"Double-Ring" Method for Treating Breast Ptosis: a New Approach with Local Tissue Rearrangement

Various traditional gland dermal pedicle techniques for breast ptosis had disadvantages, such as inverted T or vertical scars and poor sensation function in the nipple and areola in most cases, or even an unesthetic shape in some cases. We felt that these disadvantages could be minimized by using a novel double-ring method with local tissue rearrangement, aiming to correct mastoptosis and preserve the firmness of the breast structure. We used a novel double-ring method with local tissue rearrangement in 35 patients with varying degrees of breast ptosis. Ten patients needed breast volume reduction simultaneously with correction of breast ptosis. Satisfaction with the results among all patients was assessed by a questionnaire. The clinical data, surgical outcome, and follow-up evaluation of the patients were analyzed from follow data and well maintained hospital records. All patients were followed up for at least 1 year. Most of the patients were very satisfied with the firmness of the breast structure, invisible scars, and good viability and sensation of the nipple-areola complex (NAC). The results were durable and stable, and the incidence of complications was low. Concealed areola scarring was the most important advantage of this technique over other techniques for Asians. This novel technique might be a valid option for traditional methods, especially for Asian breasts due to invisible scars. This method could also achieve a good result in patients who did not have adequate breast volume and did not accept prosthesis implantation.