Aesthetic Plastic Surgery

, Volume 42, Issue 6, pp 1439–1446 | Cite as

Why Choose the Septum-Supero-Medial (SSM)-Based Mammaplasty in Patients with Severe Breast Ptosis: An Anatomical Point of View

  • V. Bucaria
  • R. EliaEmail author
  • M. Maruccia
  • P. Annoscia
  • A. Boccuzzi
  • G. Giudice
Original Article Breast Surgery


Nipple–areola complex (NAC) loss is one of the most devastating complications of mastopexy or breast reduction, and it requires revisional procedures with poor aesthetic outcome. In high-risk patients, a free nipple graft could be a choice, but it is associated with the same aesthetic concerns for both patients and surgeons. We report our experience with the septum-supero-medial-based mammaplasty to treat 22 patients with severe breast ptosis (nipple-to-sternal-notch distance > 40 cm). No NAC loss was observed. The study highlights surgical technical details and discusses anatomical considerations to justify the successful result.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors


Breast ptosis Breast reduction Mastopexy NAC loss Septum-supero-medial Mammaplasty 



Each author participated sufficiently in the work to take public responsibility for the content and agree to its publication.

Compliance with Ethical Standards

Conflict of interest

The authors declared that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2018

Authors and Affiliations

  1. 1.Division of Plastic and Reconstructive SurgeryMater Dei HospitalBariItaly
  2. 2.Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ TransplantationUniversity of BariBariItaly

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