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Plastic surgery of breast (mastopexy)



Many women when referring to the plastic surgeon often note discomfort due to changes in the appearance of the breast and the reduction of self-perception. Most often the patient during the consultation emphasize dissatisfaction with the breast shape and describe it as following: "the lowering of" breast, "big size" of breast, "small size" of breast, as well as "asymmetric" breast. Accordingly, different approaches to plastic correction of these conditions are present.

Breast lift (mastopexy)

This plastic surgery eliminates free "sagging" of breast tissue with a relatively small volume and allows for correct mastoptosis of different degree. In this case the nipple is raised and the skin is tightened. For the normal breast the nipple and the breast parenchyma are located above the submammary fold (SMF). Position of the nipple above SMF to 5-7 cm corresponds to aesthetic standards.



Classification of breast ptosis (sagging) (by Regnault): Intensity of ptosis is determined in relation of nipple level to the SMF and the following options may be distinguished:

I degree ptosis - the nipple is at the level of SMF, and the parenchyma is located beneath it.

II degree ptosis - moderate “sagging”, the nipple lies below SMF level, but still above the bottom of the parenchyma.

III degree ptosis - severe “sagging”, wherein the the nipple is below SMF and lies at the bottom of the breast parenchyma along the lower slope.

Psevdoptosis is not considered to be a ptosis because the nipple lies above or at the level of the SMF. Nevertheless, most of the parenchyma is below the level of the fold.Areola (areola) - is both an aesthetic and functional center of the breast. The ideal size of the areola is usually 40-45 mm in diameter, for a woman of average height.




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