Evading a Surgical Pitfall: Mastopexy––Augmentation Made Simple

Abstract

Many women have a dwindled ptotic breast. The surgical solution for these two concurring problems has two separate procedures: augmentation and mastopexy. Combining these two procedure into one surgery is considered unpredictable and avoided by many physicians. This study presents a revised mastopexy-augmentation technique found to be safer and more simple, enabling these two procedures to be performed together. A retrospective review of 60 patients who underwent surgery by a single surgeon is presented. The presented method has yielded a relatively low reoperation rate of 10% and a high satisfaction rate.

All Seasons Vertical Augmentation Mastopexy: A Simple Algorithm, Clinical Experience, and Patient-reported Outcomes

“…28,29 Algorithms can be complicated. 30–32 Lee et al 8 published an algorithm based on skin measurements and recommended staging for patients with more than 6 cm of vertical skin excess. The basis for this algorithm is unclear.…”

Achieving Predictability in Augmentation Mastopexy

“…Individually, mastopexy and breast augmentation procedures are commonly performed with minimal complication rates. 5 We have described a conservative approach to augmentation mastopexy, which focuses on safety and planning, thereby allowing for improved predictability. Multiple authors have published their techniques and results of the one-stage procedure.…”

“…5 Also of benefit with the use of smaller implants is the creation of upper pole fullness. In our study, we had no instances of major flap or nipple loss.…”

A Comparison of 28 Published Augmentation/Mastopexy Techniques Using Photographic Measurements

“…When possible, publications with suitable photographs for measurements 8 – 13 , 15 , 16 , 22 – 45 were categorized into 5 groups: vertical 13 , 29 , 31 , 33 , 40 , 44 ; periareolar 8 , 23 – 25 , 28 , 30 , 39 ; inverted-T, central mound 9 , 10 , 12 , 15 , 34 , 36 , 41 , 43 ; inverted-T, superior or superomedial pedicle 11 , 32 , 42 ; and inverted-T, inferior pedicle. 27 , 35 , 37 , 38 An “all procedures” group was included (Tables 1 and 2 ).…”