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The Tuck-in Mastopexy

Efendioglu, Kamran MD*; Aksam, Ersin MD; Aksam, Berrak MD; Tuzuner, Murat MD; Gence, Hakan MD*

doi: 10.1097/SAP.0000000000001535
Aesthetic Surgery

Background Breast ptosis is an inevitable consequence of gravity and time. Every breast tends to become ptotic in different shapes and degrees. Many surgical techniques were described to solve this problematic issue. The aim of this article is to describe a mastopexy technique used for grades 1 to 2 ptosis, “tuck-in” mastopexy technique.

Methods Keyhole pattern was used for skin markings. All the planned skin excision areas were de-epithelialized. Breast mound was elevated as a 1-piece flap with extensive subglandular dissection. Elevated breast flap was reshaped and repositioned. Skin incisions were sutured in 2 layers.

Results Seventeen patients were operated on with this technique; average follow-up time was 10.1 months. No major complications were seen. The results were pleasing for both the patients and the surgeon.

Conclusions The “tuck-in” mastopexy technique uses breast mound as 1-piece flap, which has great vascularity from medial, superior, and lateral pedicles. Large areas of de-epithelialization facilitate reshaping and repositioning. It permits simultaneous or secondary breast augmentation with silicone gel implants. This easy-to-do technique has low complication rates and a short learning period.

From the *Aesthanbul Plastic Surgery Clinic, Istanbul;

Plastic Reconstructive and Aesthetic Surgery Department, Izmir Katip Celebi University, Ataturk Training and Research Hospital;

Plastic Reconstructive and Aesthetic Surgery Department, Bozyaka Training and Research Hospital, Izmir, Turkey.

Received December 2, 2017, and accepted for publication, after revision April 27, 2018.

Conflicts of interest and sources of funding: none declared.

Reprints: Ersin Aksam, MD, Plastic Reconstructive and Aesthetic Surgery Department, Izmir Katip Celebi Universitesi, Ataturk Egitim ve Arastirma Hastanesi, Plastik Cerrahi Klinigi, Karabaglar 35150, Izmir, Turkey. E-mail:

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