Simultaneous Mastopexy and Augmentation for Correction of the Small, Ptotic Breast

Augmentation/Mastopexy: A 3-Year Review of a Single Surgeon???s Practice

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14] Attesting to its frequency and complexity is its unenviable reputation as the most frequently litigated operation in plastic surgery (Mark Gorney, personal communication, 2005). Although we have written previously on the subject of augmentation/mastopexy, 1,3,4,6 -9 it seemed appropriate to review the subject and explore it in greater breadth and depth.…”

The rejuvenation of the atrophied breast

“…Owsley [6] gave this solution for correction of small ptotic breasts; he advocated insertion of an inflatable implant into a retromammary pocket. In our series, only gel-filled silastic implants through a retropectoral route have been used, since leakage from the inflatable implants is quite common.…”

“…The retropectoral pocket is preferable [2,3,4,6,7], both from the operative and the prognostic points of view. Operatively, there is a marked reduction of bleeding when compared to the retromammary route and thus, prognostically and clinically, f e w e r o c c u r r e n c e s of e n c a p s u l a t i o n s .…”

Augmentation Mastopexy

“…2-4). The assessment begins with two key elements: (1) the nipple position in relation to the inframammary fold, as classified by Regnault,and (2) the vertical distance that the breast overhangs the fold. Next, the distance from the nipple to the inframammary fold is measured with the skin placed on tension to simulate the stretch that will be caused when the implant is placed.…”

“…The combination of breast augmentation and mastopexy in one stage exponentially increases the risk of complications than either surgery carries alone. [1][2][3] Its reputation within plastic surgery as a significant source of litigation is well established. 4 The complexity of a one-stage augmentation/mastopexy is a result of combining the expansion of breast volume while at the same time reducing the skin envelope, effectively two opposing goals.…”