摘要

Objectives: With an increasing demand for mastopexy surgery in patients under 50 years of age, we were seeking a safe and reliable mastopexy technique that provides long lasting results. Introduction: Candidates wishing to regain a firm yet natural breast shape without the need for breast implants prompted us to rethink our approach. The new technique was to meet the following requirements: limited downtime, minimal risk for loss of perfusion or sensitivity in the mamilla, no need for breast implants or other foreign grafts, enduring youthful shape of the breast. Materials / method: We let the height of the inframammary fold predict the new mamilla position. Excess skin and if desired up to 250g of breast tissue were resected in the lower pole. Two lateral dermis flaps were left to support the reshaped tissue. The mamilla atop a central pedicle was dissected from the surrounding skin. The central pedicle was moved cranially with the two dermis flaps overlappingly fixated to rib periost underneath. prompting a subcutaneous support structure for long lasting tissue elevation and minimizing tension on the intracutaneous sutures. Results: In 62 cases since 2020 with postoperative consultations 1, 2, 6 weeks after the surgery and follow-ups 3, 6 and 12 months postoperatively we found that pain fully subsided 2 weeks postoperatively the latest with no pain levels above VAS 6/10. We observed 7 cases of delayed wound healing (none requiring additional surgery), 1 case of perfusion issues in the mamilla, 4 cases of temp.decreased nipple sensitivity and 1 case of temp. heightened nipple sensitivity. We saw great overall patient satisfaction with approval and recommendation ratings above 95%. Conclusion: Our technique of a central-pedicle mastopexy with inner corium support provides steady and reproducible results in patients wanting to regain a youthful appearance of their breast without the desire for augmentation or wanting to avoid the implantation of foreign bodies. With most mastopexy patients today having the surgery while wanting to manage a busy work and leisure schedule, this technique of mastopexy demands little downtime and need for extended wound care while providing subjectively appealing results no later that six weeks after the surgery.