Особливості мастоптозу молочних залоз та методи хірургічної естетичної корекції

О. М. Романець

doi:10.64124/DMR-2025-2-23

Authors

O. M. Romanets Bogomolets National Medical University Author https://orcid.org/0009-0002-3855-1572

DOI:

https://doi.org/10.64124/DMR-2025-2-23

Keywords:

mammary gland ptosis, surgical aesthetic correction, mastopexy, augmentation, mammoplasty

Abstract

Recently, various aesthetic surgical procedures have become increasingly popular worldwide among different segments of the population. According to statistics from the International Society of Aesthetic Plastic Surgery (ISAPS), among plastic surgeries performed on the mammary glands, this aesthetic surgical procedure took second place (2,174,616) after liposuction (2,303,929).
In Ukraine, plastic surgery on the breasts of women is also popular. Recently, the number of aesthetic surgeries for cosmetic defects of the breasts has increased 3 times.
One of the aesthetic defects of the mammary glands is mastoptosis. This problem in medicine is called the prolapse of the mammary glands due to natural or genetically determined causes. Mastoptosis is characterized by gland deformation, loss of elasticity, and fat imbalance, which cannot be corrected through physical exercises; only surgical aesthetic correction can address these issues.
Aim: to review the leading studies on the features of mastoptosis and, based on the analysis of theoretical and clinical materials, to analyze methods of surgical correction of the mammary glands to solve aesthetic problems.
Material and methods. The review of leading studies was based on the identification of scientific publications devoted to the study of the specifics and features of surgical intervention in aesthetic breast procedures in the PubMed biomedical research search engine, as well as in the open-access Google Scholar. Considerable attention was paid to the search and analysis of scientific publications highlighting the features of mastoptosis, as well as the search for methods to correct aesthetic surgical interventions on the mammary glands and eliminate the problem.
Results and discussion. Mastopathy of the mammary glands is a common symptom for women of all ages and can cause significant stress in everyday life. The degree of mastoptosis can be classified according to the Regnault classification, which evaluates the breast by the relative position of the nipple in relation to the inframammary fold. Various surgical approaches can be used to correct mastopexy of the breast, with specific indications and nuances accompanying each technique. Assessment of the degree of breast ptosis and selection of appropriate mastopexy techniques are essential for achieving excellent surgical results and high patient satisfaction, as is the role of the interdisciplinary team during the initial examination, treatment, and postoperative recovery of patients.
Conclusion. Based on the analysis of theoretical and clinical materials, it was found that with pronounced mammoplasty of the mammary glands, both one-stage and two-stage mastopexy and augmentation mammoplasty can be used, which do not differ in the frequency of unsatisfactory results that require corrective interventions. As the analysis of scientific literature shows, the unresolved issues and the search for effective methods of surgical correction in severe mammary gland ptosis require further in-depth study of this problem.

Author Biography

O. M. Romanets, Bogomolets National Medical University

Postgraduate student of the Department of Plastic and Reconstructive Surgery IPE

References

1. International Society of Aesthetic Plastic Surgery (ISAPS). (2022). Aesthetic/cosmetic procedures performed in 2022. Mount Royal, NJ.

2. Zakhartseva, O. I. (2020). Surgical methods for prevention and treatment of rotation of breast prostheses in submuscular augmentation mammaplasty (PhD dissertation). National O. O. Bohomolets Medical University, Kyiv, Ukraine. [ Захарцева, О. І. (2020). Хірургічні методи профілактики та лікування ротації протезів молочних залоз при субмускулярній аугментаційній мамопластиці. Дис. … д-ра філософії, Нац. мед. ун-т імені О. О. Богомольця. Київ. ].

3. Khrapach, V. V. (Ed.) (2021). Fundamentals of plastic and reconstructive surgery: textbook. Kyiv: NMU. [ Храпач, В. В. (Ред.) (2021). Основи пластичної та реконструктивної хірургії : підручник. К.: НМУ. ].

4. Slyusarev, I.Yu. (2010). Prevention and treatment of recurrences of cosmetic defects of the mammary glands after aesthetic mammoplasty. (Сand. Med. Sci. dissertation) National O. O. Bogomolets Medical University, Kyiv, Ukraine. [ Слюсарев, І. Ю. (2010). Профілактика і лікування рецидивів косметичних дефектів молочних залоз після виконання естетичної мамопластики (Дис. … канд. мед. наук, Нац. мед. ун-т імені О. О. Богомольця. Київ. ].

