Augmentation mammoplasty/mastopexy: lessons learned from 107 aesthetic cases

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Breast Reconstruction

Background:

• One-stage augmentation/mastopexy combines breast augmentation with skin resection, presenting challenges in volume enhancement and excess skin removal.
• While gaining popularity, the safety and efficacy of simultaneous augmentation and mastopexy require further investigation.

Purpose of the Study:

• To evaluate the outcomes of simultaneous augmentation/mastopexy over a 5-year period.
• To develop algorithms for safe, simple, and effective surgical strategies for this procedure.
• To assess patient satisfaction with the results of augmentation/mastopexy.

Main Methods:

• Retrospective review of 107 patients undergoing simultaneous augmentation/mastopexy.
• Detailed description of the surgical approach for augmentation/mastopexy breast ptosis.
• Evaluation of patient satisfaction and complication rates.

Main Results:

• 107 patients underwent successful simultaneous augmentation/mastopexy, including primary and secondary surgeries.
• Various scar patterns were utilized (periareolar, vertical, short "T", inverted "T").
• A low overall complication rate (14%) and reoperation rate (12.1%) were observed, with high patient satisfaction.

Conclusions:

• Simultaneous augmentation/mastopexy is effective for nipple-areola complex lift, skin tightening, and breast projection.
• The described technique, particularly the lower periareolar approach with intraoperative customization, reliably corrects breast ptosis.
• This method offers a reliable and versatile solution for patients seeking both augmentation and lift.