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Barsakov M.A.

Mechnikov North-Western State Medical University

Korableva N.P.

St. Petersburg State Pediatric Medical University

Postoperative waterfall breast deformity correction algorithm

Authors:

Barsakov M.A., Korableva N.P.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2025;(4): 27‑36

DOI: 10.17116/plast.hirurgia202504127

Read: 1314 times

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Table of contents

POSTOPERATIVE WATERFALL BREAST DEFORMITY CORRECTION ALGORITHM
POSTOPERATIVE WATERFALL BREAST DEFORMITY CORRECTION ALGORITHM

To cite this article:

Barsakov MA, Korableva NP. Postoperative waterfall breast deformity correction algorithm. Plastic Surgery and Aesthetic Medicine. 2025;(4):27‑36. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202504127

Подписка 2026 Пластическая хирургия и эстетическая медицина (Plastic Surgery and Aesthetic Medicine)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To identify clinical types of waterfall breast deformity and surgical correction algorithm taking into account their morphological characteristics.

MATERIAL AND METHODS

There were 197 patients with waterfall breast deformity following breast augmentation (2017-2024). We assessed implant placement, ptosis, capsular contracture, and anatomy.

RESULTS

Four types of deformity were identified: glandular ptosis in dual-plane placement; high-positioned implant with glandular ptosis (Snoopy breast); ptosis in subglandular placement; combination of contracture and ptosis. Individual surgical algorithm was proposed for each type: mastopexy, recess remodeling, capsulectomy, and implant replacement.

CONCLUSION

The proposed systematization allows for accurate diagnosis and planning of waterfall breast deformity correction reducing the recurrence rate. The algorithm demonstrated high reproducibility and clinical effectiveness. These facts make it useful for surgeons and in educational purposes.

Keywords:

mammoplasty
complications
waterfall deformity
implant
mastopexy

Authors:

Barsakov M.A.

Mechnikov North-Western State Medical University

Korableva N.P.

St. Petersburg State Pediatric Medical University

Received:

01.06.2025

Accepted:

13.09.2025

Close metadata

References:

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