Mammoplasty: fascioadenocutaneous areolar flap

ABSTRACT

Introduction:

Several mammoplasty techniques have been described. However, none involves breast resection with preservation of the areola through an oblique multiple pedicle that involves the medial superior neurovascular system and the lateroinferior neurovascular system, or preserves the original areola-glandular unit in the remaining gland. This technique is, in theory, ideal for the treatment of juvenile gigantomastia in nulliparous women who can still benefit from a more functional breast with its primary innervation and the patient’s ability to breast-feed preserved. This flap can also present higher safety against ischemia owing to a broad vascular pedicle.

Objective:

To describe this mammoplasty technique and report the initial series of operated cases.

Method:

The fascioadenocutaneous areolar flap technique is described in 40 operated breasts, including the quantity of the resected tissue, preand postsurgery sensitivity, and complications encountered.

Results:

All cases had a satisfactory evolution, without necrosis and with preserved sensitivity of the nipple-areola complex in >70% of the breasts operated.

Conclusion:

The innervated fascioadenocutaneous areolar flap was safe, functional, and versatile.

Keywords:
Reductive mammoplasty; Areolar flap; Selective mammoplasty