The "three flap mammaplasty" is a technique for breast reduction that has been used since 1992. It can be applied to breasts with any degree of ptosis and of any size. The same surgeon performs each surgical step on both breasts, which are held in traction by a special sterile device. The excision is mainly from the lower quadrants. The residual breast parenchyma consists of a large upper flap, to which the nipple–areola complex (NAC) is connected by a dermoglandular bridge, and of two smaller flaps (medial and lateral). The upper parts of these flaps are de-epithelialized and turned inwards to form a dermal septum that supports the large upper flap. This septum also contains a continuous nonabsorbent suture that connects the lower margin of the NAC to the gland center; thus preventing recurrence of ptosis. The scars are vertical or, in more severe cases, an inverted T with a short horizontal arm.
European Journal of Plastic Surgery – Springer Journals
Published: Oct 30, 2001
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