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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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FAM-Fat Augmentation Mastopexy: A Method to Avoid Implants.

Sarah Lonie1, Phaethon Karagiannis2, Kourosh Tavakoli2

  • 1Department of Plastic Surgery, East Sydney Private Hospital, 75 Crown St, Sydney, NSW, 2011, Australia. sjlonie88@gmail.com.

Aesthetic Plastic Surgery
|February 28, 2024
PubMed
Summary
This summary is machine-generated.

Fat grafting during mastopexy can help patients avoid breast implants, reducing risks and revision surgeries. Many patients are satisfied with the results, forgoing the need for a second augmentation stage.

Keywords:
AugmentationBreastFat graftMastopexy

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Breast Reconstruction

Background:

  • Patients often seek augmentation mastopexy despite high complication rates.
  • Heavy, ptotic breasts may benefit from a staged approach: mastopexy with fat grafting first.
  • Fat grafting can enhance the upper pole and cleavage, potentially eliminating the need for implants.

Purpose of the Study:

  • To describe a technique for reducing the need for a second-stage implant augmentation.
  • To evaluate the use of moderate to high volume fat grafting in primary mastopexy.

Main Methods:

  • Retrospective review of 137 patients from January 2018 to December 2022.
  • Patients requested breast implants and required mastopexy.
  • Analysis of outcomes for single-stage augmentation mastopexy, mastopexy with fat grafting, and mastopexy without fat grafting.

Main Results:

  • 71 patients had single-stage augmentation mastopexy.
  • 55 patients had mastopexy with fat grafting.
  • Of 66 planned staged patients, 78.8% were satisfied after mastopexy with fat grafting and did not desire further augmentation.

Conclusions:

  • Appropriate volume and placement of fat grafting can significantly reduce the need for secondary implant augmentation.
  • Fat grafting is a viable alternative to alloplastic augmentation in selected patients.
  • This approach can improve patient satisfaction and minimize risks associated with implants.