Results of mammary glands topometry among yakut women with focus on age and importance of age in augmentation mammoplasty.

[OBJECTIVE] Introduction: In connection with the development of plastic and aesthetic surgery, there is a steady growth in aesthetic mammoplasty. Modern aesthetics require an emphasis on and accentuation of mammary glands. For our region it is obvious that the physical and sexual development of girls living in the harsh continental climate of Yakutia has its own characteristics. In this regard, the issues of defining a clear standard diagnosis of the regional norm of mammary gland and adjacent topographic layers of the chest wall, as well as its shape, are becoming increasingly relevant. The aim: To identify the individual typological variability of the shape, size, and topometric characteristics of mammary glands of Yakut women with focus on age.

[PATIENTS AND METHODS] Materials and Methods: Morphometry of the mammary glands was performed in 72 Yakut women. The examined women were divided into the following age groups: group I - IV ( ages 20 -40). The measurements were performed using the Body Logic (Mentor Medical Systems BV - USA) System, where the following indicators were recorded anthropometric characteristics of the body, topometric and organometric characteristics of mammary glands women.

[RESULTS] Results: The analysis of the obtained data showed that the bodyweight of the women being examined increases by ages 35-40. Dimensional parameters of the transverse diameter of the chest at the level of the submammary fold and at the level of the nipples were also greater in the older age group. Visual asymmetry MG relative to right and left sides is observed in the first age group (ages 26-35). The thickness of the dermal-glandular fold at the level of the lateral, medial and upper poles also tends to increase with age, with higher values on the left side in all groups. Submammary fold as anatomical structure is the key structure that determines the aesthetics of the mammary gland during its augmentation and mastopexy, it is the foundation on which the designs of mammoplasty are based. Its asymmetry is less noticeable in the older age group. When analyzing the size of the areola along the vertical and transverse lines, a pronounced tendency to increase in size with age is observed relative to the right and left sides.

[CONCLUSION] Conclusions: Thus, as a result of the study, we determined the topo-morphometric parameters of the mammary glands of Yakut women of different age groups. It was observed that with sufficient symmetry of the mammary gland shape in most women in the study groups, there is an asymmetry in the structure of the shape of the chest, probably due to rickets-like conditions widespread in our region. The growth in the thickness of the skin-glandular fold is more pronounced in the fourth age group (ages 36-40), which indicates the hypertrophy of the MG tissues, which is an important factor when calculating the volume of the future implant. The index of extensibility in the lower pole of theMG is important for planning surgical intervention, since it indicates the state of the skin pocket for the implant. It is only natural that with age, MG tissues become susceptibleto natural gravitational ptosis, the same happens to the nipple-areolar complex, as evidenced by its largest transverse and vertical dimensions in the fourth age group. Whenplanning the intervention, these dimensions can be reduced using periareolar mastopexy.