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Augmentation Mastopexy: A Five-step Standardized Strategy Approach.

Rasha Abdelkader1, Sarah Raafat1, Wael Sakr2

  • 1Department of Plastic Surgery, Faculty of Medicine, Cairo University, Egypt.

Plastic and Reconstructive Surgery. Global Open
|June 20, 2022
PubMed
Summary

A new five-step approach for augmentation mastopexy surgery helps optimize breast implant fill by quantifying skin excess. This systematic method aims to improve patient and surgeon satisfaction while minimizing risks.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Aesthetic Surgery

Background:

  • Planning combined augmentation mastopexy requires precise assessment of the breast skin envelope.
  • Quantifying skin excess is crucial for selecting the optimal breast implant size and achieving desired aesthetic outcomes.
  • Existing methods may not adequately address the complexities of combined breast augmentation and mastopexy procedures.

Purpose of the Study:

  • To introduce and evaluate a novel five-step systematic approach for planning augmentation mastopexy procedures.
  • To provide a quantifiable method for assessing breast skin excess to ensure optimal implant fill.
  • To improve surgical strategy and outcomes in combined breast augmentation and mastopexy.

Main Methods:

  • A retrospective study of 50 consecutive augmentation mastopexy cases was conducted.
  • A five-step preoperative assessment protocol was developed and applied.
  • Steps included breast examination, volume assessment, pocket plane determination, surgical technique selection, and horizontal skin excess evaluation.

Main Results:

  • The average implant size used was 300 cm³ (range: 170-350 cm³).
  • The overall revision rate was 4%, with revisions occurring an average of 24 months post-surgery.
  • The systematic approach demonstrated potential for reliable results with minimal complications.

Conclusions:

  • The developed five-step approach for augmentation mastopexy shows promise for achieving reliable outcomes.
  • This systematic method can enhance patient and surgeon satisfaction in combined breast augmentation and mastopexy.
  • The approach offers a structured alternative to traditional "fill and re-drape" techniques, emphasizing pre-operative planning.