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Mammoplasty Planned Using the Divine Proportion and Assembled with Multiplanar Layers (Golden Ratio Mammoplasty)

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Breast Surgery

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Abstract

The purpose is to plan mastopexy and breast reduction according to the principles of the divine proportion, phi, associated with convergent multiplanar assembling of the new breast. The strategy is based on the constancy of the sub-mammary fold, orientated over a V-shaped triangle with the 60° vertex at the umbilicus with each branch opening in the direction of the acromioclavicular joint.

Method: The strategy has prospectively been investigated in 265 patients, encompassing n = 530 breasts. The mean age was 36 years. The follow-up ranged from 6 months to 3 years.

Results: 220 patients (83%) scored good (1–4) according to Strasser’s grading. Complications were few: minimal scar ulceration in 19 patients (7%), asymmetry in 16 (6%), and partial nipple necrosis in 4 (1.5%).

Conclusion: The approach adds precision to mammoplasty, reduces the laxity at the axillary region, promotes bulk to the upper pole, and eases nipple–areola complex elevation.

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Authors and Affiliations

  1. Clínica Jane Hospital Ilha, Deputado Antonio Edu Vieira, Florianópolis, SC, 88040001, Brazil

    Osvaldo Pereira MD

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  1. Osvaldo Pereira MD
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Correspondence to Osvaldo Pereira MD .

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  1. São Paulo, São Paulo, Brazil

    Juarez M. Avelar

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Pereira, O. (2018). Mammoplasty Planned Using the Divine Proportion and Assembled with Multiplanar Layers (Golden Ratio Mammoplasty). In: Avelar, J. (eds) Breast Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-54115-0_28

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  • DOI: https://doi.org/10.1007/978-3-319-54115-0_28

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-54114-3

  • Online ISBN: 978-3-319-54115-0

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