Donut mastopexy lumpectomy

Donut mastopexy is originally described to correct a protuberant areola-nipple complex and mild ptosis especially in tubular breast . A donut-shaped portion of periareolar skin is deepithelized. The radius of the skin to be removed is usually 2 to 3 cm and includes a portion of the areola when it is of large diameter. The resulting wound is closed by a purse-string closure around the nipple, leaving only a periareolar closure at the end of the operation .The main advantages of such a procedure were minimizing scar of periareolar area, preservation of nipple sensation, easy to perform and short duration of surgery Donut mastopexy was integrated as excellent approach to excise malignant lesions of the breast, in fact one can consider this approach as midline incision to explore abdominal cavity since different parts of the breast can be reached without difficulty. This technique is usually suitable for tumors segmentally distributed in upper lateral or upper central locations and deeply seated in the breast away from the skin. If a large piece of glandular tissue was excised leaving redundant skin and underlying tissue hanging in the dead space as a result of large volume resection, the skin can be de-epithelised and buried to fill the dead space.

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• donut mastopexy
• lumpectomy