Periareolar augmentation mastopexy: A new approach dealing with the cases as tuberous breasts

Background: Periareolar augmentation mastopexy is one of the most demanded operations at Plastic Surgery clinics. Nevertheless, it is one of the leads of malpractice claims in United States caused by the high patient expectations and the standard surgical techniques which may result in common compli...

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Main Authors: Roberto Moltó-García, María Eloísa Villaverde-Doménech, Virina González-Alonso, Francisco Ripoll-Orts, Eduardo Simon-Sanz
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2016-05-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.191330
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author Roberto Moltó-García
María Eloísa Villaverde-Doménech
Virina González-Alonso
Francisco Ripoll-Orts
Eduardo Simon-Sanz
author_facet Roberto Moltó-García
María Eloísa Villaverde-Doménech
Virina González-Alonso
Francisco Ripoll-Orts
Eduardo Simon-Sanz
author_sort Roberto Moltó-García
collection DOAJ
description Background: Periareolar augmentation mastopexy is one of the most demanded operations at Plastic Surgery clinics. Nevertheless, it is one of the leads of malpractice claims in United States caused by the high patient expectations and the standard surgical techniques which may result in common complications. The aim of this report is to present a new surgical approach to solve these complications. Methods: After establishing a working hypothesis, we performed a revision study of our patients and we came to the following conclusion: in order to perform a periareolar mastopexy for ptosis correction, breast has to be tuberous at any level and to have abnormally short inferior pole. These findings may explain the main complications from periareolar augmentation mastopexy with the standard surgical techniques. Consequently, we started a prospective observational study including 56 patients following a new surgical technique which deals the cases as tuberous breasts. Results: During three years, fifty-six periareolar mastopexies were performed with this new surgical approach with one year follow-up. No major complications were observed and 40 of the patients (71%) described the results as very positive. Conclusion: “If a periareolar mastopexy can be performed, then it must be a tuberous breast”. According to this, a new surgical technique for periareolar augmentation mastopexy has been developed obtaining an improvement in our surgical results and achieving a totally different view on this pathology, which has not been reported in literature yet.
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spelling doaj-art-e7f2299be9e845ca8589ffe36fa3412e2025-08-20T02:03:52ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2016-05-01490217217710.4103/0970-0358.191330Periareolar augmentation mastopexy: A new approach dealing with the cases as tuberous breastsRoberto Moltó-García0María Eloísa Villaverde-Doménech1Virina González-Alonso2Francisco Ripoll-Orts3Eduardo Simon-Sanz4Plastic and Reconstructive Service, Burns Unit, Universitary and Politecnic Hospital La Fe, Valencia, SpainPlastic and Reconstructive Service, Burns Unit, Universitary and Politecnic Hospital La Fe, Valencia, SpainPlastic and Reconstructive Service, Burns Unit, Universitary and Politecnic Hospital La Fe, Valencia, SpainBreast Pathology Unit, Universitary and Politecnic Hospital La Fe, Valencia, SpainPlastic and Reconstructive Service, Burns Unit, Universitary and Politecnic Hospital La Fe, Valencia, SpainBackground: Periareolar augmentation mastopexy is one of the most demanded operations at Plastic Surgery clinics. Nevertheless, it is one of the leads of malpractice claims in United States caused by the high patient expectations and the standard surgical techniques which may result in common complications. The aim of this report is to present a new surgical approach to solve these complications. Methods: After establishing a working hypothesis, we performed a revision study of our patients and we came to the following conclusion: in order to perform a periareolar mastopexy for ptosis correction, breast has to be tuberous at any level and to have abnormally short inferior pole. These findings may explain the main complications from periareolar augmentation mastopexy with the standard surgical techniques. Consequently, we started a prospective observational study including 56 patients following a new surgical technique which deals the cases as tuberous breasts. Results: During three years, fifty-six periareolar mastopexies were performed with this new surgical approach with one year follow-up. No major complications were observed and 40 of the patients (71%) described the results as very positive. Conclusion: “If a periareolar mastopexy can be performed, then it must be a tuberous breast”. According to this, a new surgical technique for periareolar augmentation mastopexy has been developed obtaining an improvement in our surgical results and achieving a totally different view on this pathology, which has not been reported in literature yet.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.191330aesthetic breast surgeryanomaliesbreast baseperiareolar mastopexyptosistuberous breast
spellingShingle Roberto Moltó-García
María Eloísa Villaverde-Doménech
Virina González-Alonso
Francisco Ripoll-Orts
Eduardo Simon-Sanz
Periareolar augmentation mastopexy: A new approach dealing with the cases as tuberous breasts
Indian Journal of Plastic Surgery
aesthetic breast surgery
anomalies
breast base
periareolar mastopexy
ptosis
tuberous breast
title Periareolar augmentation mastopexy: A new approach dealing with the cases as tuberous breasts
title_full Periareolar augmentation mastopexy: A new approach dealing with the cases as tuberous breasts
title_fullStr Periareolar augmentation mastopexy: A new approach dealing with the cases as tuberous breasts
title_full_unstemmed Periareolar augmentation mastopexy: A new approach dealing with the cases as tuberous breasts
title_short Periareolar augmentation mastopexy: A new approach dealing with the cases as tuberous breasts
title_sort periareolar augmentation mastopexy a new approach dealing with the cases as tuberous breasts
topic aesthetic breast surgery
anomalies
breast base
periareolar mastopexy
ptosis
tuberous breast
url http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.191330
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