Simultaneous augmentation and periareolar mastopexy: selecting the correct implant

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Breast Surgery

Background:

• Periareolar mastopexy is established for mild breast ptosis (grades 1-2).
• Its application for severe breast ptosis (grade 3) is less common.
• This study explores its use in more advanced cases.

Purpose of the Study:

• To evaluate the efficacy of periareolar mastopexy combined with Style 410 implants for correcting moderate to severe breast ptosis.
• To assess patient satisfaction and complication rates in this patient cohort.
• To determine if this technique can be safely extended to treat grade 3 breast ptosis.

Main Methods:

• A cohort of 17 patients with grades 2 and 3 breast ptosis underwent surgery.
• The procedure involved augmentation using form-stable, highly cohesive silicone gel implants (Style 410).
• Various Style 410 implant shapes were utilized based on individual patient needs.

Main Results:

• No immediate surgical complications were reported.
• Over an 18-month follow-up, only two cases (Baker grade 2) experienced implant palpability (capsular contracture).
• All 17 patients reported high satisfaction with aesthetic improvements, and 16 were very satisfied with overall surgical outcomes and body image.

Conclusions:

• Periareolar mastopexy with appropriate Style 410 implants is a viable and successful option for managing grade 3 breast ptosis.
• This technique broadens the applicability of periareolar mastopexy to a wider range of ptosis severity.
• The use of shaped, form-stable implants facilitates natural-looking results and stable outcomes with minimal complications.