The Circumrotational Technique for Mastopexy

Aesthetic Surgery Journal
Gabriele Cáceres Miotto, Felmont F Eaves

Abstract

Numerous combinations of pedicle design and incision patterns have been described for mastopexy, but upper pole volume deficiency, suboptimal shape, or recurrent ptosis are still undesired postoperative findings. The challenges of preventing such outcomes are amplified in the massive weight loss (MWL) patient population, where both the extent of morphologic deformation and alterations in tissue characteristics (ie, a materials failure) can be severe. To correct this problem, we propose a technique that combines breast circumference-reduction with maximal glandular rotation and superomedial repositioning: the circumrotational technique. The technique reduces the circumference of the breast base, enhances anterior projection, and defines the lateral breast border by maximal glandular rotation and elevation, reorienting and engaging lax structural elements within the parenchyma. It also recruits ptotic lateral breast tissue into the upper pole, maximizing volume. This technique proposes an initial glandular hyperelevation, upper pole tissue "stacking," and broad peripheral fixation of the breast-to-chest wall to support the breast during the healing period and combat the propensity for recurrence. The circumrotational technique ha...Continue Reading

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Citations

Oct 21, 2016·Aesthetic Surgery Journal·William P AdamsBruce W Van Natta
Oct 27, 2016·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Carlo D'AnielloGiuseppe Nisi
Feb 16, 2020·Aesthetic Plastic Surgery·Peder IkanderJørn B Thomsen

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