Aesthetic Plastic Surgery

, Volume 29, Issue 5, pp 391–399 | Cite as

Radial Plication in Concentric Mastopexy

  • Mark A. PinskyEmail author
Innovative Techniques


Concentric mastopexy presents many challenges to the plastic surgeon, especially when breast augmentation is part of the treatment plan. Radial plication is a reproducible and accurate technique for elevating the nipple–areolar complex and shaping the breast mound. Patient selection is important to the success of the radial plication procedure and concentric mastopexy in general. Although most surgeons agree that patients with smaller degrees of nipple ptosis and smaller breasts have better results than patients with greater degrees of nipple ptosis and larger breasts, there has never been an algorithm for patient selection. Regnault’s classification of breast ptosis addresses the degree of nipple ptosis, but no consideration is given to breast volume. Radial placation proved to be a valuable tool in the treatment of 87 patients undergoing concentric mastopexy in the author’s practice over the past 30 months. An algorithm addressing degrees of breast ptosis and breast volume is provided. The plastic surgeon can anticipate gratifying results if the algorithm provided is incorporated into his or her patient selection for concentric mastopexy. The concentric mastopexy technique is similar to the tailor tack procedure for standard mastopexy, allowing the plastic surgeon to mold and shape the breast before making a critical incision.


Brassiere cup Breast augmentation Breast ptosis Concentric mastopexy Mastopexy Radial plication 


  1. 1.
    Bartels RJ, Strickland DM, Douglas WM: A new mastopexy operation for mild or moderate breast ptosis. Plast Reconstr Surg 57:687, 1976PubMedGoogle Scholar
  2. 2.
    Benelli L: A new periareolar mammoplasty: The “round block” technique. Aesth Plast Surg 14:93, 1990CrossRefGoogle Scholar
  3. 3.
    Biggs TM: Concentric mastopexy revisited (discussion) Plast Reconstr Surg 107:1300, 2001CrossRefGoogle Scholar
  4. 4.
    Brink RR: Evaluating breast parenchymal maldistribution with regard to mastopexy and augmentation mammoplasty. Plast Reconstr Surg 86:715, 1990PubMedGoogle Scholar
  5. 5.
    Elliott LF: Circumareolar mastopexy with augmentation. Clin Plast Surg 29:337, 2002CrossRefPubMedGoogle Scholar
  6. 6.
    Gasperoni C, Saljarello M, Gargani G: Experience and technical refinements in the “donut” mastopexy with augmentation mammoplasty. Aesth Plast Surg 12:111, 1998CrossRefGoogle Scholar
  7. 7.
    Hinderer UT: Circumareolar dermo-glandular plication: A new concept for correction of breast ptosis. Aesth Plast Surg 25:404, 2001Google Scholar
  8. 8.
    Krupp S: Mastopexy: Modification of periwinkle shell operation: Ten years of experience. Aesth Plast Surg 14:9, 1990CrossRefGoogle Scholar
  9. 9.
    Peled IJ, Zagher U, Wexler MR: Purse string suture for reduction and closure of skin defects. Ann Plast Surg 14:465, 1985PubMedGoogle Scholar
  10. 10.
    Spear S: Augmentation/mastopexy: “Surgeon beware.” Plast Reconstr Surg 107:905, 2001Google Scholar
  11. 11.
    Spear SL, Giese SY, Ducic I: Concentric mastopexy revisted. Plast Reconstr Surg 107:1294, 2001CrossRefPubMedGoogle Scholar
  12. 12.
    Spear SL, Kassan M, Little JW: Guidelines in concentric mastopexy. Plast Reconstr Surg 85:961, 1990PubMedGoogle Scholar
  13. 13.
    Whidden PG: The tailor tack mastopexy. Plast Reconstr Surg62:347, 1978PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media Inc. 2005

Authors and Affiliations

  1. 1.M.A. PinskyWest Palm BeachUSA

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