Lower pole deformities constitute the most complex problem encountered during and after breast augmentation. If the procedure is not accurately planned, the choice of techniques to correct lower pole deformity intraoperatively can be limited, leading to the possibility of additional scarring or the necessity of a second surgery.
Volume deficiencies of the lower pole after implant placement, such as flatness and double bubble, are indications for the proposed technique. A glandular flap is created by bisecting the lower pole of the gland and is transposed inwards and downwards to fill the deficient area. It is not necessary to fix the flap in place.
Between January 2011 and December 2014, 30 patients underwent breast augmentation or augmentation-mastopexy combined with a transposed glandular flap. A desired lower pole was achieved in all the cases. No major complications were observed.
The transposed glandular flap herein described was proven to be useful to correct volume deficiencies of the lower pole after implant placement in cases of primary and secondary cases of breast augmentation.
Level of Evidence: Level IV, therapeutic study
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Conflict of interest
Dmitry Batiukov and Vladimir Podgaiski declare that they have no conflict of interest.
Informed consent was obtained from all individual participants included in the study.
For this type of study, formal consent is not required.
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Batiukov, D., Podgaiski, V. Breast augmentation combined with a transposed glandular flap for prevention and correction of lower pole deformities. Eur J Plast Surg 41, 21–26 (2018) doi:10.1007/s00238-017-1312-0
- Breast augmentation
- Double bubble
- Inframammary crease
- Lower pole deformity
- Tuberous breast
- Glandular flap
- Revisional augmentation