Articles Vol. 67 No. 10 25/10/2026

MODIFIED MCKISSOCK TECHNIQUE FOR THE TREATMENT OF BREAST PTOSIS WITHOUT VERTICAL OR INVERTED-T SCARS: A CLINICAL STUDY AT PHUONG DONG GENERAL HOSPITAL

Nguyen Thai Son
DOI: 10.52163/yhc.v67i10.6876
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Abstract

Background: Conventional mastopexy techniques for breast ptosis often result in extensive postoperative scars, particularly vertical or inverted-T (anchor) scars, which remain a major cosmetic concern for patients.

Objective: To evaluate the effectiveness, safety, and patient satisfaction of the modified McKissock technique, which leaves only a periareolar scar, in the surgical treatment of breast ptosis at Phuong Dong General Hospital.

Methods: A prospective descriptive longitudinal study was conducted on patients with Grade I–III breast ptosis who underwent mastopexy using the modified McKissock technique between 2022 and 2025. The procedure employed a vertical bipedicle dermoglandular flap to optimize the vascular supply to the nipple–areola complex (NAC), combined with concentric skin excision and a round-block periareolar closure to conceal the surgical scar.

Results: All patients (100%) achieved correction of breast ptosis without vertical or inverted-T scars. Preservation of NAC sensation was observed in 97.3% of cases. The dual-pedicle vascular design completely prevented flap or NAC necrosis. Overall patient satisfaction with breast shape and scar aesthetics reached 95.5%.

Conclusion: The modified McKissock technique with a concealed periareolar scar is a safe and highly effective surgical approach for correcting breast ptosis. It provides durable breast reshaping while eliminating visible vertical and anchor scars, thereby maximizing aesthetic outcomes and patient satisfaction.

Keywords
Modified McKissock technique; Breast ptosis; Scarless vertical mastopexy; Periareolar scar; Phuong Dong General Hospital.
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