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Related Experiment Video

Updated: Jun 24, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Mastopexy with expansion-augmentation.

Myron M Persoff

    Aesthetic Surgery Journal
    |April 2, 2009
    PubMed
    Summary

    This study presents a single-stage mastopexy with augmentation technique using an adjustable implant to reduce complications. This method improves breast appearance and surgical outcomes.

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    Same author

    Choosing size for an augmentation mammaplasty.

    Plastic and reconstructive surgery·2002
    See all related articles

    Area of Science:

    • Plastic Surgery
    • Aesthetic Surgery
    • Breast Augmentation

    Background:

    • Mastopexy with augmentation is a complex procedure with a high risk of complications.
    • Some surgeons opt for a two-stage approach to mitigate these risks.

    Purpose of the Study:

    • To describe a novel single-stage mastopexy with augmentation technique.
    • To utilize the minimal scar from vertical mastopexy and an adjustable implant to minimize complications and enhance aesthetic outcomes.

    Main Methods:

    • A keyhole skin area around the areola was deepithelialized, and a tunnel was created.
    • Breast tissue was divided into medial and lateral columns, and a pocket was created in the pectoralis major muscle for the implant.
    • The adjustable implant was placed, filled, and then adjusted post-operatively; the nipple-areolar complex was carefully repositioned.

    Main Results:

    • The technique was performed on 26 patients between February 1998 and April 2001.
    • Results from three representative cases are presented, demonstrating successful outcomes.

    Conclusions:

    • Employing an adjustable implant in a single-stage mastopexy with augmentation can significantly reduce complications.
    • This technique offers an effective alternative to multi-stage procedures for breast lift and augmentation.

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