Circumlateral Vertical Augmentation Mastopexy for the Correction of Ptosis and Hypoplasia of the Lower Medial Quadrant i
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ORIGINAL ARTICLE
BREAST SURGERY
Circumlateral Vertical Augmentation Mastopexy for the Correction of Ptosis and Hypoplasia of the Lower Medial Quadrant in Tuberous Breast Deformity Vitaly Zholtikov1 • Natalya Korableva1 • Yulia Lebedeva1
Received: 8 May 2020 / Accepted: 10 September 2020 Ó Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020
Abstract Background Type I tuberous breast deformity (according to Grolleau’s classification) is characterized by the hypoplasia of the lower medial quadrant of the mammary gland and ptosis of the lower lateral quadrant. This results in an aesthetic imbalance in the breast that has an unnatural and unattractive appearance. The study aims to propose a surgical technique ensuring the successful correction of hypoplasia of the lower medial gland quadrant combined with ptosis. The essence of the technique is augmentation mastopexy with circumlateral vertical access. In the presence of pronounced ptosis of the breast, it is combined with the horizontal component and rotation of the gland flap. Methods The participants in the study were 26 patients (51 breasts) who were treated for type I tuberous breast deformity from 2015 to 2020. The average age of the patients was 34 years (within the range of 27–42 years). Patients from Group I were treated using the technique of circumlateral vertical mastopexy, and patients from Group II using circumlateral vertical augmentation mastopexy with a horizontal component. Results The average follow-up period was 36 months (9–60 months). Treatment was aimed to correct tuberous breast deformations of type I (according to Grolleau) combined with varying degrees of ptosis. The complication & Yulia Lebedeva [email protected] Vitaly Zholtikov [email protected] Natalya Korableva [email protected] 1
Saint-Petersburg State Pediatric Medical University, Saint Petersburg, Russia
rate for all patients in this study was 5.4%—1 patient (1.8%) had a hematoma, 1 (1.8%) had postoperative implant malposition, and 1 (1.8%) had visibility and palpability of the implant edges. Conclusions Circumlateral vertical access can be applied for augmentation mastopexy in patients who wish to simultaneously correct ptosis and type I tuberous breast deformity and perform breast augmentation. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Keywords Tuberous breast deformity Hypoplasia of the lower medial quadrant Breast augmentation Augmentation mastopexy Lateral access Tubular breast Lateral mound mastopexy
Introduction Tuberous breast deformity (TBD) is a spectrum of abnormalities in the development of the breast, resulting in psycho-emotional and physical discomfort in women [1]. The distinctive features of TBD are a long vertical diameter of the upper quadrants and a re
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