The Double-pedicle Tip Anchor Flap (DPTA-Flap) Preservation Technique for Autologous Breast Augmentation Circumvertical Mastopexy

Mathias Tremp; Alice Thürlimann; Carlo M Oranges; Daniel F Kalbermatten

doi:10.1016/j.jpra.2022.08.009

The Double-pedicle Tip Anchor Flap (DPTA-Flap) Preservation Technique for Autologous Breast Augmentation Circumvertical Mastopexy

JPRAS Open. 2022 Oct 13:34:239-244. doi: 10.1016/j.jpra.2022.08.009. eCollection 2022 Dec.

Authors

Mathias Tremp¹, Alice Thürlimann², Carlo M Oranges², Daniel F Kalbermatten²

Affiliations

¹ Faculty of Medicine, University of Basel, Basel, BS, Switzerland, Private Practice, Hirslanden Private Hospital Group, Dorfplatz 1, 6330 Cham, Switzerland.
² Department of Plastic, Reconstructive and Aesthetic Surgery, Geneva University Hospitals (HUG), University of Geneva, Geneva, Switzerland.

Abstract

The ultimate breast mastopexy technique allows a reliable and consistent transposition of the nipple-areolar complex (NAC) with preservation of nipple viability, sensation, and lactation potential. Ideally, good upper pole fullness with a durable result is achieved. However, as the inferior pole parenchyma often gravitates downward, the long-term result remains unsatisfactory. Anchoring remains a key procedure in autoaugmentation mammoplasty as the flap needs to be stable against gravity. We hereby describe a further refinement of a chest wall-based flap for the support of the upper pole, namely a double-pedicle tip anchor flap (DPTA-flap). By using this technique, good upper pole fullness is achieved, sensation is preserved, and lactation remains likely. Level of Evidence: V.

Keywords: Autologous; Breast; Lactation; Mammaplasty; Patient Outcome Assessment; Preservation.