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Simultaneous Augmentation Mastopexy: An Innovative Anatomical Approach-The Fascioglandular Flap for Improved Lower
Alexandre Elias Contin Mansur1,2, Ruth Maria Graf1,3,4, Romeu Fadul5
1Sociedade Brasileira de Cirurgia Plástica, Curitiba, PR, Brazil.
Aesthetic Plastic Surgery
|April 11, 2020
Summary
This study introduces an inferiorly based fascioglandular flap technique to enhance lower breast pole support during combined breast augmentation and mastopexy surgery. This method aims to prevent complications like bottoming out and implant extrusion in this challenging cosmetic procedure.
Area of Science:
- Plastic Surgery
- Cosmetic Surgery
- Breast Surgery Techniques
Background:
- Simultaneous breast augmentation and mastopexy is a complex procedure with increasing demand.
- Challenges arise from opposing forces, potentially leading to complications like bottoming out and implant extrusion.
- Adequate support of the inferior breast pole is crucial for successful outcomes.
Purpose of the Study:
- To demonstrate the efficacy of an inferiorly based fascioglandular flap.
- To provide enhanced lower pole support in combined augmentation mastopexy.
- To mitigate risks associated with simultaneous breast augmentation and mastopexy.
Main Methods:
- Utilized an inferiorly based fascioglandular flap technique.
- Applied the technique during simultaneous breast augmentation and mastopexy procedures.
- Focused on achieving adequate breast lower pole coverage and support.
Main Results:
- The inferiorly based fascioglandular flap provided effective support to the inferior breast pole.
- The technique demonstrated potential in preventing common complications.
- Successful outcomes were observed in patients undergoing combined augmentation mastopexy.
Conclusions:
- An inferiorly based fascioglandular flap is a beneficial technique for simultaneous breast augmentation and mastopexy.
- This method offers improved lower pole support, reducing the risk of complications.
- It is a valuable surgical option for patients seeking combined breast enhancement and lift.

