MASTOPEXY

In women presenting breast ptosis, i.e. when the nipple is located below the submammary fold, a technique to elevate the breast named mastopexy is indicated. This technique is performed after designing incisions identical to those ones used for breast reduction, that means that it can be performed with minimal scars, just a vertical and a periareolar ones. In this case glandular tissue is not removed but remodeled to shape a full, youthful and elevated breast. The main novelty is that the shape and the weight of the breast is not borne by the skin as happens when classic techniques with inverted T scar is performed. The weight is borne by anchoring sutures from glandular structures conforming the newly shaped breast to pectoralis muscle. Thus, scar widening is avoided and the breast remains in its position.

Equally, we utilize our technique to reposition the nipple at the end of the operation. Applying the new technique developed by us, presented at the annual meeting of the American Society of Aesthetic Surgery and published in Aesthetic Surgery Journal, the design does not imply initial removal of the skin corresponding to the final nipple location, but the final location of the nipple-areolar complex is determined at the end of the procedure when the breast is already elevated, facilitating an easy modification of the position and achieving better symmetry with the contralateral breast.

To do so, a triangular design is made prior to the operation, placing the vertex of the triangle where the nipple will be finally located after finishing the reduction procedure. The aim of our technique is to place the areola properly without any tension, performing the procedure symmetrically in both breasts without being conditioned by the design and the consequent skin removal provided by Lejour technique.

If during the operation the breast becomes too empty, breast augmentation implant can be associated to the pexy technique at the same time, after selecting the most suitable implant size for each patient using the prosthesis sizers.

Applying the before mentioned three items, vertical scar with final location of the nipple, suturing the glandular structures to the pectoralis muscle and augmentation implant placement when needed, we achieve long lasting and very good aesthetic outcomes performing breast pexies.