Periareolar Mammaplasty: Double Skin Technique with Application of Polyglactine or Mixed Mesh

This paper presents the author's experience of 7 years in 254 patients operated on using a personal mammaplasty technique with a periareolar approach. The technique is based on the principle that the skin alone does not prevent early ptosis. This paper proposes the repositioning of all breast connective structures, treating the glandular set separately from the cutaneous lining, which is doubled, applying a circular flap of dermis with the central pedicle to the areolar region. For this purpose, the following structures have been employed, which, once repositioned and together, will act as a support network: (1) anterior pectoral fascia, (2) Cooper's intramammary ligament, (3) periareolar dermal flap, employed as skin inner lining. (4) application of absorbable polyglactine 910 or mixed mesh (with polyester) as a sandwich between both layers of skin, and (5) external cutaneous lining that composes the assembly of double skin.