5. Ferreira, M. C. (2000). Evaluation of results in aesthetic plastic surgery: preliminary observation on mammaplasty. Plast. Reconst. Surg., 106(7), 1630–1635. DOI: https://doi.org/10.1097/00006534-200012000-00032.

6. Geoge, J. Picha, Munish, K. Batra. (2000). Breast augmentation. Plastic Surgery. Indication. Operations and outcomes. In Bruce M. Achauer, Elot Ericson, Bahman Gu-yuron. Aesthetic Surgery. Vol. 5. USA.

7. La Trenta G.S. (1994). Breast augmentation. In Rees T.D., La Trenta G.S. Aesthetic. Plastic Surgery. Ed 2. Philadelphia. WB Sauders.

8. Mehnert, A., Koch, U. (2007). Prevalence of acute and post-traumatic stress disorder and comorbid mental disorders in breast cancer patients during primary cancer care: a prospective study. Psychooncology, 16(3), 181–188. DOI: https://doi.org/10.1002/pon.1057.

9. Baker, J. L. Jr, Kolin, I. S., Bartlett, Es. (1974). Psychosexual dynamics of patients undergoing mammary augmentation. Plast. Reconstr. Surg., 53(6), 652–659. DOI: https://doi.org/10.1097/00006534-197406000-00007.

10. Howrigan, P. J. (1994). Reduction and augmentation mammoplasty. Obstet. Gynecol. Clin. North. Am., 3, 539–549. PMID: 7816412.

11. Gonza, R.V. (2008). Surgical treatment of cosmetic defects of the mammary glands (Cand. Med. Sci. dissertation) National O. O. Bogomolets Medical University, Kyiv, Ukraine. [ Гонза, Р. В. (2008). Хірургічне лікування косметичних дефектів молочних залоз. Дис. … канд. мед. наук, Нац. мед. ун-т імені О. О. Богомольця. Київ. ].

12. Klassen, A. F., Pusic, A. L., Scott, A., Klok, J., Cano, S. J. (2009). Satisfaction and quality of life in women who undergo breast surgery: a qualitative study. BMC Womens Health, 9, 11. DOI: https://doi.org/10.1186/1472-6874-9-11.

13. Regnault, P., Daniel, R.K. (1990). Breast reduction: В technique. In Goldwin R. (Ed.). Reduction mammaplasty (p. 274–290).

14. Migliori, F. (2011). “Upside-Down” Augmentation Mastopexy. Aesthetic Plast. Surg., 4, 593–600. DOI: https://doi.org/10.1007/s00266-010-9623-6.

15. Baran, C., Peker, F., Ortak, T. et al. (2001). Unsatisfactory results of periareolar mastopexy with or without augmentation and reduction mammaplasty: enlarged areola flattered nipple. Aesthetic Plast. Surg., 4, 286–289. DOI: https://doi.org/10.1007/s002660010138.

16. Davidson, S., Spear, S. (2004). Simultaneous Breast Augmentation with Periapeolar Mastopexy. Semin. Plast. Surg., 3, 189–201. DOI: https://doi.org/10.1055/s-2004-831906.

17. Mugea, T., Shiffman, M. (2015). Aesthetic Surgery of the Breast. Heidelberg: Springer.

18. Yazici, I., Demir, U., Fariz, S. et al. (2013). Meridian Pedicle-Based Breast Shaping in Reduction Mammaplasty: A Technical Modification. Aesthetic Plast. Surg., 2, 372–379. DOI: https://doi.org/10.1007/s00266-013-0064-x.

19. Spear, S. (2003). Augmentation/mastopexy: “Surgeon, Beware.” Plast. Reconstr. Surg., 3, 905–906. DOI: https://doi.org/10.1097/01.PRS.0000072257.66189.3E.

20. Ma, X., Xu, B., Ouyang, Y., Du, X., Liu, C. (2022). Preoperative Three-Dimensional Measurement-Based Periareolar Augmentation Mastopexy: Indication and Breast Crown Approach. Plast. Reconstr. Surg., 150(2), 310–315. DOI: https://doi.org/10.1097/PRS.0000000000009356.

21. Qureshi, A. A., Myckatyn, T. M., Tenenbaum, M. M. (2018). Mastopexy and Mastopexy-Augmentation. Aesthet. Surg. J., 38(4), 374–384. DOI: https://doi.org/10.1093/asj/sjx181.

22. Spring, M.A., Macias, L.H., Nadeau, M., Stevens, W.G. (2014). Secondary augmentation-mastopexy: indications, preferred practices, and the treatment of complications. Aesthet. Surg. J., 34(7), 1018–1040. DOI: https://doi.org/10.1177/1090820X14543943.