Abstract
Problems with periareola or circumareolar mastopexy procedures include areola spreading, hypertrophic scar, and recurrence of the ptosis largely because of tension on the closure. To minimize this tension associated with a conventional crescent mastopexy procedure, the authors modified the operation by excising parenchyma with the crescent of skin as well as two small triangles of parenchyma on either side of the areola. Implant augmentation was performed at the same time. The described operation is indicated for patients who have a small to moderate amount of ptosis. The best candidate is the patient whose areola–inframammary distance is not excessive. Nine such patients received this “extended crescent mastopexy with augmentation” and were followed for up to 3 years. Areola spreading and hypertrophic scar were kept to a minimum. Although not the final answer for ptosis patients, the extended crescent mastopexy with augmentation has been a step in the right direction.
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References
Aiache A: History of the circumareolar procedure. In: Wilkinson TS, Aiache AE, Toledo LS (eds) Circumareolar techniques for breast surgery. Springer-Verlag, New York, pp 29–32, 1995
Baran CN, Peker F, Ortak T, Sensoz O, Baran NK: Unsatisfactory results of periareolar mastopexy with or without augmentation, reduction mammaplasty: Enlarged areola with flattened nipples. Aesth Plast Surg 25:286–289, 2001
Bartels RJ, Strickland DM, Douglas WM: A new mastopexy operation for mild or moderate breast ptosis. Plast Reconstr Surg 57:687, 1976
Benelli L: A new perioareolar mammaplasty: The “round block” technique. Aesth Plast Surg 14:93, 1990
Brink RR: Evaluating breast parenchymal maldistribution with regard to mastopexy and augmentation mammaplasty. Plast Reconstr Surg 106:491–496, 2000
De la Fuente A, Martin del Yerro JL: Periareolar mastopexy with mammary implants. Aesth Plast Surg 16:337–341, 1992
Dinner MI, Artz JS, Foglietti MA: Application and modification of the circular skin excision and purse-string procedures. Aesth Plast Surg 17:301–309, 1993
Elliott LF: Circumareolar mastopexy with augmentation. Clin Plast Surg 29:337–347, 2002
Gasperoni C, Salgarello M, Gargani G: Experience and technical refinements in the “donut” mastopexy with augmentation mammaplasty. Aesth Plast Surg 12:111–114, 1988
Graf R, Biggs TM: In search of better shape in mastopexy and reduction mammaplasty. Plast Reconstr Surg 110:309–317, 2002
Gruber RP, Jones HW Jr: The “donut” mastopexy: Indications and complications. Plast Reconstr Surg 65:34–38, 1980
Hinderer U: Primera experiencia con una nueva tecnica de mastoplastia para ptosis ligeres. Presented at the sixth national reunion of Spanish Society of Plastic and Reparative Surgery, Madrid, 29–31 October 1969
Hollander E: Die operation der mammahypertrophie under der haenge brust. Dtsch Med Wochenschr 41:1400, 1924
Karnes J, Morrison W, Salisbury M, Schaeferle M, Beckham P, Ersek RA: Simultaneous breast augmentation and lift. Aesth Plast Surg 24:148–154, 2000
Nigro DM: Crescent mastopexy and augmentation. Plast Reconstr Surg 76:802–803, 1985
Peled IJ, Zagher U, Wexler MR: Purse-string suture for reduction and closure of skin defects. Ann Plast Surg 14:465, 1985
Puckett CL, Meyer VH, Reinisch JF: Crescent mastopexy and augmentation. Plast Reconstr Surg 75:533–543, 1985
Rees TD, Aston SJ: The tuberous breast. Clin Plast Surg 3:339, 1976
Regnault P: Crescent mastopexy and augmentation: Discussion. Plast Reconstr Surg 75:540, 1985
Seitchik MW: Augmentation of the minimally ptotic breast. Ann Plast Surg 5:460–463, 1980
Snow JW: Crescent mastopexy and augmentation. Plast Reconstr Surg 77:161–162, 1986
Spear SL, Giese S, Ducic I: Concentric mastopexy revisited. Plast Reconstr Surg 107:1294–1299, 2001
Spear SL, Kassan M, Little JW: Guidelines in concentric mastopexy. Plast Reconstr Surg 85:961–966, 1990
Spira M: Crescent mastopexy and augmentation: Discussion. Plast Reconstr Surg 75:542, 1985
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Gruber, R., Denkler, K. & Hvistendahl, Y. Extended Crescent Mastopexy with Augmentation. Aesth Plast Surg 30, 269–274 (2006). https://doi.org/10.1007/s00266-005-0138-5
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DOI: https://doi.org/10.1007/s00266-005-0138-5