Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of superiorly displaced nipple-areolar complex (NAC). Patient reports dissatisfaction with aesthetic breast contour and nipple positioning relative to the inframammary fold (IMF). No history of prior breast surgery, trauma, or significant weight fluctuations. Patient desires surgical correction to achieve anatomical repositioning and improved symmetry.
Clinical Examination Findings
Physical examination reveals bilateral/unilateral superiorly displaced NAC. Nipple position is noted above the horizontal meridian of the breast mound. Distance from the sternal notch to the nipple is measured at [X] cm. Areolar diameter is [X] mm. Skin envelope shows [adequate/lax] elasticity. No palpable masses, lymphadenopathy, or skin dimpling noted. Inframammary fold is well-defined.
Treatment Protocol
Proposed surgical plan: Mastopexy with inferior pedicle or circumareolar approach to facilitate inferior transposition of the NAC. Procedure involves precise marking of the new nipple position, de-epithelialization of the surrounding skin, and internal glandular reshaping to optimize breast mound projection and NAC alignment. Post-operative management includes supportive brassiere and scar management protocols.