摘要

Objectives: The preservation or construction of 2 nreast pillars during mammoplasty procerdures offer a cathedral effect for the shaping of hr new breast; the techbique and results of this manoever are shown and discussed, with long term control. Introduction: The pillars of the breast must be very precisely preserved at the time of mammoplasty, when excision of the excess gland is carried out, whatever the technique chosen by the surgeon. The ideal is to preserve a thickness of approximately 2 cm of mammary gland and fat under the skin fragments; they will border the vertical submammary scar. Sometimes a slightly more differentiated and thicker boat shape at the top is interesting to give a more conical appearance to the repaired breast. These maneuvers can be difficult when the breast is essentially glandular,; Materials / method: 45 years in practice Results: minor complications less than 5%in total hematomas local infection cytosteatonecrosis Conclusion: The repair phase of the pillars is essential during mammoplasty for reduction or ptosis: it is necessary to bring the breast pillars together in a solid way so that they can maintain the areola-nipple plate in good position while fleshing out the predominant vertical scar, which can be long and no longer as short than before; Thanks to these repaired pillars, a vertical submammary scar of 9 to 10 cm is perfectly acceptable and will allow to obtain a very pretty breast that is relatively stable post-operatively.