Skip to main content
SpringerLink
Log in

Approach to Ptotic Breasts: Surgical Options for Solving the Problems

  • Chapter
  • First Online:
Breast Surgery

  • 1621 Accesses

Abstract

The author presents various types of tactics associated with the technique of Prof Pitanguy to correct breast ptosis. The main objective of such an approach is to have a final result that is more graceful and that has a longer effect. It is always good to alert the patients that although we use all the elements to maintain the result as long as possible, in some cases, this is not possible because other elements need to be added, such as skin elasticity and tone, breast parenchyma changes, etc., which definitely lead to a second intervention, usually after 2–5 years.

Discussion: Although various types of surgical approach have been described for the correction of breast ptosis, for about 20 years, we have been using the technique of Prof Pitanguy combine various surgical tactics, such as higher retail dermal belt, inverted suture, etc. With these maneuvers, a denser breast form (such as implants) and longer results can be obtained. The final result of this approach has satisfied patients and surgeons alike.

Complications: There are various complications that may occur in breast surgery (hematoma, seroma, infection, dehiscence, necrosis, etc.), but these are becoming less common and when seen, they are always noticed earlier and solved without permanent sequelae.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  • Arié G (1957) Nova técnica em mamaplastia. Ver LatAmer Cir Plást 3:28

    Google Scholar 

  • Ashley DL (1970) A new type of breast prosthesis preliminary report. Plast Rec. Surg. 45:421

    Article  CAS  Google Scholar 

  • Aufricht G (1949) Mamaplasty for pendulous breast. Empiric and geometry planning. Plast Rec Surg 4:13

    Article  CAS  Google Scholar 

  • Barnes HO (1950) Breast malformations and a new approach to the problem of the small breast. Plast Rcconstr Surg 5:499–506

    Article  Google Scholar 

  • Biesenberger H. (1931) Deformitäten und kosmetische Operationen der weiblichen Brust. Ed. W. Maudrich. Wein

    Google Scholar 

  • Bozzona AR, Oliveira HC, Sanchez WH, Miura O, DDandréia S (1982) Momoplastia em L contribuição pessoal R. Amrggs, Porto Alegre 26(3), 207

    Google Scholar 

  • De Castro CC (1983) De castro redução mamária pela técnica do retalho dermoadiposo de pediculo inferior. Rev Bras De Cir 73:47

    Google Scholar 

  • Dufourmentel L (1925) La mastopexie par déplacement sous-cutané avec transposition du mamelon. Bull Mem Soc Chir Paris, 20 Mars 1925

    Google Scholar 

  • Franco T (1976) Incisão EM fechadura no tratamento cirurgico das pequenas ptoses mamárias. Rev Bras De Cir 66(1/2):43

    Google Scholar 

  • Franco T (1980) Axial flap from the inferior pole of the breast. Ann Plast Surg 5(4):260–265

    Article  CAS  PubMed  Google Scholar 

  • Gillies M, McIndoe AH (1939) The technique of mammaplasty in conditions of hypertrophy of the breast. Surg Gynecol Obstet 68:658

    Google Scholar 

  • Goulian D Jr (1971) Dermal mastopexy. Plast Reconstr Surg 47(2):105

    Google Scholar 

  • Lima JC (1979) Breast reduction: new methods and refinements. Trans Intern SAO Paulo Congress of Plastic. Rec. Cartgraf. Surg

    Google Scholar 

  • Maliniac JW (1950) Breast deformities and their repair. Grune & Stratton, New York

    Google Scholar 

  • Marino H (1964) Nuevos conceptos en el tratamiento quirurgico de la hipertrofia Y de la ptosis mammaria. Bol Soc Sirug B Aires 48:122

    CAS  Google Scholar 

  • Marino HE, Uriburuj V (1957) La mama buenos aires editorial científico arg

    Google Scholar 

  • Peixoto G (1980) Reduction mammaplasty: a personal techique. Plast Rec Surg 65:217

    Article  CAS  Google Scholar 

  • Peixoto G (1984) Reduction mammaplasty. Aesth Plast Surg 8:231–236

    Article  CAS  Google Scholar 

  • Pitanguy I (1961) Mamaplastias: estudo de 245 casos consecuticos e apresentação de tecnica pessoal. Rev Bras Cir 42:201

    CAS  PubMed  Google Scholar 

  • Penn J (1955) Breast reduction. Br J Plast Surg 7:357

    Google Scholar 

  • Pitanguy I (1967) Surgical treatment of the breast hypertrophy. Plast Surg 20:78

    Article  CAS  Google Scholar 

  • Pitanguy I (1978) Mamaplastia Guanabatra Koogan Rio de Janeiro

    Google Scholar 

  • Pontes R (1981) Reduction mammaplasty—variations I and II. Ann Plast Surg 6(6):437

    Article  CAS  PubMed  Google Scholar 

  • Regnault P (1967) Indications for breast augmentations. Plast Rec Surg 40:524

    Article  CAS  Google Scholar 

  • Ribeiro L (1973) Mastoplastia moditicotion personal de Técnica prensa med. Argentina 60:944

    Google Scholar 

  • Ribeiro L (1975) A new technique for reduction mammaplasty. Plast Rec Surg 55(3):330

    Article  CAS  Google Scholar 

  • Ribeiro L (1989) Cirurgia plastica da mama medsi, vol. 1, 2, 3, 6 E 8

    Google Scholar 

  • Ribeiro L (2005) Pediculos em mamaplastia atlas E texto. medsi gaunabara koogan. Pag 19 Á 113

    Google Scholar 

  • Ribeiro L, Baker E (1983) Technical consideration (Chapter 22). In: Georgiade NG (ed) Aesthetic breast surgery. William Wilkins, Baltimore, p 260

    Google Scholar 

  • Schwarzmann E (1930) Die technik der mammaplastik. Chirurg 2(1930):932–943

    Google Scholar 

  • Sinder R (1970) Tese apresentada á faculdade nac. De med. para concorrer á livre docência

    Google Scholar 

  • Strombeck JO (1971) Reduction mammaplasty. Surg Clin Amer 51:453

    Article  CAS  Google Scholar 

  • Talita F, Rebello C (1977) Cirurgia Plastica Estética. R.J. Atheneu

    Google Scholar 

  • Wise RJ, Gannon JP, Hill JR (1963) Further experience with reduction mammaplasty. Plast Reconstr Surg 32(1):12

    Google Scholar 

Download references

Acknowledgments

This work is the result of the teachings and publications that have been granted by Ivo Pitanguy and Ramil Sinder, teachers who taught us how to solve the issues of breast dysmorphia, showing that behind every case, there is a woman with distress, anxiety, and a perspective on the final results. Finally, we should point out that the patient’s expectations may not always can be fulfilled by the professional as they wish.To the teachers Ivo Pitanguy and Ramil Sinder, our eternal gratitude.

Author information

Authors and Affiliations

  1. Rua Real Grandeza, 108–sala 313, 22281034, Botafogo, RJ, Brazil

    Sérgio Levy Silva

Authors
  1. Sérgio Levy Silva
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sérgio Levy Silva .

Editor information

Editors and Affiliations

  1. São Paulo, São Paulo, Brazil

    Juarez M. Avelar

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Silva, S.L. (2018). Approach to Ptotic Breasts: Surgical Options for Solving the Problems. In: Avelar, J. (eds) Breast Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-54115-0_56

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-54115-0_56

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-54114-3

  • Online ISBN: 978-3-319-54115-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation