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Breast augmentation combined with a transposed glandular flap for prevention and correction of lower pole deformities

Abstract

Background

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.

Methods

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.

Results

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.

Conclusions

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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Author information

Correspondence to Dmitry Batiukov.

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Conflict of interest

Dmitry Batiukov and Vladimir Podgaiski declare that they have no conflict of interest.

Patient consent

Informed consent was obtained from all individual participants included in the study.

Ethical approval

For this type of study, formal consent is not required.

Funding

None

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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

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Keywords

  • Breast augmentation
  • Double bubble
  • Inframammary crease
  • Lower pole deformity
  • Tuberous breast
  • Glandular flap
  • Revisional augmentation