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Aesthetic Plastic Surgery

, Volume 42, Issue 1, pp 80–87 | Cite as

“The Chignon Mastopexy”: A Double Glandular Suspended Flaps for an Auto-Augmentation Effect

  • Bouraoui Kotti
Original Article Breast Surgery

Abstract

Background

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.

Methods

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.

Results

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.

Conclusion

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

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or Online Instructions to Authors www.springer.com/00266.

Keywords

Breast Mastopexy Breast lift Auto-augmentation Flaps Breast gland 

Notes

Compliance with Ethical Standards

Conflict of interest

The author declares that he has no conflicts of interest to disclose.

Supplementary material

Supplementary material 1 (MP4 26089 kb)

References

  1. 1.
    Biesenberger H (1928) Eine neue Methode der mammaplastik. Zentralbl Chir 55:2382Google Scholar
  2. 2.
    Mugea TT, Shiffman MA (2014) Aesthetic surgery of the breast. Springer, BerlinGoogle Scholar
  3. 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
  4. 4.
    Lassus C (1970) A technique for breast reduction. Int Surg 53:69PubMedGoogle Scholar
  5. 5.
    Lassus C (1996) A 30-year experience with vertical mammaplasty. Plast Reconstr Surg 97:373–380CrossRefPubMedGoogle Scholar
  6. 6.
    Gonzalez-Ulloa M (1960) Correction of hypertrophy of the breast by exogenous material. Plast Reconstr Surg 25:15–26CrossRefGoogle Scholar
  7. 7.
    Regnault P (1966) The hypoplastic and ptotic breast: a combined operation with prothetic augmentation. Plast Reconstr Surg 37:31–37CrossRefPubMedGoogle Scholar
  8. 8.
    Stevens WG, Macias LH, Spring M, Stoker DA, Chacón CO, Eberlin SA (2014) One-stage augmentation mastopexy: a review of 1192 simultaneous breast augmentation and mastopexy procedures in 615 consecutive patients. Aesthet Surg J 34(5):723–732CrossRefPubMedGoogle Scholar
  9. 9.
    Ferraro GA, De Francesco F, Razzano S, D’Andrea F, Nicoletti G (2016) Augmentation mastopexy with implant and autologous tissue for correction of moderate/severe ptosis. J Invest Surg 29(1):40–50CrossRefPubMedGoogle Scholar
  10. 10.
    Ribeiro L, Accorsi A Jr, Buss A, Marcal-Pessoa M (2002) Creation and evolution of 30 years of the inferior pedicle in reduction mammaplasties. Plast Reconstr Surg 110(3):960–970CrossRefPubMedGoogle Scholar
  11. 11.
    Rubin JP, Gusenoff JA, Coon D (2009) Dermal suspension and parenchymal reshaping mastopexy after massive weight loss: statistical analysis with concomitant procedures from a prospective registry. Plast Reconstr Surg 123(3):782–789CrossRefPubMedGoogle Scholar
  12. 12.
    Kankaya Y, Oruç M, Sungur N, Aslan ÖÇ, Gürsoy K, Özer K, Koçer U (2016) Four flap suspension technique for prevention of bottoming out after breast reduction. Ann Surg Treat Res. 90(1):10–15CrossRefPubMedGoogle Scholar
  13. 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
  14. 14.
    Kwei S, Borud LJ, Lee BT (2006) Mastopexy with autologous augmentation after massive weight loss: the intercostal artery perforator (ICAP) flap. Ann Plast Surg 57(4):361–365CrossRefPubMedGoogle Scholar
  15. 15.
    Hamdi M, Van Landuyt K, Blondeel P, Hijjawi JB, Roche N, Monstrey S (2009) Autologous breast augmentation with the lateral intercostal artery perforator flap in massive weight loss patients. J Plast Reconstr Aesthet Surg 62(1):65–70CrossRefPubMedGoogle Scholar
  16. 16.
    Graf R, Biggs TM (2002) In search of better shape in mastopexy and reduction mammoplasty. Plast Reconstr Surg 110(1):309–317CrossRefPubMedGoogle Scholar
  17. 17.
    Ritz M, Silfen R, Southwick G (2006) Fascial suspension mastopexy. Plast Reconstr Surg 117(1):86–94CrossRefPubMedGoogle Scholar
  18. 18.
    de Bruijn HP, ten Thije RH, Johannes S (2009) Mastopexy with mesh reinforcement: the mechanical characteristics of polyester mesh in the female breast. Plast Reconstr Surg 124(2):364–371CrossRefPubMedGoogle Scholar
  19. 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
  20. 20.
    Regnault P (1976) Breast ptosis Definition and treatment. Clin Plast Surg 3:193–203PubMedGoogle Scholar
  21. 21.
    Schonauer F, Marlino S, Molea G (2011) Criss cross mastopexy. J Plast Reconstr Aesthet Surg 64(1):e24–e25CrossRefPubMedGoogle Scholar
  22. 22.
    Ship AG, Weiss PR, Engler AM (1989) Dual pedicle dermoparenchymal mastopexy. Plast Reconstr Surg 83:281–290CrossRefPubMedGoogle Scholar
  23. 23.
    Gurunluoglu R, Kubek E, Arton J (2013) Dual pedicle mastopexy technique for reorientation of volume and shape after subglandular and submuscular breast implant removal. Eplasty 13:e48PubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2017

Authors and Affiliations

  1. 1.Medical School of TunisThe office of Dr KOTTI : Residence “Yasmin du lac”TunisTunisia

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