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Revision augmentation mastopexy: indications, operations, and outcomes
Scott L Spear1, Mervin Low, Ivica Ducic
1Division of Plastic Surgery, Georgetown University Hospital, Washington, DC 20007, USA.
Annals of Plastic Surgery
|December 4, 2003
Summary
Revision augmentation mastopexy is a common procedure with capsular contracture and recurrent ptosis as primary drivers. Most patients report satisfaction after revision surgery, which often involves repeat mastopexy.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Reconstructive Surgery
Background:
- Limited published data exists on revision augmentation mastopexy.
- Understanding indications and outcomes is crucial for patient care.
Purpose of the Study:
- To retrospectively review indications, procedures, and outcomes of revision augmentation mastopexy.
- To compare the frequency of revision versus primary augmentation mastopexy.
Main Methods:
- Retrospective review of 20 patients undergoing 34 revision augmentation mastopexies over 8 years.
- Data collected: original/new implant type, location, mastopexy type, revision indications, interval, and procedures.
- Simultaneous review of primary augmentation mastopexies.
Main Results:
- Revision augmentation mastopexy occurred half as often as primary procedures.
- Common indications: capsular contracture (55%), nipple ptosis (55%), implant malposition (35%), size dissatisfaction (30%), poor scar (25%), breast ptosis (20%).
- Most common procedures: repeat mastopexy (90%), capsulectomy, implant/location changes.
Conclusions:
- Revision augmentation mastopexy addresses common issues like capsular contracture and ptosis.
- Various surgical techniques are employed, with repeat mastopexy being frequent.
- High patient satisfaction achieved post-revision.