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Related Experiment Video

Updated: Nov 4, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

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Four-Flap Mammaplasty.

Fethi Orak1, Semih Baghaki2

  • 1, Istanbul, Turkey.

Aesthetic Plastic Surgery
|May 27, 2021
PubMed
Summary

This study introduces a four-flap mammaplasty technique for durable breast shaping. The method offers reproducible, long-lasting cosmetic results with high patient satisfaction and minimal complications.

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The effects of gender-affirming hormone therapy and mastectomy on psychopathology, body image, and quality of life in adults with gender dysphoria who were assigned female at birth.

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Expansion of the Subcutaneous Compartment by Umbilicus Resection for Intrathecal Pump Placement: The "Karagoz-Hacivat Technique".

Operative neurosurgery (Hagerstown, Md.)·2024

Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Reconstructive Surgery

Background:

  • Breast shaping procedures aim for durable aesthetic endpoints.
  • A novel breast shaping technique with an anatomical basis is presented.
  • This technique is designed for reproducibility and long-lasting results.

Purpose of the Study:

  • To evaluate the efficacy and durability of a specific breast shaping technique.
  • To assess patient satisfaction and complication rates associated with the procedure.

Main Methods:

  • A cohort of 700 patients (ages 18-62) underwent the four-flap mammaplasty technique.
  • Follow-up included clinical notes and digital photography over 6 months to 15 years (mean 18 months).
  • Patient satisfaction was assessed at 6 months using a 1-5 rating scale for shape, healing, and scars.
Keywords:
Breast reductionBreast surgeryMammaplastyPlastic surgeryReduction mammaplasty

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Last Updated: Nov 4, 2025

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Main Results:

  • Resection volumes averaged 190g (mastopexy) and 430g (reduction) per breast.
  • Average nipple-areola complex (NAC) repositioning was 3.4 cm.
  • Complication rates were low: 1.4% hematoma, 1.7% wound dehiscence, 4.5% delayed epithelialization, and 1.9% scar revision.

Conclusions:

  • The four-flap mammaplasty technique yields good and durable cosmetic outcomes.
  • The procedure demonstrates a favorable safety profile with low complication rates.
  • High patient satisfaction indicates the technique's effectiveness in achieving desired breast shape.