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One-Stage Mastopexy-Lipofilling in Cosmetic Breast Surgery: A Prospective Study
Maria Lucia Mangialardi1, Camille Ozil2, Cristophe Lepage2,3
1Hôpital américain de Paris, 63, boulevard Victor-Hugo, 92200, Neuilly-sur-Seine, France. marialucia.mangialardi@hotmail.it.
One-stage mastopexy-lipofilling offers a safe and effective alternative for breast augmentation and contouring, achieving satisfactory aesthetic results and high patient satisfaction without implants. This technique enhances breast volume and shape, minimizing complications associated with traditional implants.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Reconstructive Surgery
Background:
- Mastopexy with implants is complex and has high complication rates.
- Glandular rearrangement and lipofilling are alternatives for breast augmentation.
- One-stage mastopexy-lipofilling combines breast lift with fat grafting.
Purpose of the Study:
- To evaluate the safety and efficacy of one-stage mastopexy-lipofilling.
- To assess long-term aesthetic outcomes and patient-reported satisfaction.
- To describe the surgical technique for this combined procedure.
Main Methods:
- Prospective observational study of patients undergoing one-stage mastopexy-lipofilling.
- Data collection included patient demographics, surgical details, and outcomes.
- Aesthetic results and patient satisfaction were assessed using Likert scales.
Main Results:
- 21 patients (42 breasts) with a mean follow-up of 13.8 months.
- Significant improvements in breast volume, shape, and symmetry were observed.
- High patient satisfaction scores (mean 4.5/5) were reported for all aesthetic parameters.
Conclusions:
- One-stage mastopexy-lipofilling is a safe procedure for cosmetic breast surgery.
- The technique yields satisfactory aesthetic outcomes, including breast contouring and volume increase.
- This approach provides a viable alternative to breast implants for selected patients.
