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Innovative Preoperative Mathematical Suggestion for Vertical Incision in Mammaplasty
Mohammadhossein Hesamirostami1, Sami Hesamirostami2, Sanli Hesamirostami3
1From the Plastic and Reconstructive Surgery, Zare Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
Plastic and Reconstructive Surgery. Global Open
|December 11, 2025
Summary
Choosing the right incision for breast reduction (reduction mammaplasty) and breast lift (mastopexy) is crucial. A new measurement, the superior breast border-inframammary fold distance, offers a more accurate way to select the optimal surgical incision.
Area of Science:
- Plastic Surgery
- Surgical Techniques
- Breast Aesthetics
Background:
- Incision selection for reduction mammaplasty and mastopexy is complex.
- Existing algorithms for guiding incision choice are incomplete.
- Accurate assessment of skin and tissue is vital for optimal outcomes.
Purpose of the Study:
- To introduce a more accurate measurement for guiding breast surgery incision.
- To refine the decision-making process for reduction mammaplasty and mastopexy incisions.
- To integrate breast geometry and distance mathematics for optimal surgical planning.
Main Methods:
- Analysis of the superior breast border-inframammary fold distance.
- Inclusion of component measurements and patient skin quality.
- Application of geometric principles and distance calculations.
Main Results:
- The superior breast border-inframammary fold distance provides a superior assessment of skin and tissue.
- A distance up to approximately 32 cm is generally suitable for vertical scar mammaplasty.
- Optimal incision type can be determined by analyzing this measurement and skin quality.
Conclusions:
- The superior breast border-inframammary fold distance is a key metric for incision selection in breast surgery.
- This measurement, combined with skin quality, enhances the accuracy of surgical planning.
- A refined approach using geometric principles improves outcomes in reduction mammaplasty and mastopexy.
