EVALUATION OF THE OUTCOMES OF BREAST PTOSIS SURGERY USING THE MODIFIED ROUND BLOCK TECHNIQUE COMBINED WITH SEPTUM-BASED MAMMAPLASTY

Tóm tắt

 Background: Breast ptosis, or sagging, can result from a variety of pathological or physiological factors. Mastopexy, or breast lift surgery, often involves different incision techniques such as the Round block, Round block combined with vertical incision, and the inverted T incision. The Round block technique is particularly suited for mild to moderate breast ptosis. When this technique is combined with septum-based mammaplasty, it can provide superior aesthetic outcomes by enhancing blood supply and maintaining maximum sensation in the nipple-areola complex. Objectives: To assess the effectiveness and outcomes of a modified Round block technique combined with septum-based mammaplasty in correcting breast ptosis, while focusing on minimizing scarring in the nipple-areola complex. Materials and methods: A case series was conducted, involving 39 patients with a total of 77 treated breasts. The patients underwent mastopexy using the modified Round block technique along with septum-based mammaplasty. Results: The majority of the patients demonstrated successful correction of breast sagging, with most breasts classified as stage A ptosis according to Kirwan’s classification system. Only one breast was classified as stage B. Areola scars were categorized into three types: normal scars, stretched scars, and hypertrophic scars, with no cases of keloid formation. Postoperative complications occurred in 9 breasts, representing a complication rate of 11.68%. Conclusion: The modified Round block technique, when combined with septum-based mammaplasty, achieves reliable results in improving breast ptosis across stages A to D according to Kirwan's classification. The technique effectively minimizes scarring while preserving sensation in the nipple-areola complex, making it a valuable approach for addressing mild to moderate breast sagging.