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Published in: Aesthetic Plastic Surgery 6/2018

01-12-2018 | Original Article

Why Choose the Septum-Supero-Medial (SSM)-Based Mammaplasty in Patients with Severe Breast Ptosis: An Anatomical Point of View

Authors: V. Bucaria, R. Elia, M. Maruccia, P. Annoscia, A. Boccuzzi, G. Giudice

Published in: Aesthetic Plastic Surgery | Issue 6/2018

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Abstract

Nipple–areola complex (NAC) loss is one of the most devastating complications of mastopexy or breast reduction, and it requires revisional procedures with poor aesthetic outcome. In high-risk patients, a free nipple graft could be a choice, but it is associated with the same aesthetic concerns for both patients and surgeons. We report our experience with the septum-supero-medial-based mammaplasty to treat 22 patients with severe breast ptosis (nipple-to-sternal-notch distance > 40 cm). No NAC loss was observed. The study highlights surgical technical details and discusses anatomical considerations to justify the successful result.

Level of Evidence IV

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Metadata
Title
Why Choose the Septum-Supero-Medial (SSM)-Based Mammaplasty in Patients with Severe Breast Ptosis: An Anatomical Point of View
Authors
V. Bucaria
R. Elia
M. Maruccia
P. Annoscia
A. Boccuzzi
G. Giudice
Publication date
01-12-2018
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 6/2018
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-018-1189-8

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