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Plastic and Reconstructive Surgery Oct 2013Mastopexy includes multiple skin incision design and parenchymal manipulation options. Patient evaluation includes assessment of goals, degree of ptosis, tissue volume,... (Review)
Review
Mastopexy includes multiple skin incision design and parenchymal manipulation options. Patient evaluation includes assessment of goals, degree of ptosis, tissue volume, skin quality, and breast position on the chest wall. There are critical technical details for each of the three incision options, the various methods of parenchymal manipulation, and implant placement. The potential for complications is greatest for combined augmentation and mastopexy. Although they are effective, mastopexy procedures have the greatest incidence of litigation among aesthetic breast procedures.
Topics: Breast; Breast Implantation; Education, Medical, Continuing; Female; Humans; Mammaplasty; Patient Selection; Postoperative Complications
PubMed: 24076713
DOI: 10.1097/PRS.0b013e31829fe4b4 -
Clinics in Plastic Surgery Jan 2021Patients have been requesting implant removal in revisional breast surgery and options for breast improvement without the use of breast implants in primary breast... (Review)
Review
Patients have been requesting implant removal in revisional breast surgery and options for breast improvement without the use of breast implants in primary breast surgery. This article focuses on perioperative decision making and surgical technique in performing a mastopexy with autoaugmentation and fat grafting. The use of a lower island of breast parenchyma relocated to the upper pole through a central pedicle in primary surgery and a superior pedicle in postexplantation cases, along with fat grafting can provide improvement in global volume or simply additional volume in areas of deficiency, such as the upper poles and medial cleavage region.
Topics: Adipose Tissue; Autografts; Breast; Device Removal; Female; Humans; Mammaplasty; Surgical Flaps
PubMed: 33220902
DOI: 10.1016/j.cps.2020.09.008 -
Plastic and Reconstructive Surgery Sep 2021After studying this article, the participant should be able to: 1. Describe surgical techniques associated with mastopexy and mastopexy augmentation. 2. Understand the... (Review)
Review
LEARNING OBJECTIVES
After studying this article, the participant should be able to: 1. Describe surgical techniques associated with mastopexy and mastopexy augmentation. 2. Understand the evolution of mastopexy and augmentation mastopexy. 3. Address patient goals. 4. Achieve a favorable cosmetic outcome.
SUMMARY
The surgical techniques associated with mastopexy and mastopexy augmentation have continued to evolve. Traditional mastopexy techniques have included periareolar, circumvertical, and inverted-T patterns; however, adjuncts to these have included the use of various surgical mesh materials, implants, and fat grafting. This evidence-based article reviews how the techniques of mastopexy and augmentation mastopexy have evolved to best address patient goals and provide a favorable cosmetic outcome.
Topics: Breast; Esthetics; Evidence-Based Medicine; Female; Follow-Up Studies; Goals; Humans; Mammaplasty; Patient Education as Topic; Patient Satisfaction; Postoperative Complications; Treatment Outcome
PubMed: 34432701
DOI: 10.1097/PRS.0000000000008303 -
Plastic and Reconstructive Surgery Nov 2018After reviewing the article, the participant should be able to: 1. Understand the tenets of proper patient selection. 2. Be familiar with the assessment of patients for... (Review)
Review
LEARNING OBJECTIVES
After reviewing the article, the participant should be able to: 1. Understand the tenets of proper patient selection. 2. Be familiar with the assessment of patients for augmentation-mastopexy. 3. Be able to plan an operative approach and execute the critical steps. 4. Be able to recognize common complications and have a basic understanding of their management. 5. Be aware of emerging adjunctive techniques and technologies with respect to augmentation-mastopexy.
SUMMARY
Despite being a multivariable and complex procedure, augmentation-mastopexy remains a central and pivotal component of the treatment algorithm for ptotic and deflated breasts among plastic surgeons. Careful preoperative planning, combined with proper selection of approach and implant, can lead to success. Physicians need to understand that there is a high frequency of reoperation cited in the literature with regard to this procedure, and discussions before the initial operation can help alleviate common misunderstandings and challenges inherent in this operation.
Topics: Clinical Decision-Making; Female; Humans; Mammaplasty; Outcome Assessment, Health Care; Patient Selection; Perioperative Care; Postoperative Complications
PubMed: 30511991
DOI: 10.1097/PRS.0000000000004961 -
Annales de Chirurgie Plastique Et... Nov 2019Mastopexy is one of the most popular cosmetic surgery procedures. Complications are rare but imperfections in results can occur. The main imperfections affect the...
Mastopexy is one of the most popular cosmetic surgery procedures. Complications are rare but imperfections in results can occur. The main imperfections affect the nipple-areolar complex, the volume of the segment II, the progression of the segment III as well as the cicatrization. We will consider the different techniques to prevent or treat them in case of occurrence.
Topics: Female; Humans; Mammaplasty; Postoperative Complications
PubMed: 31543279
DOI: 10.1016/j.anplas.2019.07.011 -
Clinics in Plastic Surgery Jan 2021Augmentation mastopexy is generally considered to be one of the most difficult operations in breast surgery. It has an undeserved reputation for high complication rates... (Review)
Review
Augmentation mastopexy is generally considered to be one of the most difficult operations in breast surgery. It has an undeserved reputation for high complication rates and unhappy patients. Through careful planning, surgical techniques involving manipulation of the breast while maintaining blood supply and implant cover, and good augmentation technique, the operation can achieve predictable results in most cases with a low complication rate. Techniques to assess and manage the 2 main complications of waterfall deformity and bottoming out are discussed.
