European Journal of Plastic Surgery

, Volume 41, Issue 2, pp 257–258 | Cite as

Reply to: Comments on “Breast augmentation together with intraoperative glandular transposition flap for prevention and correction of lower pole deformities”

  • Dmitry Batiukov
  • Vladimir Podgaiski
Letter to the Editor


We thank Dr. Innocenti and colleagues for their interest in our work [1] and comments that we find very relevant [2]. We also appreciate the opportunity to respond to their comments.

We have carefully read the articles mentioned in the references [3, 4, 5]. One of them is completely out of the scope of the present discussion [5]. We see no reason for its inclusion in the letter.

We would also like to congratulate the authors for their great results in very complicated cases. The classification of the tuberous breast that they introduced is of great value. The point of the present discussion is the flap mentioned in our article, which authors think is the same they described earlier [3].

Indeed, there are some similarities between their work and our work. However, there are several important factors of difference that we would like to highlight in detail.

There are two different flaps mentioned in their article [3], namely the “adipo-glandular flap” or “distal flap” and the...


Compliance with ethical standards

Conflict of interest

Dmitry Batiukov and Vladimir Podgaiski declare that they have no conflict of interest.


  1. 1.
    Batiukov D, Podgaiski V (2018) Breast augmentation combined with a transposed glandular flap for prevention and correction of lower pole deformities. Eur J Plast Surg 41:21–26CrossRefGoogle Scholar
  2. 2.
    Alessandro Innocenti, Dario Melita, Francesco Ciancio, Marco Innocenti (2018) Comments on “Breast augmentation combined with a transposed glandular flap for prevention and correction of lower pole deformities”. Eur J Plast Surg.
  3. 3.
    Innocenti A, Innocenti M (2015) Retro-areola distally based flap in the management of the full expression of tuberous breast: a simple strategy to resolve a weak point of the deformity. Aesthetic Plast Surg 39(5):700–705Google Scholar
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    Innocenti A, Innocenti M, Mori F, Melita D, Ciancio F, Cordova A (2017) Tuberous breast: past, present, and future: personal classification, treatment, and surgical outcomes. Ann Plast Surg.
  5. 5.
    Portincasa A, Ciancio F, Cagiano L, Innocenti A, Parisi D (2017) Septum-enhanced mammaplasty in inferocentral pedicled breast reduction for macromastia and gigantomastia patients. Aesthetic Plastic Surg 41(5):1037–1044CrossRefGoogle Scholar
  6. 6.
    Muti E (2010) Tuberous breast. Acta Medica Edizioni — Adottati Fidenza, Parma, p53Google Scholar
  7. 7.
    Kolker AR, Collins MS (2015) Tuberous breast deformity: classification and treatment strategy for improving consistency in aesthetic correction. Plast Reconstr Surg 135:73–86CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Medical Center “Antes Med”MinskBelarus
  2. 2.Belorussian Medical Academy of Postgraduate EducationMinskBelarus
  3. 3.Medical Center “Chinevich and K”MinskBelarus

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