One-stage mastopexy and augmentation mammoplasty in layers: outcome analysis of first 50 consecutive cases

Abstract

Aim: The single-stage procedure is a challenging procedure for Plastic Surgeons. The single-stage layered mastopexy with augmentation is a new technique that is aiming to add safety, preserving breast function and to restore normal parameters of breast. Methods: A retrospective chart review of 50 consecutive cases of layered mastopexy with augmentation mammoplasties was performed. All patients had their implants placed in muscle splitting pocket. Incisions for mastopexy were selected on the basis of nipple areolar complex to inframammary crease. Mastopexy is performed using a medially based pedicle, leaving a sufficient tissue covering the implant. Patients were divided into three groups. Group "A" who had periareolar mastopexy, Group "B" had vertical scar mastopexy and Group "C" patients had mastopexy with Wise pattern markings. Results: Group A comprised 11 patients. The mean age was 28.82 ± 7.01 years, mean preoperative and postoperative nipple areolar complex (NAC) to IMC measurement was recorded in 10 patients with the mean of 7.15 ± 1.98 cm and 8.35 ± 1.18 cm respectively. Mean size of the implant used was 379.55 ± 77.18 cm 3. Group B comprised 29 patients. Mean age was 35.17 ± 12.37 years and the mean preoperative and postoperative NAC to IMC crease was 8.53 ± 1.48 cm and 9.72 ± 1.51 cm respectively. The mean implant size used was 289.48 ± 109 cm 3. Group C had 10 patients. Mean age was 39.60 ± 12.15 years and the mean preoperative and postoperative NAC to IMC crease of 10.11 ± 1.24 cm and 8.75 ± 0.98 cm respectively. The mean implant size used was 287.00 ± 55.08 cm 3. Conclusion: The procedure allows better arterial supply, wider area for venous and lymphatic drainage, better sensory innervation to NAC and maximises lactation potential of the breast.

The “Shirt Pocket” Technique—An Alternative for Augmentation-Mastopexy

“…Augmentation-mastopexy is one of the most challenging breast surgery procedures. 3 The main goal of the procedure is to restore the normal anatomic parameters, enhance breast size, reduce skin envelope, and maintain the physiological function. 10 However, this procedure frequently requires retouch or reoperation (~8–28%), mainly because of early postoperative recurrence of the glandular ptosis.…”

“…According to the literature, many techniques and surgical maneuvers have been described in an attempt to avoid or slow up complications. 1 2 3 4 5 7 10 11 Graf et al highlighted that the use of the pectoralis fascia is more effective to cover breast implants by giving an additional soft-tissue coverage of the superior pole of the breast. 6 Considering the subglandular approach, Mansur and Bozola described the use of an inferior pedicle flap to protect and provide support of the inferior aspect of the breast when augmentation-mastopexy is performed.…”

“… 1 Thus, several surgical tactics have been described to achieve a long-lasting result, with better maintenance of the breast shape. 3 4 Among these procedures, the most used are the dual-plane techniques which are based on the cranial dissection of the pectoralis major muscle to create the implant pocket. 1 2 3 5 To improve their results, Graf et al described the use of the deep fascia of the pectoralis to cover breast implants.…”

“… 3 4 Among these procedures, the most used are the dual-plane techniques which are based on the cranial dissection of the pectoralis major muscle to create the implant pocket. 1 2 3 5 To improve their results, Graf et al described the use of the deep fascia of the pectoralis to cover breast implants. 6 They highlighted that the subfascial approach allowed soft-tissue coverage of the superior pole without the downside of raising the muscle.…”

Single-stage Layered versus Nonlayered Mastopexy with Augmentation in Muscle Splitting Biplane: A Comparative Analysis

“…[18][19][20][21][22][23][24][25][26] Layered mastopexy with augmentation is a modification of MSBP. 26,27 The current article describes the development and progression of single-stage mastopexy with augmentation using MSBP, and the complications and revision rates between layered mastopexy and augmentation were compared with those of the nonlayered approach.…”