[Indications and limitations of breast lifting by peri-areolar approach (round block). Report of 48 cases].

The prevention of spreading of the areolar nipple complex by means of the round block technique is the origin for this review of 48 cases. After the description of the pre-operative markings and the operative technique, the author gives full details about operative indications. The latter are in order: moderate ptosis with or without the need ty for a mammary implant, replacing a mammary implant with capsulectomy and recentering of the areola. Limitations appear in some cases when 11-12 centimeters of de-epithelialization in diameter are necessary. Advantages and drawbacks are discussed. The elimination of the usual thoracic scars appears to be a major and decisive advantage in the choice of this technique which, according to the author, will play an important part in the future.