Benelli concentric mastopexy

Abstract

Breast ptosis cannot be prevented. Depending on tissue qual ity, pregnancies, weight, fluctuations in weight and other strains, an organ that ideally points forward will, as it becomes less firm, bow to gravity and sag downward. Lifestyle and the media have both played a role in propagating an ideal that is seen in women aged about 20, provided the aforementioned factors are not experienced. The aim of corrective surgery is to recreate the ideal (Fig. 12.1) and lift the nipple areolar complex (NAC), as well as achieve long-term stability. Ideally, such an intervention should not be visible to others, that is, there should be no conspicuous scarring. Renault s classification of ptosis (1976) [1] is still valid today. Some authors have made modifications or have pointed to dependencies relative to weight [2]. While in the US, the inverted T technique has remained the preferred surgical standard, in South America and Europe, scar-sparing, vertical, and circumareolar techniques have been developed. The appeal of the latter techniques lies in the single scar that, ideally, is discretely positioned on the margin of the areola, at the border between the darker and lighter skin. This would be fine if there were not certain limitations, which are listed and discussed in this chapter. Given the right indication and technique, circumareolar mastopexy (CM) is an extremely satisfactory operation for both the patient and the physician (Fig. 12.2a, b). © 2009 Springer-Verlag Berlin Heidelberg.