Ptosis and Bottoming out Following Mastopexy and Reduction Mammoplasty. Is Synthetic Mesh Internal Breast Support the Solution? A Systematic Review of the Literature

Israeli Innovations in the Field of Plastic Surgery

“…16 However, Atiyeh et al demonstrated that while the use of synthetic meshes for breast support has a good safety profile with promising results, no conclusive evidence supporting their use over autologous surgical options could be deduced because of the paucity of high-level evidence currently available in the literature. 15…”

“…[12][13][14] Consequently, nonautologous tissue reinforcement have been utilized to minimize this complication. 15 It has been shown that utilizing a nonautologous, internal breast support system can prevent recurrent ptosis following mastopexy while also providing a more youthful appearance. 16 However, Atiyeh et al demonstrated that while the use of synthetic meshes for breast support has a good safety profile with promising results, no conclusive evidence supporting their use over autologous surgical options could be deduced because of the paucity of high-level evidence currently available in the literature.…”

“…16 However, Atiyeh et al demonstrated that while the use of synthetic meshes for breast support has a good safety profile with promising results, no conclusive evidence supporting their use over autologous surgical options could be deduced because of the paucity of high-level evidence currently available in the literature. 15 Orbix Medical is a privately owned company that develops and markets medical devices to provide minimally invasive solutions within the field of aesthetic surgery. The company was founded in 2004 by Dr. Eyal Gur, Director of the Department of Reconstructive and Aesthetic Surgery at the Tel Aviv Medical Center.…”

Does Acellular Dermal Matrix Really Reduce the Risk of Recurrent Ptosis after Mastopexy?

“…[4][5][6] However, these claims do not hold up when subjected to measurements. [7][8][9] A recent systematic review found that implanted mesh does not prevent ptosis and bottoming out after mastopexy. 9 ADM has been advocated as a method to prevent capsular contracture [10][11][12][13][14] ; its efficacy and safety have been challenged.…”

“…[7][8][9] A recent systematic review found that implanted mesh does not prevent ptosis and bottoming out after mastopexy. 9 ADM has been advocated as a method to prevent capsular contracture [10][11][12][13][14] ; its efficacy and safety have been challenged. [15][16][17] ADM is a euphemism for processed cadaveric skin or xenografts.…”