Successfully Exploiting Two Opposing Forces: A Rational Explanation for the ��Interlocking Suture��

Background  

Issues of poor circumareolar scars and asymmetry or malposition of the nipple–areola complex (NAC) are frequently associated with those breast reduction or pexy techniques that rely on an ample excision of skin around the areola, either alone or associated with a vertical scar in a circumvertical approach. To prevent such problems, in 2007 Hammond et al. introduced the “interlocking suture.” The objective of this study was to demonstrate the true ability of this suture to reduce the common complications of periareolar surgery simply by managing the existing contrast between NAC centripetal and outer breast tegument centrifugal forces.