Topics: Breast; Breast Implantation; Breast Implants; Female; Humans; Mammaplasty; Postoperative Complications; Reoperation
PubMed: 33220904
DOI: 10.1016/j.cps.2020.09.002 -
Aesthetic Surgery Journal Aug 2019The authors describe their surgical technique for single-stage periareolar mastopexy with subglandular breast augmentation. They have performed this procedure in 85...
The authors describe their surgical technique for single-stage periareolar mastopexy with subglandular breast augmentation. They have performed this procedure in 85 patients since 2009 and found that this operative technique has allowed them to achieve reproducible outcomes in a single-stage procedure. Periareolar mastopexy with subglandular breast augmentation is an excellent procedure for patients who desire a larger breast size and who present with mild to moderate nipple ptosis with a paucity of excess skin in the lower pole of the breast. This article will review the perioperative management and detailed steps of the procedure and outline its indications for utilization and some of the common complications the authors have encountered.
Topics: Adolescent; Adult; Breast Implantation; Breast Implants; Female; Humans; Middle Aged; Nipples; Patient Satisfaction; Patient Selection; Postoperative Care; Postoperative Complications; Preoperative Care; Retrospective Studies; Treatment Outcome; Young Adult
PubMed: 31056674
DOI: 10.1093/asj/sjz128 -
Indian Journal of Surgical Oncology Jun 2019Advancements in oncoplastic techniques have enhanced commitment to restore shape and, hence, has improved cosmetic outcomes. Donut mastopexy lumpectomy is one such...
Advancements in oncoplastic techniques have enhanced commitment to restore shape and, hence, has improved cosmetic outcomes. Donut mastopexy lumpectomy is one such technique and is best utilized in a setting of a malignancy not extending to the skin or the nipple-areolar complex. As a potential alternative to standard lumpectomy, it has many advantages including restriction of scar to the periareolar region, ease and rapidity of surgery, retention of nipple-areolar sensation, and the possibility of performing augmentation mammoplasty. A mini breast lift is also provided without ugly and visible scars. This report provides an insight into the technical details and utility of donut mastopexy lumpectomy (DML) in breast oncoplasty.
PubMed: 31168264
DOI: 10.1007/s13193-018-0865-0 -
Plastic and Reconstructive Surgery Apr 2024Augmentation mastopexy focuses on restoring the youthful appearance of the female breast. Despite those benefits, there is large scarring to be considered, and the... (Observational Study)
Observational Study
BACKGROUND
Augmentation mastopexy focuses on restoring the youthful appearance of the female breast. Despite those benefits, there is large scarring to be considered, and the reduction of this side effect is the main goal to enhance the aesthetic result. This article aims to describe a variation of the L-shaped mastopexy technique without complex marking and performed in planes, which improves long-term results for patients undergoing this approach.
METHODS
This is a retrospective, observational study, based on a series of cases conducted by the author. The preoperative appointment and the surgical technique are described and divided into steps according to their components: cutaneous, glandular tissue, and muscular.
RESULTS
Between January of 2016 and July of 2021, 632 women underwent surgery. The mean age was 38 years (range, 18 to 71 years). The mean volume of implants was 285 cc (range, 175 to 550 cc). All the implants used were round with a nanotextured surface. The mean amount of tissue resected from each breast was 117 g (range, 5 to 550 g). Follow-ups ranged from 12 to 84 months, and photographic documentation was performed from 30 days after surgery. Complications totaled 19.30% and were divided into minor [treated with expectant treatment, noninvasive, or with the possibility of correction with local anesthesia (10.44%)] and major [in which it was necessary to return to the operating room (8.86%)].
CONCLUSIONS
Multiplane L-scar mastopexy is a versatile and safe technique with predictable results, which allows the systematic treatment of the most diverse breast types, with complications similar to other already described and solidified techniques.
CLINICAL QUESTION/LEVEL OF EVIDENCE
Therapeutic, IV.
Topics: Female; Humans; Adult; Cicatrix; Mammaplasty; Breast Implants; Skin; Retrospective Studies; Muscles; Treatment Outcome; Breast Implantation
PubMed: 37335763
DOI: 10.1097/PRS.0000000000010850 -
Plastic and Reconstructive Surgery.... Apr 2022In the years after unilateral breast reconstruction, the reconstructed breast resists ptosis more than natural breast tissue in the native contralateral breast. As...
UNLABELLED
In the years after unilateral breast reconstruction, the reconstructed breast resists ptosis more than natural breast tissue in the native contralateral breast. As acellular dermal matrix (ADM) becomes fully incorporated into the recipient's anatomy, thus reinforcing the inferior pole of the uplifted breast, we combined our mastopexy cases with ADM in an attempt to reduce the rate of recurrent ptosis.
METHOD
This was a prospective randomized analysis of a cohort of 24 patients, divided into two groups (A and B); all underwent primary unilateral mastopexy to correct grade III breast ptosis. Our patients had previously undergone contralateral skin sparing mastectomy with immediate breast reconstruction, for invasive breast cancer or ductal carcinoma in situ that originally was symmetrical to their native breast. The symmetrization mastopexy in half of our patients was carried out with the addition of an ADM sling to the inferior pole of the breast, to act as an internal, subcutaneous supportive "bra" (A). The other half of patients received a standard symmetrization mastopexy, without the addition of an ADM support (B). Patients were followed up for 36 months.
RESULTS
The difference between control arm and study groups revealed a statistical difference ( < 0.05), when comparing the follow-up period. From the sixth postoperative month onward, the measurements for group A revealed a statistically significant difference ( < 0.05) when compared with group B.
CONCLUSION
The additional ADM sling acts as an added layer of support, thus delaying reoccurrence of ptosis following mastopexy.
PubMed: 35506020
DOI: 10.1097/GOX.0000000000003952