopexy cases, including those with massive weight loss.
It effectively addresses upper pole volume deficiency, shape, and recurrent ptosis.
This technique is applicable to both MWL and non-MWL patients with significant breast ptosis (grade 2 or 3).