Augmentation Mastopexy:

Layt, Craig

doi:10.1016/j.cps.2020.09.002

Clinics in Plastic Surgery

2021

DOI: 10.1016/j.cps.2020.09.002

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Augmentation Mastopexy:

Craig Layt¹

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2024

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Cited by 4 publications

(2 citation statements)

References 11 publications

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“…5 The most common incision type described for ptotic breast reconstruction is the Wise-pattern incision. 6,7 While it is superior in reducing the skin envelope, it has been shown to have high rates of skin flap necrosis. 8 The oblique-elliptical is another incision that can also be successful at managing a large skin envelope and is used at a similar rate as the Wise pattern.…”

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confidence: 99%

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Mastectomy Incision Choice in Ptotic Patients Undergoing Immediate Implant-Based Reconstruction

Chemakin,

Ricci,

Benacquista

et al. 2024

Ann Plast Surg

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Breast ptosis presents challenges for implant-based reconstruction due to the large skin envelope. Skin-reducing mastectomy reduces the envelope but must consider many other factors including complications. Limited data exist on incision impact on outcomes. We compare oblique-elliptical and Wise-pattern incisions on complications and patient-reported quality of life in immediate implant-based reconstruction. A retrospective review of patients who underwent immediate implant-based skin-reducing mastectomy at a single institution from 2015 to 2021 was done and was divided into two cohorts: wise and oblique incisions. Demographics, complications, and patient-reported outcomes (BREAST-Q) were compared. Descriptive, t test, and chi-square test analyses, followed by adjusted linear and logistic regression models, were performed to compare complication rates and BREAST-Q scores. Eighty-nine patient breasts were analyzed, 39 (43.8%) in the oblique (OI) and 50 (56.2%) in the wise (WI) cohort. No differences in demographics or preoperative comorbidities between groups were found. The oblique incision patients had significantly more mean total complications (OI 1.46 vs WI 0.88; P = 0.048), as well as increased incidence of explantation (OI 15 vs WI 3; P = 0.003) and cellulitis (OI 14 vs WI 3; P = 0.020) compared to wise group. Linear regression analysis revealed that incision choice was a significant predictor of complication rate (β = −1.06, 95% CI [−1.63–−0.50], P = <0.001). Logistic regression analysis showed that incision was a significant predictor of specific complications such as explantation (odds ratio = 0.10, 95% CI [0.02–0.52], P = 0.006) and cellulitis (odds ratio = 0.16, 95% CI [0.03–0.73], P = 0.018), with decreased risk of choosing wise incision. There was no difference in BREAST-Q results. Ptotic patients with oblique incision are associated with higher rates of postoperative complications compared to wise incisions. These findings suggest that incision choice is an important factor in postoperative complication development and emphasizes the need for further investigation and discussion with patients during preoperative planning.

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mentioning

confidence: 99%

“…The most common incision type described for ptotic breast reconstruction is the Wise-pattern incision 6,7 . While it is superior in reducing the skin envelope, it has been shown to have high rates of skin flap necrosis 8 .…”

mentioning

confidence: 99%

Mastectomy Incision Choice in Ptotic Patients Undergoing Immediate Implant-Based Reconstruction

Chemakin,

Ricci,

Benacquista

et al. 2024

Ann Plast Surg

View full text Add to dashboard Cite

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Combined augmentation mastopexy: a retrospective single-surgeon analysis of 85 cases over 6 years

Kidd¹,

Kolaitytė²,

Ismahel³

et al. 2022

Eur J Plast Surg

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Comparison of Classic Mastopexy Method with Double-Pedicled Auto-augmentation Mastopexy with Conic-Shaped Modified Inferior Butterfly Flap

Altınel¹,

Serin²,

Toplu³

2022

Aesth Plast Surg

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Augmentation Mastopexy:

Cited by 4 publications

References 11 publications

Mastectomy Incision Choice in Ptotic Patients Undergoing Immediate Implant-Based Reconstruction

Mastectomy Incision Choice in Ptotic Patients Undergoing Immediate Implant-Based Reconstruction

Combined augmentation mastopexy: a retrospective single-surgeon analysis of 85 cases over 6 years

Comparison of Classic Mastopexy Method with Double-Pedicled Auto-augmentation Mastopexy with Conic-Shaped Modified Inferior Butterfly Flap

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