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The 3-Dimensional "Croissant Mastopexy": Indications and Outcomes.
1From the Division of Plastic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Annals of Plastic Surgery
|June 15, 2022
Summary
The crescent mastopexy, or "croissant mastopexy," is an underutilized breast surgery technique. Optimizing results involves a 3D approach with multi-layered closure for better outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Crescent mastopexy is an infrequently used breast surgery.
- Its effectiveness is often debated, with traditional techniques focusing on 2D resection.
Purpose of the Study:
- To re-evaluate the crescent mastopexy technique.
- To introduce a 3D conceptualization and improved method termed "croissant mastopexy."
Main Methods:
- Resection of a full-thickness composite tissue segment (skin, fat, parenchyma).
- Multi-layered closure of the resulting defect.
- Application in primary augmentation and secondary revision cases.
Main Results:
- Improved outcomes compared to traditional 2D methods.
- Successful application in cases of mild-moderate ptosis, asymmetry, and tuberous breasts.
- Acceptable scarring and minimal areolar stretching when performed correctly.
Conclusions:
- The "croissant mastopexy" offers a valuable 3D approach to breast lift and augmentation.
- This technique can yield good aesthetic results in various primary and secondary breast surgeries.
- Careful execution is necessary to maintain nipple viability in revision cases.

