Vertical Scar Mammaplasty: Stable Padding of the Superior Pole by Means of a Posteriorly Based Pedicle Autoprosthesis

Botti, Giovanni

doi:10.1053/aq.1999.v19.97039

Cited by 22 publications

(9 citation statements)

References 15 publications

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“…Many authors have reported long-term satisfactory results and low complication rateby using an inferior dermoglandular flap under the superior or superomedial pedicle [17][18][19][20][21][22]. In this study, the dermal layer of the lower pole flap was preserved to provide powerful supportive tissue, which acts as suspensory ligaments, and to provide durable fixation to the pectoral fascia, which helps to prevent the recurrence of ptosis and bottoming out by resisting the force of gravity.…”

Section: Discussionmentioning

confidence: 99%

Lower Pole Dermoglandular Flap Autoaugmentation versus Mastopexy Augmentation with Subpectoral Implants: Outcomes after Reshaping of Ptotic Breasts

Elmekkawy¹,

Abdelbaki²,

El-Din³

et al. 2021

The Egyptian Journal of Plastic and Reconstructive Surgery

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Background: Single stage augmentation mastopexy is a challenging procedure for both volume expansion and skin envelope reduction. Also, the patient experience is an important issue after mastopexy as it affects the patient physical functioning, psychosocial wellbeing, and the aesthetic result.Aim: To assess the outcomes of reshaping of a ptotic breast and its impact on the quality of life.Patients and Methods: This prospective comparative study was conducted over a 2-year period in 32 female patients with different degrees of breast ptosis. Patients were divided into two groups according to their desire to increase breast volume either using or not using an implant. Standard breast measurements as well as early and late complications were recorded, and patient satisfaction was assessed using the BREAST-Q.Results: Postoperatively, both the groups showed significant improvements in ptosis and in the BREAST-Q scores compared to pre-operative scores in all domains (p≤0.001). However, regarding post-operative satisfaction with breast volume, psychosocial wellbeing, and outcomes, the autoaugmentation group showed a significantly higher BREAST-Q score compared with the implant augmentation group (p≤0.05). Conclusion:The BREAST-Q provides significant clinical information and evaluates the influence of the surgical procedure on the patient's regular life activities. Mastopexy autoaugmentation using the lower pole dermoglandular flap is a reliable technique for enhancing the projection of the breast, improving the upper pole shape, and creating an adequate breast volume with a low complication rate and high patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

Lower Pole Dermoglandular Flap Autoaugmentation versus Mastopexy Augmentation with Subpectoral Implants: Outcomes after Reshaping of Ptotic Breasts

Elmekkawy¹,

Abdelbaki²,

El-Din³

et al. 2021

The Egyptian Journal of Plastic and Reconstructive Surgery

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“…Since then, hundreds of articles have been published describing a variety of autoaugmentation techniques. 15 Hoenig et al as well as Botti 16 aimed autoaugmentation using Ribeiro’s posterior based pedicle. 17 …”

Section: Discussionmentioning

confidence: 99%

Autologous Mastopexy and Autoaugmention of the Breast

Raafat

Ezzat

Khachaba

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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Background: Autologous mastopexy is an alternative for patients with small breasts, ptosis and upper pole hollowness, who desire improvement in their breast shape without using an implant. A variety of techniques have been tried throughout the years. Recently the use of autologous fat grafting (AFG) for breast augmentation increased in popularity and showed satisfying cosmetic outcome in enhancement of size, shape and texture of the breast. Methods: 25 patients with grade 2 ptosis were included in this study. Lower Island Flap Transposition (LIFT) technique was modified and either done alone or in combination with lipofilling, whether at the same setting or as a second stage. Preoperative and postoperative measurements and pictures were documented. Results: Lateral upper pole projection measurements showed an average increase of 28.5% equal to about 1.8 cm. As for the maximum breast projection an increase of about 33% accounting for about 2 cm was documented. Conclusions: This study shows that the combination of LIFT technique after its modification with AFG has proven to be an effective technique with consistent results for patients presenting with grade 2 ptosis and upper pole hollowness. The addition of AFG to the modified LIFT technique can be considered a step forward in achieving autoaugmentation and autologous mastopexy without using implants.

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“…The extended superomedial technique is indicated whenever autoaugmentation is required using vascularized breast tissue to fill defects or provide additional volume in certain locations within the breast mound. Variousautoaugmentation techniques have been proposed in the literature, mainly in relation to management of the massive weight loss breast [4][5][6][7][8][9][10][11]. Hamdi et al described using excess lateral tissue based on the lateral intercostal artery perforators to autoaugment volume depleted breasts [6].…”

Section: Discussionmentioning

confidence: 99%

The Extended Superomedial Pedicle: Advancing Mammaplasty Techniques

Losken¹,

Funderburk²,

Duggal³

2013

MPS

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Many variations can be applied to traditional mammoplasty techniques to improve outcomes in certain situations. The purpose of this report was to demonstrate the indications and benefits of mammoplasty autoaugmentation using an extended superomedial pedicle. All patients who underwent transfer of an extended superopedicleto other parts of the breast for autoaugmentation were included. Indications were determined and outcomes were assessed. Forty-eight patients were included in the series. The average follow-up was 2.1 years. Indications were categorized into reconstruction of a partial mastectomy defect (oncoplastic group, n = 18), upper pole volume in the contralateral mastopexy (implant reconstruction group, n = 9), and volume improvement and suspension (massive weight loss group, n = 21). The overall complication rate was 15% (n = 7/48), with a revision rate of 10% (5/48). The extended superomedial pedicle is a reliable and versatile adjunct to regular mastopexy techniques for various indications. It gives us the ability to transfer vascularized tissue from the lower pole to areas that require autoaugmentation.The Extended Superomedial Pedicle: Advancing Mammaplasty Techniques 24 Figure 5. Designing the extended superomedial pedicle for upper pole auto-augmentation to match an implant reconstruction after mastectomy. The extended superomedial pedicle is de-epithelialized to just about the IMF and rotated superiorly for augmentation. Pre-operative views before left mastectomy and reconstruction, and post-operatively after left implant reconstruction with right extended superomedial pedicle for upper pole auto-augmentation.

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Vertical Scar Mammaplasty: Stable Padding of the Superior Pole by Means of a Posteriorly Based Pedicle Autoprosthesis

Cited by 22 publications

References 15 publications

Lower Pole Dermoglandular Flap Autoaugmentation versus Mastopexy Augmentation with Subpectoral Implants: Outcomes after Reshaping of Ptotic Breasts

Lower Pole Dermoglandular Flap Autoaugmentation versus Mastopexy Augmentation with Subpectoral Implants: Outcomes after Reshaping of Ptotic Breasts

Autologous Mastopexy and Autoaugmention of the Breast

The Extended Superomedial Pedicle: Advancing Mammaplasty Techniques

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