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Bonapace-Potvin et al. Plast Aesthet Res. 2025;12:34 https://dx.doi.org/10.20517/2347-9264.2025.65 Page 7 of 14
Figure 3. Buttonhole surgery in a patient with elevated body mass index. The nipple-areola complex is maintained on an inferior pedicle
and tissue of the lateral bra roll is maintained in order to create a “body proportion” chest appearance.
Figure 4. Pre- and one-year post-operative photos of a buttonhole surgery - proportional chest appearance following buttonhole surgery
in a patient with elevated body mass index.
