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Superiorly Based Short-Scar Mastopexy Augmentation: A 10-Year Review of 1217 Consecutive Cases
Simeon H Wall1, Jeffrey R Claiborne1, Holly Casey Wall1
1From The Wall Center for Plastic Surgery.
Plastic and Reconstructive Surgery
|February 2, 2023
Summary
This study shows that a one-stage mastopexy augmentation technique can achieve consistent, predictable results with low complication and reoperation rates, even in patients with prior breast surgery.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Breast Surgery
Background:
- Mastopexy augmentation presents challenges in achieving consistent and predictable outcomes.
- Standardized techniques for desirable results with low complication rates are lacking.
Purpose of the Study:
- To evaluate the authors' experience with a specific mastopexy augmentation technique.
- To describe key concepts for safe, efficient, and predictable results.
- To report low complication and long-term reoperation rates.
Main Methods:
- Retrospective review of 1217 one-stage, superiorly based, short-scar mastopexy augmentations.
- Procedures performed by two senior surgeons between 2005 and 2015.
- Data evaluated in context with existing literature.
Main Results:
- Overall revision rate was 4.8%.
- Patients with prior breast surgery had a higher revision rate (10.4% vs 3.8%).
- Most revisions (86%) were implant or pocket-related; no emergent reoperations or implant loss occurred.
Conclusions:
- The authors' refined approach maximizes aesthetics, longevity, and efficiency.
- Predictable results with low complication and reoperation rates are achievable in one stage.
- This technique offers a safe and effective solution for mastopexy augmentation.