METHOD OF VERTICAL MASTOPEXY WITH PRESERVATION OF SEPTUM AND AUTO-AUGMENTATION Russian patent published in 2024 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to aesthetic surgery. Surgical area is marked on the skin of the mammary gland, marking a new contour of the nipple-areola complex. Incision is made on the applied markings, a breast skin area is de-epidermised and a subcutaneous layer of the mammary gland is dissected. Postoperative wound is sutured. Marking is performed with vertical cutting of breast skin to form a new nipple-areola complex. New position of the nipple is marked at distance of 19–20 cm from the clavicle on the mid-clavicular line, the upper edge and the half-arc of the new areola are marked by 1.5±0.4 cm above the new position of the nipple, lateral borders in the form of a vertical incision line are marked by Lejour, taking the mammary gland outwards, and then inwards, the lower boundary of the marking in the form of a vertical section line is located at distance of 4±0.1 cm from the inframammary furrow, as shown in Fig. 2. New areola is marked with diameter of 4.2±0.4 cm; an incision is made around the new areola and along the vertical marking. Between the incisions, the skin is removed with a block representing a full-thickness skin flap. Dissection is performed from a semilunar incision above the new areola of the fat skin flap above the mammary gland to the II rib and on the sides of the fat skin flap above the mammary gland to the parasternal and anterior axillary lines, lower border of breast dissection is upper edge of V rib, along edges of vertical skin wound mobilization is performed to medial and lateral ligaments of Wuringer septum, forming a cavity in the form of a pocket in the mammary gland, and the upper hemisphere of the mobilized mammary gland is placed into the formed cavity. Three sutures of PDS 1-0 parenchyma of the displaced posterior surface of the mammary gland are sutured to the soft tissues at the level of the II rib. Then with three or four sutures of PDS 2-0, the skin flap is sutured to parenchyma at 4±1.0 cm above the upper edge of the new areola, retromammary space is drained by an active drainage brought out through a counteropening. New areola is sewn into the mould with the possibility of forming a hemisphere, interrupted sutures PDS 3-0 and subdermal continuous suture PDS 3-0 in 2 rows, after that, vertical skin wound edges are mobilized at 2.0 cm outside from incision, then sutured with interrupted Vicryl 3-0 sutures, lower edge of vertical skin wound is sutured with semipurse-string suture PDS 3-0, cutaneous vertical wound is closed in 2 rows of continuous sutures PDS 3-0, distance from lower edge of new areola to inframammary sulcus is not more than 6–7 cm.

EFFECT: method enables to improve the results of mastopexy by creating conditions for the formation of a strong planar scar between the parenchyma and the skin-fat flap covering the gland; fully excise excess skin on the lower slope of the mammary gland, providing an increase in the volume on the upper slope of the mammary gland.

1 cl, 18 dwg, 1 ex