“The Chignon Mastopexy”: A Double Glandular Suspended Flaps for an Auto-Augmentation Effect
Many mastopexy techniques have been described in the literature focusing on the new nipple areolar complex position and the breast deflation treatment, but only few of them detailed the glandular volume redistribution to avoid the use of implants. We describe a mastopexy procedure that brings the maximum of the volume to the central part of the breast. We compare the procedure to a “chignon” hair style way to vulgarize the technique and simplify its comprehension.
Breast volume is reshaped by the use of a vertical mastopexy and two deepithelized glandular flaps sutured for the first one to the pectoralis major fascia and for the second one to the contralateral flap. A lateral release of two fasciocutaneous flaps allows the final vertical suture.
From January 2011 to January 2016, 30 patients, between 85 operated on for ptotic breasts, were treated with this technique. The follow-up period is from 6 months to 5 years. Esthetic improvement in the breast shape and its projection were achieved in 90%. The illusion of augmentation of the final volume was noticed in 70% of the cases. No complications were noticed during this study.
We describe an easy and reliable technique for breast lift, based on a mastopexy method that changes the architecture of the breast to bring the maximum of its volume to the central part. The technique is rewarding for moderate volumes when the ptosis is more related to a glandular sagging than to a cutaneous looseness and breast deflation.
Level of Evidence IV
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KeywordsBreast Mastopexy Breast lift Auto-augmentation Flaps Breast gland
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Conflict of interest
The author declares that he has no conflicts of interest to disclose.
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- 1.Biesenberger H (1928) Eine neue Methode der mammaplastik. Zentralbl Chir 55:2382Google Scholar
- 2.Mugea TT, Shiffman MA (2014) Aesthetic surgery of the breast. Springer, BerlinGoogle Scholar
- 3.Dogramaci Y, Kalaci A, Sevinç TT, Esen E, Komurcu M, Yanat AN (2008) Does strand configuration and number of purchase points affect the biomechanical behavior of a tendon repair? A biomechanical evaluation using different kessler methods of flex-or tendon repair. Hand (NY) 3(3):266–270CrossRefGoogle Scholar
- 13.Eisenhardt SU, Nienhueser H, Braig D, Penna V, Bannasch H, Torio-Padron N (2013) Comparison of the Rubin dermal suspension sutures and total parenchymal reshaping technique with a traditional inverted T-scar reduction mammaplasty technique using a superior pedicle. Aesthetic Plast Surg 37(6):1153–1160CrossRefPubMedGoogle Scholar
- 19.Van Deventer PV, Graewe FR, Würinger E (2012) Improving the longevity and results of mastopexy and breast reduction procedures: reconstructing an internal breast support system with biocompatible mesh to replace the supporting function of the ligamentous suspension. Aesthetic Plast Surg 36(3):578–589CrossRefPubMedGoogle Scholar