Circumlateral vertical mastopexy in tuberous breast deformity

Korableva N.P.; Zholtikov V.V.; Bozhok A.A.; Lebedeva Yu.V.

doi:https://doi.org/10.17116/plast.hirurgia202202111

Korableva N.P.

Saint Petersburg State Pediatric Medical University

Zholtikov V.V.

Atribeaute Clinic

Bozhok A.A.

St. Petersburg State Pediatric Medical University

Lebedeva Yu.V.

Saint Petersburg State Pediatric Medical University

ORCID: 0000-0001-9116-9589

Circumlateral vertical mastopexy in tuberous breast deformity

Authors:

Korableva N.P., Zholtikov V.V., Bozhok A.A., Lebedeva Yu.V.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2022;(2): 11‑18

DOI: 10.17116/plast.hirurgia202202111

Read: 4631 times

To cite this article:

Korableva NP, Zholtikov VV, Bozhok AA, Lebedeva YuV. Circumlateral vertical mastopexy in tuberous breast deformity. Plastic Surgery and Aesthetic Medicine. 2022;(2):11‑18. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202202111

Подписка 2026 Пластическая хирургия и эстетическая медицина (Plastic Surgery and Aesthetic Medicine)

Использование инфографики авторами научных работ

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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.

OBJECTIVE

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.

MATERIAL AND 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 the 1st group were treated using the technique of circumlateral vertical mastopexy, and patients from the 2nd group 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 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.

Keywords:

tuberous breast deformity

hypoplasia of the lower medial quadrant

breast augmentation

augmentation mastopexy

lateral access

tubular breast

lateral mound mastopexy

Authors:

Korableva N.P.

Saint Petersburg State Pediatric Medical University

Zholtikov V.V.

Atribeaute Clinic

Bozhok A.A.

St. Petersburg State Pediatric Medical University

Lebedeva Yu.V.

Saint Petersburg State Pediatric Medical University

ORCID: 0000-0001-9116-9589

Received:

15.02.2022

Accepted:

10.03.2022

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