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Multiplanar Assembly Mammaplasty Based on the Divine Proportion.

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Summary

This study applied the divine proportion (phi) to breast reduction and mastopexy, achieving precise results in 83% of patients. The technique enhanced breast shape and reduced complications, offering a refined approach to mammaplasty.

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Surgical Planning

Background:

  • The divine proportion (phi) principle was applied to mastopexy and breast reduction.
  • A multi-layered convergent assembly technique was utilized to reconstruct the breast.
  • The strategy incorporated the submammary fold's constancy and a V-shaped triangle orientation.

Purpose of the Study:

  • To plan and execute mastopexy and breast reduction using the divine proportion (phi).
  • To evaluate the efficacy and outcomes of this geometric approach in breast reshaping.
  • To assess the technique's impact on breast aesthetics and patient satisfaction.

Main Methods:

  • A prospective investigation involving 265 patients (530 breasts).
  • Mean patient age was 36 years.
  • Follow-up duration ranged from 6 months to 3 years.

Main Results:

  • 83% of patients (220) achieved a good outcome (Strasser grading 1-4).
  • Complications were infrequent, including delayed healing (7%), asymmetry (6%), and partial nipple necrosis (1.5%).
  • The technique demonstrated a high rate of successful aesthetic outcomes.

Conclusions:

  • The divine proportion approach enhances precision in mammaplasty.
  • This method effectively reduces axillary laxity and improves upper pole breast volume.
  • The technique facilitates nipple-areola complex elevation, contributing to improved aesthetic results.