Background: Mastopexy is the art of restoring breast volume and its youthful appearance.Aim: We present a surgical technique for simultaneous mastopexy using auto-augmentation by superiorly based dermoglandular flap. In addition, we use two dermo-facial flaps to support the breast tissue in high position to restore and maintain central mound projection and elevate inframammary fold.Patients and Methods: Auto-augmentation mastopexy was performed for 36 patients using vertical superior pedicle deepithelialized dermoglandular flap that inserted beneath the breast tissue. Two opposing dermo-facial flaps based on medial and lateral pillars along the vertical line were used to support the deepithelialized dermoglandular tissue that sutured to anterior chest wall and to each other.Results: During follow-up period there was no bottoming out of breast tissues or other major adverse effects except for mild asymmetry in early 3 patients and patients showed high rate of satisfaction by the results. The results confirmed that this technique corrects ptosis while increasing the projection and apparent volume of the breast and keep inframammary fold (IMF) in high position with minimal degree of descend which is parallel to that of the nipple.
Conclusion:The combined use of dermo-fascial flap to support the glandular tissue with auto-augmentation mastopexy improves the shape; projection and contour of the breast and it also help to have long lasting results. The advantage of the technique is that it optimizes the shape and volume of the breast and creating a narrow breast base with a new high inframammary fold without the use of an implant. With this technique recurrent breast ptosis can be minimized after mastopexy procedures.Evidence Based Medicine: Level IV, case series.