Akademik Veri Yönetim Sistemi
Plastic and reconstructive surgery, cilt.156, sa.5, 2025 (SCI-Expanded, Scopus)
Background: It is difficult to change the shape and location of the breast footprint in non-implant mastopexies of low-set breasts. We use a combined technique to solve these two problems. Auto-augmentation with retromammary flap, is an effective method to change the shape of the breast footprint. We increase the breast projection with a winged modification of the retromammary flap and slide-up the breast mound as a myo-glandular flap by pectoralis muscle division. Methods: 32 patients with low-set breasts underwent this combined non-implant mastopexy technique. Pre- and post-operative patient evaluations included physical and radiological examinations, breast measurements, and Breast Q surveys. The surgical procedure involved forming a new, and projected breast cone with winged inferior flap and sliding the breast footprint upward on the chest wall. Post-operative breast measurements, radiological examinations and Breast Q surveys were recorded at least 6 months after surgery. Results: 29 patients had a postoperative follow-up longer than 6 months. Comparison of pre- and post-operative measurements showed significant changes in all measurements of breast shape and footprint positions. The vertical height of the breast footprints increased and the horizontal lengths decreased and also the inframammary folds of both breasts moved upwards significantly (p<0.001). Breast Q scores showed significant improvement in the postoperative period. Conclusion: The combined retromammary winged flap and myo-glandular flap technique effectively improves breast aesthetics in low-set breasts by increasing breast projection and changing the shape and position of the footprints without using implants.