METHOD OF AUGMENTATION MAMMOPLASTRY IN COMBINATION WITH MASTOPEXY Russian patent published in 2009 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine, in particular, to reconstructive-plasctic surgery. Marking of anatomical formation is performed by marking axis of mammary gland, line of submammarian fold, parasternal line, position of second and third ribs, anterior-axillary line, marking of points of mammary gland pexy, carrying out mastopexy and endoprosthetics. Additionally line of submammary fold is marked from parasternal to anterior axillary line lower than mammary gland. New place of areola is marked as projection of finger on anterior surface of breast when it is placed in submammary fold on line of mammary gland axis - point (A), after moving 2 cm down from lower edge of areola point (B) is marked, oval connecting point (A) and point (B) is drawn, determining external boundaries of deepidermisation (S). Deepidermisation around nipple-areola complex is performed, after which dissection of skin and subcutaneous cellular tissue is performed on periphery from zone of deepidermasation in direction toward upper squares to the level of second rib, in width - to medial and lateral sides on 3 cm and 3 cm downward (P). Fixing sutures are applied coming through upper edge of deepidermised skin, upper edge of own gland tissue and breast muscle fascia, with fixation successively, namely, respectively, in point (G) - in place of intersection of line of mammary gland axis and second interrib space, in point (H) and point (I), located 3 cm more medially and laterally than point (G) along second interrib space; then indenting 2 cm from lower edge of areola, along mammary gland axis own tissue of gland is dissected with length up to 4 cm (C-D) and depth - to retromammary cellular tissue, in repromammary space bed for endoprosthesis is formed, whose boundaries are the following lines: of submammary fold (L-N), anterior axillary (K-L), parasternal (M-N) and third rib projection. Endoprosthesis (R) is placed in formed bed, own mammary gland tissue over endoprosthesis is sutured with interrupted sutures, skin around areola is sutured with purse-string intradermal suture.

EFFECT: reduction of traumaticity of operative intervention and improvement of cosmetic effect of performed treatment.

3 dwg, 1 ex