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Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
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Three-Flap Mastopexy with Reduction or Augmentation.

Antonio Fuente-Del-Campo1,2, Federico García-García3, Ivan Ortiz-Monasterio-Todd4

  • 1Universidad Nacional, Autónoma de México (UNAM), Col. Valle de las Palmas, Vialidad de la Barranca s/n suite 845, Huixquilucan, México, 52763, México. afuentedelcampo@prodigy.net.mx.

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Summary

This study presents a versatile mastopexy technique for correcting breast ptosis with minimal scarring. The procedure offers satisfactory aesthetic outcomes and is safe and reproducible for various breast types.

Keywords:
Breast ptosisBreast surgeryMastopexyReduction breast surgery

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Breast Surgery

Background:

  • Breast ptosis correction is a long-standing surgical challenge.
  • Advancements in surgical techniques aim for lasting results with minimal scarring.
  • Collective evolution in surgical practice drives continuous improvement.

Purpose of the Study:

  • To present a versatile mastopexy technique developed over 11 years of surgical practice.
  • To evaluate the applicability of the technique across different breast types and ptosis severities.
  • To assess the efficacy and safety of the described mastopexy procedure.

Main Methods:

  • A retrospective analysis of 67 female patients undergoing mastopexy between January 2009 and March 2020.
  • Utilized a periareolar approach for Grade I ptosis and an inverted "T" approach for severe ptosis.
  • Involved skin excision, creation of three breast tissue flaps, retromammary dissection, flap anchoring to pectoral aponeurosis, and flap invagination.

Main Results:

  • Sixty-seven patients (ages 36-59) underwent the procedure.
  • Low complication rates reported: hematoma (4%), overcorrection (4%), dehiscence (3.3%), residual ptosis (2.7%), pathological scarring (2.7%), rotation folds (2%).
  • Satisfactory aesthetic results achieved with a mean follow-up of 2 years and 9 months.

Conclusions:

  • The presented mastopexy technique is versatile and applicable to most ptosis correction cases.
  • The procedure effectively restores breast shape, size, and position with reduced scarring.
  • It is a logical, safe, efficient, reproducible, and easy-to-learn surgical method.