Clinical efficacy of dual plane breast augmentation using perinipple incision

Abstract

Objective To study the technology and the result of dual plane breast augmentation using nipple margin vertical incision of areola. Methods Totally 60 cases of augmentation mammaplasty were involved in this study. The nipple margin vertical incision of areola was applied obliquely into the breast through the pectoralis major fascia. The rib starting point of pectoralis major were cut off, medial to the side of the sternum. Under the pectoralis major the cavity was peeled according to the preoperative design range. Based on the different situation of the breast types Ⅰ, Ⅱ, Ⅲ, dual plane breast augmentations were stripped respectively. After implanting the breast prosthesis, the upper part of the prosthesis was under the pectoralis major and the lower part was under the mammary gland. Results The 60 patients were all after childbearing, 20 of whom underwent type 2 dual plane breast augmentation, 4 underwent type 3 double plane and the rest underwent type 1 double plane. After 3 months to 2 years follow-up, all cases got satisfactory results, except 1 case of postoperative hematoma and 1 case appeared capsular contracture. Conclusions The nipple margin vertical incision of areola can complete types Ⅰ, Ⅱ, Ⅲ dual plane breast augmentation operation, at the same time it can correct mild-to-moderate mastoptosis. Key words: Augmentation mammoplasty; Mammary areola; Perinipple; Incision