"The Chignon Mastopexy": A Double Glandular Suspended Flaps for an Auto-Augmentation Effect

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Breast Surgery

Background:

• Limited techniques detail glandular volume redistribution for mastopexy without implants.
• Existing methods often focus on nipple position and breast deflation.
• A new approach is needed to enhance breast shape and projection using intrinsic tissue.

Purpose of the Study:

• To describe a novel mastopexy technique that redistributes glandular volume to the breast's central area.
• To evaluate the efficacy and safety of this technique in patients with ptotic breasts.
• To provide a simplified understanding of the procedure, likened to a "chignon" hairstyle.

Main Methods:

• Vertical mastopexy with two deepithelized glandular flaps.
• First flap sutured to pectoralis major fascia; second flap to the contralateral flap.
• Lateral release of fasciocutaneous flaps for final vertical closure.

Main Results:

• 30 patients with ptotic breasts treated between 2011 and 2016.
• Follow-up ranged from 6 months to 5 years.
• 90% achieved aesthetic improvement in breast shape and projection.
• 70% experienced an illusion of volume augmentation.
• No complications reported.

Conclusions:

• A reliable and straightforward mastopexy technique is presented, centralizing breast volume.
• Effective for moderate breast volumes with glandular sagging, not significant skin laxity.
• The method alters breast architecture for improved aesthetics and perceived volume.