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“Double-Ring” Method for Treating Breast Ptosis: a New Approach with Local Tissue Rearrangement

  • Surgical Techniques and Innovations
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

Various traditional gland dermal pedicle techniques for breast ptosis had disadvantages, such as inverted T or vertical scars and poor sensation function in the nipple and areola in most cases, or even an unesthetic shape in some cases. We felt that these disadvantages could be minimized by using a novel double-ring method with local tissue rearrangement, aiming to correct mastoptosis and preserve the firmness of the breast structure. We used a novel double-ring method with local tissue rearrangement in 35 patients with varying degrees of breast ptosis. Ten patients needed breast volume reduction simultaneously with correction of breast ptosis. Satisfaction with the results among all patients was assessed by a questionnaire. The clinical data, surgical outcome, and follow-up evaluation of the patients were analyzed from follow data and well maintained hospital records. All patients were followed up for at least 1 year. Most of the patients were very satisfied with the firmness of the breast structure, invisible scars, and good viability and sensation of the nipple-areola complex (NAC). The results were durable and stable, and the incidence of complications was low. Concealed areola scarring was the most important advantage of this technique over other techniques for Asians. This novel technique might be a valid option for traditional methods, especially for Asian breasts due to invisible scars. This method could also achieve a good result in patients who did not have adequate breast volume and did not accept prosthesis implantation.

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Data Availability

The data are available from the corresponding author on reasonable request.

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Funding

This study was supported by the Natural Science Foundation of Guangdong Province (2018A030313900) and the 5010 Research Project of Sun Yat-sen University (2019017).

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Author notes

  1. Jian Zhang and Xiaolian Xiao contributed equally to this study.

Authors and Affiliations

  1. Plastic Unit, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, 107 Yanjiang West Road, Guangzhou, China

    Jian Zhang, Xiaolian Xiao, Jiaqi Zhang, Yongzhen Wang, Zheng Su, Chen Chen, Weiqiang Liang & Jinming Zhang

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  1. Jian Zhang
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  2. Xiaolian Xiao
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  3. Jiaqi Zhang
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  4. Yongzhen Wang
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  5. Zheng Su
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  6. Chen Chen
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  7. Weiqiang Liang
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  8. Jinming Zhang
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Contributions

JMZ performed the operation. JMZ and WQL designed the research. JMZ and WQL performed data search and screening. JZ and JQZ analyzed the data, and JZ and XLX wrote the manuscript. JMZ reviewed the manuscript. CC and YZW provided analysis instructions. ZS revised the manuscript.

Corresponding authors

Correspondence to Weiqiang Liang or Jinming Zhang.

Ethics declarations

Ethics Approval and Consent to Participate

The study followed the guidance of the Ethics Committee of Sun Yat-sen Memorial Hospital, Sun Yat-sen University and Declaration of Helsinki, and all participants provided informed written consent. The study adhered to the STROBE reporting guidelines.

Conflict of Interest

The authors declare no competing interests.

The EC number: EC-20220525–1005.

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Zhang, J., Xiao, X., Zhang, J. et al. “Double-Ring” Method for Treating Breast Ptosis: a New Approach with Local Tissue Rearrangement. Indian J Surg 85, 1450–1457 (2023). https://doi.org/10.1007/s12262-023-03738-8

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  • DOI: https://doi.org/10.1007/s12262-023-03738-8

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