Breast Auto-augmentation (Mastopexy and Lipofilling): An Option for Quitting Breast Implants

Area of Science:

• Plastic Surgery
• Reconstructive Surgery

Background:

• Breast augmentation with implants is a common procedure with potential complications like capsular contracture and asymmetry.
• Alternative options are sought for patients desiring to remove implants.

Purpose of the Study:

• To evaluate the auto-augmentation procedure, combining mastopexy and lipofilling, as a secondary option after breast implant removal.
• To assess patient outcomes and complication rates for this alternative approach.

Main Methods:

• The study included patients undergoing mastopexy with lipofilling after breast implant removal.
• Indications included desire to remove implants, capsular contracture, and implant rupture.
• Fat grafting and mastopexy were performed concurrently with explantation.

Main Results:

• Twenty-six patients (mean age 59.1 years) were followed for a mean of 18 months.
• A mean of 258 cc of lipofilling was performed.
• No major complications (infection, hematoma, seroma) were observed; one oil cyst was resected.

Conclusions:

• Auto-augmentation with mastopexy and lipofilling is a viable option for patients no longer desiring breast implants.
• The procedure demonstrates low complication and reoperation rates with good patient satisfaction.