Effectiveness of circumvertical mastopexy with internal shaping using inferior dermal-glandular flap for correction of breast ptosis

Objective To evaluate the clinical effect of circumvertical mastopexy with internal shaping using inferior dermal-glandular flap for correction of breast ptosis. Methods From April 2010 to November 2017, 33 cases of breast ptosis were treated in our department. The patients required nipple elevation of 3-6 cm and had unpleasing result after circumareolar mastopexy were treated with the technique of circumvertical lift with breast suspension and internal shaping with inferior dermal-glandular flap which pedicle was on the inframammary crease and tack technique for removing excessive skin precisely. Results 33 cases had their drainage tubes removed at the 2~3 days and suture removed at the 12~14 days postoperatively. All had primary healing of incision and no complications such as necrosis of NAC and dehiscence of incision occurred. Elastic bra was asked to wear for three to six months and then stable shape was achieved. Follow-up lasted for 6-60 months. All cases were satisfied with their new breast shape. Conclusions Circumvertical mastopexy with internal shaping using inferior dermal-glandular flap is a simple and effective method with relatively short scar and good shape for correction of the medium grade breast ptosis. Key words: Mammaplasty; Breast ptosis; Mastopexy; Circumvertical incision; Tack technique