Gland Suspension Improves Breast Augmentation Outcomes.

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Breast Reconstruction

Background:

• Dual plane breast augmentation is effective for low ptosis grades.
• Greater ptosis and hypomastia often necessitate mastopexy with extended incisions.
• A novel gland suspension maneuver was evaluated for minimal scar breast augmentation.

Purpose of the Study:

• To assess the efficacy of a gland suspension maneuver in dual plane breast augmentation.
• To improve breast contour and reduce postoperative ptosis.
• To minimize the need for staged reintervention procedures.

Main Methods:

• 73 patients with ptotic hypomastia underwent dual plane dissection (level 3), implant placement, and gland suspension.
• A matched historical cohort without gland suspension served as the control group.
• Outcomes were analyzed over 1 year, including reintervention rates and 3D scan morphometrics.

Main Results:

• Gland suspension reduced reintervention rates for most ptosis grades, excluding grade III.
• Compared to controls, gland suspension yielded increased upper pole volume and convexity.
• Objective morphometric analysis showed improved lower pole definition with gland suspension.

Conclusions:

• Gland suspension is a beneficial addition to dual plane breast augmentation.
• The maneuver measurably impacts breast contour and reduces subsequent mastopexy needs.
• Gland suspension is less effective for high ptosis grade candidates.