Application of Periareolar Mammaplasty with the Tissue Folding Technique in Breast Reshaping following Polyacrylamide Hydrogel Removal

Yantao Cai; Bin Liu; Mingjuan Liao; Liu He; Chenfang Zhu

doi:10.1159/000500879

Application of Periareolar Mammaplasty with the Tissue Folding Technique in Breast Reshaping following Polyacrylamide Hydrogel Removal

Breast Care (Basel). 2020 Apr;15(2):157-162. doi: 10.1159/000500879. Epub 2019 Jun 11.

Authors

Yantao Cai¹, Bin Liu¹, Mingjuan Liao², Liu He¹, Chenfang Zhu¹

Affiliations

¹ Department of General Surgery, Shanghai Ninth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
² Department of Traditional Chinese Medicine, Shanghai Ninth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Abstract

Background: Polyacrylamide hydrogel (PAAG) was used as an injectable implant for augmentation mammoplasty for over 30 years, but its use was ceased due to various related complications. The only way to treat these complications is PAAG removal, but this causes breast ptosis, nipple retraction, breast asymmetry, and skin laxity.

Objectives: This article reports a new technique for breast reshaping after PAAG removal without prosthesis implantation.

Method: From January 2015 to June 2018, twenty-three patients underwent periareolar mammoplasty with the tissue folding technique (PMTFT) for breast reshaping after PAAG removal. Postoperative breast shape and the degree of satisfaction of the patients were evaluated during follow-up.

Results: All patients recovered well without severe complications. All patients were satisfied with their postoperative breast shape and their symptoms were relieved after surgery.

Conclusions: PMTFT provides satisfactory postoperative breast shape results. Economical, practical, and technical advantages were found over traditional prosthesis-mediated breast reconstruction. PMTFT can be an ideal surgical choice in appropriate cases.

Keywords: Augmentation mammoplasty; Periareolar mammoplasty; Polyacrylamide hydrogel; Tissue folding technique.