METHOD FOR PREVENTION OF PTOSIS OF MAMMARY GLANDS WITH FIXATION OF SUBMAMMARY FOLD Russian patent published in 2025 - IPC A61B17/00 A61F2/12 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to plastic surgery. Pre-applied marking corresponding to the Wise cut and the additionally marked area in the lower pole of the mammary gland, as shown in Fig. 3, skin incisions are made, including a circular incision around the areola, de-epidermisation of the flap on the upper medial pedicle and a section within the lower pole of the mammary gland. Bordering dermis incision to subcutaneous fat is made on a de-epidermised portion of the lower pole of the mammary gland within its cephalic edge. De-epidermised flap of the lower pole of the mammary gland is separated; the subcutaneous fat is dissected horizontally to visualize the superficial fascia. Further, a superficial fascia is also dissected, dividing it into two leaves – upper and lower, performing an incision perpendicular to a course of fibres of a pectoralis major muscle, forming an approach to a subpectoral intermuscular space. Pectoralis major muscle is dissected on a conventional clock face from 20 to 16 o'clock. Silicone implant is inserted, the upper and lower leaves of the superficial fascia are sutured; both leaves of the superficial fascia are fixed to the deep pectoral fascia with interrupted sutures. After the fold fixation, the suture area is additionally closed with a continuous suture, capturing the subcutaneous fat from the breast and the dermal flap of the lower pole of the mammary gland. Then breast tissue is resected horizontally and vertically without destroying superficial fascia. Thereafter, the dermal portion of the lower pole of the mammary gland is fixed to the connective tissue bridges of the fatty tissue of the mammary gland, as shown in Fig. 20. Mammary gland tissues and the caudal edge of the de-epidermised portion of the lower pole of the mammary gland are sutured along the median line of the mammary gland; the areola is fixed according to the preoperative marking; then, the mammary gland tissues are closed in layers according to the marking.

EFFECT: method enables T-shaped lifting with endoprosthesis replacement with maximum preservation of fascial systems of mammary glands with preservation of most vascular and nerve bundles, provides less contouring of the implant and more natural tactile sensations from the breast and enables to create a more stable and dense pocket, which reduces the prospect of implant displacement in the early and late postoperative period, prevents protrusion of the implant.

1 cl, 26 dwg, 1 ex