Augmentation Mastopexy with a Dermal Encapsulated Round or Anatomic Autoprosthesis

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Aesthetic Surgery

Background:

• Breast ptosis is a common concern influenced by aging, pregnancy, and weight loss.
• Preventing breast ptosis recurrence is challenging due to natural aging and gravity.
• The goal is to delay the progression and recurrence of breast ptosis.

Purpose of the Study:

• To evaluate the efficacy of a novel autologous flap technique for breast augmentation mastopexy.
• To provide breast lift and projection without the use of implants.
• To assess patient satisfaction and aesthetic outcomes in augmentation mastopexy without implants.

Main Methods:

• A cohort of 20 female patients (25-55 years) with varying degrees of breast ptosis underwent surgery.
• Autologous flaps, termed 'autoprosthesis flaps,' were created from the patient's own tissue.
• The technique involved de-epithelialization of the flap donor area and securing the flap to the pectoral fascia.

Main Results:

• The autoprosthesis flap technique significantly improved breast projection, maintaining prominence even when lying down.
• Patients reported high satisfaction with breast size, shape, projection, and natural appearance.
• The aesthetic results in the supine position mimicked those of implant-based mastopexy, with no observed sagging.

Conclusions:

• This autologous flap method effectively achieves upper pole fullness and projection in augmentation mastopexy patients desiring to avoid implants.
• The technique eliminates risks associated with breast implants, such as capsular contracture, rejection, and rupture.
• It offers a safe and satisfying alternative for breast lift and augmentation.