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Mastopexy Autoaugmentation by Using Vertical and Triangular Flaps of Mammary Parenchyma Through a Vertical Ice Cream Cone-Shaped Approach

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  • Breast Surgery
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Abstract

Background

Mastopexy autoaugmentation by using an extended vertical flap and two transverse triangular flaps of mammary parenchyma was performed through an adjustable vertical ice cream cone-shaped approach.

Method

A vertical rectangular flap with the length of the inferior pole and thickness of the mammary parenchyma was supported at the inframammary fold. Dissection of the vertical flap was extended underneath the areola until the projection of its upper limit, adding 4–5 cm to the length of the vertical flap. A triangular flap supported on its lower half with 4–6 cm long and thickness of the vertical pillar was dissected on both vertical pillars. Patients were followed up for 2 years.

Results

The vertical rectangular flap filled the upper pole and central breast. The triangular flaps apart from filling the lower pole increased the mammary cone projection. The medial rotation advancement of the triangular flaps created a transverse support girdle at the lower pole, maintaining the vertical flap into position. In addition, fixation of the vertical flap along its entire length avoided long-term down-displacement of the breast. A keel resection of mammary parenchyma was performed in the larger breast in mild or moderate asymmetries.

Conclusion

Mastopexy autoaugmentation through an adjustable vertical approach using vertical and triangular flaps of mammary parenchyma filled the upper pole and central breast and reshape the lower pole, recovering the breast contour. It provided long-term stabilization of the mammary cone without a breast implant or fat transfer.

Level of Evidence IV

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Authors and Affiliations

  1. Post-Graduate Course of Plastic Surgery of the ACA - Institute of Assistance in Plastic Surgery of São Paulo, Division of Plastic Surgery at General Hospital São Rafael, Brazilian Society of Plastic Surgery and Brazilian Medical Association, Rua Afonso de Freitas 641, São Paulo, SP, 04006-052, Brazil

    Antonio Carlos Abramo, Thiago Walmsley Lucena, Romulo Grechi Sgarbi & Marcio Scartozzoni

Authors
  1. Antonio Carlos Abramo
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  2. Thiago Walmsley Lucena
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  3. Romulo Grechi Sgarbi
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  4. Marcio Scartozzoni
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Corresponding author

Correspondence to Antonio Carlos Abramo.

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Conflict of interest

No financial support or benefits have been received by the author or any co-author to accomplish this manuscript.

Ethical Approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the ACA - Institute of Assistance in Plastic Surgery of São Paulo research committee and with the 1964 Helsinki Declaration and Medical Research Involving Human Subjects and its later amendments or comparable ethical standards.

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Patients signed an informed consent form agreeing to the proposed treatment.

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Abramo, A.C., Lucena, T.W., Sgarbi, R.G. et al. Mastopexy Autoaugmentation by Using Vertical and Triangular Flaps of Mammary Parenchyma Through a Vertical Ice Cream Cone-Shaped Approach. Aesth Plast Surg 43, 584–590 (2019). https://doi.org/10.1007/s00266-019-01337-1

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  • DOI: https://doi.org/10.1007/s00266-019-01337-1

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