Advertisement

Use of Nipple-Areolar Complex to Inframammary Crease Measurements to Reduce Bottoming Out Following Augmentation Mastopexy

  • Umar D. KhanEmail author
Chapter

Abstract

Augmentation mastopexy is a commonly performed procedure in which breast volume is achieved using an implant, while ptosis correction is done by mobilizing the nipple-areolar complex. Marking for the new nipple-areolar complex is commonly performed considering the degree of ptosis and using the inframammary crease as a reference or measurements taken from suprasternal notch. Commonly used markings are the periareolar, vertical scar or Wise pattern, depending on the degree of ptosis. Implants can be placed in subglandular, partial submuscular or subfascial pocket, and flaps can be superiorly, medially or laterally based. Regardless of the markings used, bottoming out is a common complication following mastopexy with augmentation. An algorithm is presented using preoperative nipple-areolar complex to inframammary crease measurements to reduce bottoming out in such procedures.

Keywords

Augmented Breast Vertical Scar Skin Envelope Augmentation Mammoplasty Wise Pattern 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Khan UD. Breast expansion in augmentation mammoplasty: comparative data analysis in submuscular and subglandular planes. J Muhammad Med Coll. 2012;3(1):8–10.Google Scholar
  2. 2.
    Kirwan L. A classification and algorithm for treatment of breast ptosis. Sci Forum. 2002;22:1–9.Google Scholar
  3. 3.
    Khan UD. Combining muscle splitting biplane with multilayer capsulorrhaphy for the correction of bottoming down following subglandular augmentation. Eur J Plast Surg. 2010;33:259–69. 2-.CrossRefGoogle Scholar
  4. 4.
    Brink RR. Evaluating breast parenchymal misdistribution with regard to mastopexy and augmentation mammoplasty. Plast Reconstr Surg. 2000;106:491–6.CrossRefPubMedGoogle Scholar
  5. 5.
    Regnault P. Breast ptosis. Clin Plast Surg. 1976;3:193–203.PubMedGoogle Scholar
  6. 6.
    Khan UD. Augmentation mastopexy in muscle splitting biplane: an outcome of first 44 consecutive cases of mastopexies in a new pocket. Aesthetic Plast Surg. 2010;34:313–21.CrossRefPubMedGoogle Scholar
  7. 7.
    Khan UD. High transverse capsuloplasty for the correction of malpositioned implants following augmentation mammoplasty in partial submuscular plane. Aesthetic Plast Surg. 2012;36:590–9.CrossRefPubMedGoogle Scholar
  8. 8.
    Khan UD. Vertical scar bipedicle technique. A modified procedure for breast reduction and mastopexy. Aesthetic Plast Surg. 2007;31:337–42.CrossRefPubMedGoogle Scholar
  9. 9.
    Khan UD. Vertical scar mastopexy with cat’s tail extension for prevention of skin redundancy. An experience with 17 consecutive cases following mastopexy and mastopexy with breast augmentation. Aesthetic Plast Surg. 2012;36:303–7.CrossRefPubMedGoogle Scholar
  10. 10.
    Cronin TD, Gerow RM. Augmentation mammoplasty: new “natural feel” prosthesis. In: 3rd International congress of plastic surgery, Excerpta Medica International Congress Series No. 66. Amsterdam: Excerpta Medica; 1964. pp. 41–9.Google Scholar
  11. 11.
    Gonzales-Ulloa M. Correction of hypotrophy of the breast by exogenous material. Plast Reconstr Surg. 1960;25:15.CrossRefGoogle Scholar
  12. 12.
    Regnault P. The hypoplastic and ptotic breast: a combined operation with prosthetic augmentation. Plast Reconstr Surg. 1966;37:31.CrossRefPubMedGoogle Scholar
  13. 13.
    Persoff MM. Vertical mastopexy with expansion augmentation. Aesthetic Plast Surg. 2003;27:13–9.CrossRefPubMedGoogle Scholar
  14. 14.
    Becker H, Hartog J. Augmentation mastopexy using adjustable implants with external injection dome. Aesthet Surg J. 2006;26:736–40.CrossRefPubMedGoogle Scholar
  15. 15.
    Elliott LF. Circumareolar mastopexy with augmentation. Clin Plast Surg. 2002;29:337–47.CrossRefPubMedGoogle Scholar
  16. 16.
    Binelli L. A new periareolar mammoplasty: “the round block” technique. Aesthetic Plast Surg. 1990;14:93–100.CrossRefGoogle Scholar
  17. 17.
    Owsley Jr JQ. Simultaneous mastopexy and augmentation for correction of the small ptotic breast. Ann Plast Surg. 1975;2:195.CrossRefGoogle Scholar
  18. 18.
    Spear SL, Pelletiere CV, Menon N. One-stage augmentation combined with mastopexy: aesthetic results and patient satisfaction. Aesthetic Plast Surg. 2004;28:259–67.CrossRefPubMedGoogle Scholar
  19. 19.
    Spear SL. Augmentation/mastopexy: “surgeon, beware”. Plast Reconstr Surg. 2006;118(7 Suppl):133S–4.CrossRefPubMedGoogle Scholar
  20. 20.
    Stevens WG, Stoker DA, Freeman ME, Quardt SM, Hirsch EM, Cohen R. Is one-stage breast augmentation with mastopexy safe and effective? A review of 186 primary cases. Aesthet Surg J. 2006;26:674–80.CrossRefPubMedGoogle Scholar
  21. 21.
    Khan UD. Muscle splitting biplane breast augmentation. A new pocket in a different plane. Aesthetic Plast Surg. 2007;31:353–8.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.ReShape Cosmetic Surgery UKWest Malling, KentUK

Personalised recommendations