Revista Brasileira de Cirurgia Plástica (Aug 2023)

Simplified planning and marking of mastopexy and reduction mammoplasty: the circumvertical "Matryoshka" pattern

  • Bishara Atiyeh,
  • Romeu Fadul,
  • Natasha Habr,
  • Fadl Chahine

DOI
https://doi.org/10.5935/2177-1235.2021RBCP0125
Journal volume & issue
Vol. 36, no. 04
pp. 407 – 416

Abstract

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Introduction: Like most other aesthetic procedures, particularly in paired organs for which symmetry is critical, the successful outcome of mastopexy and reduction mammoplasty is greatly determined by pre-operative planning. By carefully considering the design of the skin resection and choosing and designing an appropriate pedicle, prevention of skin necrosis, unsightly scars, and shape distortion can be minimized. Methods: We present an original skin marking technique that combines the advantages of using a Wise template as the basis for skin marking with those of the vertical mammoplasty pattern together with a limited circumareolar skin excision to shorten the subareolar vertical scar. Results: The circumvertical skin marking design we propose mimics a Russian doll silhouette, the “Matryoshka.” Conclusion: Incorporating a geometrically based and measurable pre-operative marking certainly offers a great degree of control and consistency.

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