Regnault B Mastopexy: A Versatile Approach to Breast Lifting and Reduction
Mastopexy remains a challenging operation for most surgeons. In some ways, patients and surgeons alike are fighting a losing battle, in which they are trying to uplif a sagging breast that is usually the result of a lack of tensile strength in the skin. Since it is only the skin that supports the breast, recurrent skin stretch is the rule rather than the exception. Although women with pseu-doptosis or mild ptosis may be satisfied with breast augmentation alone, mastopexy is often indicated to obtain the desired “lift” when there is more significant ptosis. The disadvantage of choosing mastopexy over augmentation alone is the resulting scars on the breasts. Classic mastopexy produces a scar around the areola as well as a vertical scar extending from the areola down to a transverse scar in the fold beneath the breasts.
A number of techniques have been developed over the years in an effort to minimize the extent of scarring. In 1976, Regnault  published the B Mastopexy technique that unites the vertical and horizontal scars into a single curving incision, thus eliminating the medial scar. This technique also may be used in breast reductions. This technique has been the preferred technique in the author's hands for over 15 years. The advantage of this procedure is that a long inframammary incision is avoided and is replaced by a much shorter lateral continuation of the vertical incision. Since there are no specific markings to guide the surgeon, the procedure requires more experience and judgment than the more standard cookie cutter techniques using anchor-shaped incisions.
KeywordsBreast Augmentation Inframammary Fold Vertical Scar Inframammary Incision Horizontal Scar
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