New trends in breast reconstructive surgery: “Florentine Lily” reductive mastoplasty

M. Rogliani, P. Gentile, A. Trimarco, L. Labardi, L. Brinci, L. Palla, V. Cervelli

Department of Plastic and Reconstructive Surgery, University of Rome “Tor Vergata”, Rome (Italy)

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• Plastic Surgery

Abstract. – Background: To describe a mammoplasty technique that we called “Florentine Lily” because of the shape of the pre-operative drawings similarity with the symbol lily Florentine.
Methods: In a group of 190 women who underwent reductive mammoplasty, 23 women affected by severe enlarged breasts were selected. Main selection requirements were: 18-30 cm rising of the Areola-Nipple Complex (NAC).
Results: to obtain a functional and cosmetic result; preservation of mammary gland function; vitality of the areola-nipple complex and its sensitivity. We describe the case of 35 years old woman affected by severe enlargement of the breast and no pathologies.
Conclusion: We didn’t observe necrosis of the skin flaps and NAC in any case. In one case (rising of Nipple-Areola Complex >25 cm) NAC showed NAC 2 days post-surgery, which spontaneously resolved. Minor complications (edema and ematoma) developed in 20 cases. No infections were observed.

Corresponding Author: Ludovico Palla, MD; e-mail: ludovicopalla@gmail.com