FIELD: medicine; plastic surgery.
SUBSTANCE: preoperative marking of the mammary glands is performed. The skin is dissected according to preliminary markings and around the areola, skin is de-epithelialized within the markings to move the nipple-areolar complex, the mammary gland is mobilized, a pocket is formed under the pectoralis major muscle with implant installation, and excess mammary gland tissue is resected. The mammary gland is mobilized upward from the posterior layer of the superficial fascia, a two-layer fascial flap is cut out, the said flap consists of the pectoralis major muscle's own fascia and the posterior layer of the superficial fascia of the mammary gland, and the lower pole of the implant is covered with the formed flap, fixing the flap with separate interrupted sutures capturing the deep fascia in projections of the inframammary fold.
EFFECT: method allows to correct the volume and shape of the mammary glands at different degrees of ptosis with the achievement of a stable result by preventing complications associated with implant migration, instability and asymmetry of inframammary folds, and reducing the risk of capsular contracture development.
1 cl, 2 ex, 10 dwg
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Authors
Dates
2023-10-30—Published
2023-03-06—Filed