Abstract
Purpose: Doughnut mastopexy lumpectomy (DML) is a breast resection technique in which a tissue segment is removed and the breast reshaped through a doughnut-shaped de-epithelialized periareolar area. In this study, we attempted to determine whether the DML technique could be useful for other types of breast surgery, in addition to breast cancer lumpectomy. Methods: This study examined a total of 4 patients who underwent the DML technique and were followed up for at least 1 year postoperatively. One patient underwent phyllodes tumor resection, 1 patient underwent removal of a siliconoma, and 2 patients underwent breast reduction mammaplasty. Results: This method enabled en-bloc removal of a large tissue mass or large foreign body that could not be removed through a short periareolar incision. The surgical method of this study enabled the extent of de-epithelialization to be changed according to the size and location of the mass to be excised; good cosmetic results were also obtained. In addition, the surgical method enabled the facile excision of tumors and foreign materials. Conclusions: The DML technique is a useful surgical method that is applicable to other breast surgeries, in addition to breast cancer surgery.
Highlights
Scar revision after breast surgery is in greater demand from patients than ever before
We attempted to determine whether the Doughnut mastopexy lumpectomy (DML) technique could be useful for other types of breast surgery, in addition to breast cancer lumpectomy
Doughnut mastopexy lumpectomy (DML) is a surgical method which begins with a periareolar incision, but proceeds to de-epithelialize the periareolar skin in a doughnut shape
Summary
Scar revision after breast surgery is in greater demand from patients than ever before. The periareolar incision was first reported by Dufourmentel in 1928 This incision results in less prominent scarring and is used for breast augmentation and gynecomastia procedures, and for benign tumor excision [4]. As a periareolar incision is small, it is difficult to remove a large tissue mass en bloc Even if such a mass can be removed, there will likely be redundant skin after resection, resulting in an aesthetically poor appearance. Doughnut mastopexy lumpectomy (DML) is a surgical method which begins with a periareolar incision, but proceeds to de-epithelialize the periareolar skin in a doughnut shape. Any redundant skin remaining after lumpectomy is adjusted by plication of the outer and inner circumferences of the doughnut-shaped de-epithelialized area [5]. This study examined whether the DML technique could be useful in breast surgeries other than lumpectomies performed for breast cancer
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