The Double-pedicle Tip Anchor Flap (DPTA-Flap) Preservation Technique for Autologous Breast Augmentation Circumvertical Mastopexy. (December 2022)

• Record Type: Journal Article
• Authors: Tremp, Mathias; Thürlimann, Alice; Oranges, Carlo M.; Kalbermatten, Daniel F.
• Is Part Of: JPRAS open. Volume 34(2022)
• Page Start: 239
• Page End: 244
• Publication Date: 2022-12
• Subjects: Breast -- Autologous -- Mammaplasty -- Preservation -- Patient Outcome Assessment -- Lactation; Surgery, Plastic -- Great Britain -- Periodicals; 617.9505
• DOI: 10.1016/j.jpra.2022.08.009
• Languages: English
• ISSNs: 2352-5878

Abstract

Summary: The ultimate breast mastopexy technique allows a reliable and consistent transposition of the nipple-areolar complex (NAC) with preservation of nipple viability, sensation, and lactation potential. Ideally, good upper pole fullness with a durable result is achieved. However, as the inferior pole parenchyma often gravitates downward, the long-term result remains unsatisfactory. Anchoring remains a key procedure in autoaugmentation mammoplasty as the flap needs to be stable against gravity. We hereby describe a further refinement of a chest wall-based flap for the support of the upper pole, namely a double-pedicle tip anchor flap (DPTA-flap). By using this technique, good upper pole fullness is achieved, sensation is preserved, and lactation remains likely. Level of Evidence: V