A Modified Superior Pedicle Mastopexy Technique With an Inferolateral-Based Auto Augmentation Flap

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Aesthetic Surgery

Background:

• Current mastopexy techniques aim to reduce scars and improve upper pole fullness for better breast shape.
• Auto-augmentation mastopexy often utilizes inferior-based parenchymal tissues for upper pole enhancement.
• Existing methods seek to suspend breast tissues for an improved aesthetic outcome.

Purpose of the Study:

• To present a modified auto-augmentation mastopexy technique using an inferolateral-based breast flap.
• To enhance upper pole fullness and improve breast shape in mastopexy procedures.
• To offer a safer, time-saving, and effective alternative to existing mastopexy techniques.

Main Methods:

• A modified approach utilizing an inferolateral-based breast flap for upper pole auto-augmentation is described.
• The flap receives blood supply from pectoral perforators and lateral breast tissue, enhancing vascularity.
• Flap mobility is increased by raising the medial edge from the pectoral fascia, allowing superomedial repositioning.

Main Results:

• The inferolateral-based flap improves blood supply and mobility compared to inferior-based techniques.
• Repositioning the flap reduces tension on the vertical parenchymal suture line.
• Lateral ptotic tissues are brought closer to the breast meridian, facilitating easier integration with medial parenchyma.

Conclusions:

• The described technique is suitable for most mastopexy operations and all types of ptosis, except those with insufficient volume.
• This method provides safety and is time-saving for auto-augmentation procedures.
• The technique ensures stable and lasting upper pole fullness, presenting a viable alternative to other mastopexy approaches.