Abstract
We present our experience with using a periareolar mastopexy technique combined with prosthesis implantation to correct mammary ptosis, misplaced areolas, and tuberous hypoplastic breasts. We draw a circle around the areola and deepidermize the skin between them. We enter the glandular tissue and introduce the implant in a submuscular pocket. A purse string suture of nonabsorbable material is used to gather the excess skin. Results were satisfactory in all cases. During the immediate postoperative weeks the shape was flatter and protruded less, but a progressive correction was observed. The tuberous breast could be released and reshaped adequately. Misplaced areolas can also be replaced correctly by drawing the periareolar circle and ellipse in eccentric forms. This technique does not allow great elevation of the areola (no more than 4–5 cm), but it is good and safe for correcting minor to moderate ptosis combined with volume augmentation.
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Andrew JM, Aoki Yshisuki MM, Martins DMSF, Rudge R: An areolar approach to reduction mammaplasty. Br J Plast Surg28:166, 1975
Benelli L: A new periareolar mammaplasty: The “round block” technique. Aesth Plast Surg14:93, 1990
Bustos R: Mamaplastia periareolar. Communication to the XXV Congreso Brasileiro de Cirugia Plastica, Salvador, El Salvador, 1988
Felicio Y: Periareolar reduction mammaplasty. Plast Reconstr Surg88:1789, 1991
Freiber A, Boyd JB: Reduction mammaplasty: A comparison between the Robbins and the Pontes techniques. Plast Reconstr Surg78:773, 1986
Hinderer UT: Primera experiencia con una nueva ténica de mastoplastia para ptosis ligeras. VIth Reun Nac Soc Esp Cir Plast Rep, Madrid, Spain, 1969
Lassus C: Breast reduction: Evolution of a technique—a single vertical scar. Aesth Plast Surg11:107, 1987
Maillard GF: A Z-mammaplasty with minimal scarring. Plast Reconstr Surg78:773, 1986
Peled IJ, Zagher U, Wexler MR: Purse-string suture for reduction and closure skin defects. Ann Plast Surg14:465, 1985
Pexioto G: Reduction mammaplasty: A personal technique. Plast Reconstr Surg65:217, 1980
Regnault P: Breast reduction and mastopexy, an old love story: B technique update. Aesth Plast Surg14:101, 1990
Sampaio JC: Periareolar mammaplasty: double skin technique. Rev Soc Bras Cir Plast4:55, 1989
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de la Fuente, A., Martín del Yerro, J.L. Periareolar mastopexy with mammary implants. Aesth. Plast. Surg. 16, 337–341 (1992). https://doi.org/10.1007/BF01570697
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DOI: https://doi.org/10.1007/BF01570697