Mastopexy for breast ptosis (3 hours)
Falling of the breast or breast
ptosis refers to the position of the nipple relative to the imframammary crease.
An aesthetically pleasing breast should have the nipple located above this
crease at the most projecting part of the breast mound.
The degree to which the nipple
descends below the level of the crease determines the severity of the ptosis.
Grade I ptosis
diagnosis when the nipple is at or up
to 1 cm below the inframammary crease.
Grade II ptosis
describes the nipple at level 1 to 3
cm below the crease but not yet at the lowest contour of the breast.
Grade III ptosis
describes a nipple more than 3 cm
below the crease or at the lowest contour of the breast gland.
The surgical correction of the breast ptosis is termed
mastopexy. Any procedure designed to accomplish elevation of the breast must take
into account four essential elemens: elevation
of the nipple-areolar
complex (NAC) and preserving its blood supply,
Removing redundancies parenchyma if
Removing excess skin,
Shapping the breast.
Excess skin can be resected in different way. The most common
skin resection pattern are circumareolar, vertical, lateral and inverted T