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A Mathematical Design in Creating the New Nipple-Areolar Complex in Vertical Mammaplasty

Jessica Lai, Hui Min MBBS; Lam, Thomas FRCS (Ed.), FRCS (Glas.), FRACS

Plastic and Reconstructive Surgery – Global Open: July 2014 - Volume 2 - Issue 7 - p e177
doi: 10.1097/GOX.0000000000000130
Ideas and Innovations

Summary: Vertical mammaplasty for breast reduction has been widely popularized by Lejour. In her planning for the new nipple-areolar complex, she did not specify a method of drawing the periareolar curve, leaving it to the surgeon’s creativity. We have designed a simple method using mathematics to draw the new periareolar curve consistently and reliably, not requiring any additional or complex devices. This method is easy for those who are accustomed to the Wise pattern to adopt and targets those who prefer formulated preplanned operative markings.

From the Department of Plastic and Reconstructive Surgery, Westmead Hospital, Westmead, Sydney NSW, Australia.

Received for publication March 8, 2014; accepted May 9, 2014.

Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.

Hui Min Jessica Lai, MBBS, Department of Plastic and Reconstructive Surgery, Westmead Hospital, Cnr Hawkesbury Road and Darcy Road, Westmead, Sydney, NSW 2145 Australia, E-mail:

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© 2014 American Society of Plastic Surgeons