Simultaneous Mastopexy Explantation With a Vertical Bipedicle and Novel Open Pattern Marking Technique

Area of Science:

• Plastic Surgery
• Reconstructive Surgery

Background:

• Simultaneous breast implant removal and mastopexy present significant technical challenges.
• Limited studies detail specific techniques, often relying on variations of superior pedicle methods.
• Poor cosmetic outcomes and complications are potential risks in these procedures.

Observation:

• A novel open marking pattern and vertical bipedicle technique were developed for simultaneous explantation and mastopexy.
• The technique was applied to 86 consecutive patients between November 2018 and November 2019.
• No incidence of partial or total nipple-areola complex necrosis was observed.

Findings:

• The described technique offers a safe and effective approach for combined breast implant removal and mastopexy.
• The vertical bipedicle method allows for restoration of breast cosmesis post-explantation.
• Intraoperative adjustments are facilitated, enhancing procedural flexibility.

Implications:

• This technique provides a viable solution for patients seeking implant removal and breast lift.
• It demonstrates a low complication rate, specifically regarding nipple-areola viability.
• Further research will provide a more comprehensive analysis of long-term outcomes.