“Flip-Flap” Mastopexy and Breast Reduction

  • Robert S. Flowers
  • Adil Ceydeli

We all appreciate the importance of breasts in the aesthetics of the female body, which drives our vigilant search for better operations to improve their shape, design, and durability. Few of those described withstand the test of time. The “Flip-Flap Mastopexy” is, however, one that has done so, and remains our favorite among those that have withstood [1, 2].

The problem with mastopexy techniques that rely on the integrity of the dermis or skin flaps to hold and retain the breast in an elevated position is that the stretching of skin allows the breast to droop again in relatively few months. Most mastopexies and breast reduction operations leave heavy breast bulk to remain in the lower pole of the breast. The thrust of that bulk eventually causes “restretching” of the skin that is already “programmed” to expand and accommodate breast enlargement (Fig. 16.1). This manifests as recurrent ptosis, typically apparent within a year after mas-topexy. Secondary skin resections temporarily restore breast contour, but regression rapidly recurs.


Reduction Mammaplasty Superior Pole Areolar Complex Breast Reduction Operation Breast Ptosis 
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  1. 1.
    Flowers RS, Smith EM Jr: “Flip-flap” mastopexy. Aesthetic Plast Surg 1998;22(6):425–429CrossRefPubMedGoogle Scholar
  2. 2.
    Vogt T: Reduction mammoplasty — Vogt technique. In: Georgiade NG (ed). Aesthetic Breast Surgery. Baltimore, Williams & Wilkins 1983, pp 271–290Google Scholar
  3. 3.
    McKissock PK: Reduction mammaplasty with a vertical dermal flap. Plast Reconstr Surg 1972;49(3):245–252CrossRefPubMedGoogle Scholar
  4. 4.
    Ceydeli A, Hunter JG: “Peeling orange” deepithelializa-tion: a technique for rapid deepithelialization in reduction mammaplasty. Aesthetic Surg J 2004;24:580–581CrossRefGoogle Scholar
  5. 5.
    Ceydeli A: Saving time and money in mammaplasty. Cosmetic Surgery Times 2006, April issue, pp 40–41Google Scholar
  6. 6.
    Lexer E: Correccion de los pechos pendulos (mastoptose) por medio de la implantacion de grasa. Guipuzcoa Medica 1921;63:213Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Robert S. Flowers
  • Adil Ceydeli
    • 1
  1. 1.Division of Plastic SurgeryBay Medical CentrePanama CityUSA

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