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Invited Response on: Letter to the Editor: Layered Mastopexy with Augmentation in Muscle Splitting Biplane-A Modification for Lower Pole Safety and Stability.

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Layered Mastopexy with Augmentation in Muscle Splitting Biplane: A Modification for Lower Pole Safety and Stability.

Umar Daraz Khan1

  • 1Reshape House, 2-4 High Street, West Malling, Kent, ME19 6QR, UK. Mrumarkhan@aol.com.

Aesthetic Plastic Surgery
|August 6, 2021
PubMed
Summary

This study shows that layered mastopexy with augmentation is a safe and effective breast surgery. The procedure offers enhanced stability and safety for the breast mound and nipple-areolar complex.

Keywords:
Augmentation MastopexyLayered MastopexyMuscle Splitting MastopexyPrimary Augmentation MastopexySecondary Augmentation MastopexySubmuscular Augmentation Mammoplasty

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Breast Surgery

Background:

  • Single-stage mastopexy with augmentation is a frequent cosmetic surgical procedure.
  • This procedure can be performed as a primary surgery or a secondary surgery for patients with prior breast augmentation or mastopexy history.
  • The single-stage approach presents unique challenges and potential risks.

Purpose of the Study:

  • To evaluate the safety and outcomes of layered mastopexy with augmentation.
  • To assess the efficacy of placing implants in a muscle-splitting plane prior to mastopexy.
  • To analyze complication rates and patient satisfaction in a series of cases.

Main Methods:

  • Retrospective chart review of 102 consecutive layered mastopexy with augmentation mammoplasties performed between September 2015 and August 2019.
  • Implants were placed in a muscle-splitting pocket, with the pocket closure preceding the mastopexy.
  • Data collected included patient demographics, procedure type (primary vs. secondary), implant characteristics, mastopexy pattern, and complication rates.

Main Results:

  • No cases of nipple loss or periprosthetic infection were reported in 102 patients.
  • Minor complications included wound breakdown (3.9%), hematoma (2.1%), and nipple sensation loss (2.1%).
  • The majority of procedures (90.2%) were performed as day cases, with a revision rate of 6.5%.

Conclusions:

  • Layered mastopexy with augmentation, utilizing a muscle-splitting implant pocket, is a safe procedure.
  • The technique provides enhanced stability and safety to the lower pole of the breast and the nipple-areolar complex.
  • This approach is suitable for both primary and secondary breast augmentation and lift cases.