Inferolateral Pectoralis Sling Technique for Augmentation Mastopexy

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Breast Surgery

Background:

• Augmentation mastopexy is complex, aiming to correct breast ptosis and enhance volume.
• Common challenges include premature waterfall deformity, bottoming out, and revision surgeries, especially with smooth implants.
• A novel technique is needed to minimize implant malposition during augmentation mastopexy.

Purpose of the Study:

• To describe and evaluate the inferolateral pectoralis sling technique for one-stage augmentation mastopexy.
• To assess the efficacy of this technique in reducing implant malposition and associated complications.
• To report complication and revision rates associated with the inferolateral pectoralis sling method.

Main Methods:

• Retrospective review of 284 patients undergoing one-stage subpectoral breast augmentation mastopexy.
• Utilized the inferolateral pectoralis sling technique between 2019 and 2022.
• Data collected on implant size, complications, and revision procedures.

Main Results:

• No early complications were observed in 284 patients (568 breasts).
• Late minor complications occurred in 6 patients (2.1%), with 5 requiring revision mastopexy for implant repositioning.
• 7% of patients underwent implant upsize procedures, with an average increase of 218.5cc.

Conclusions:

• The inferolateral pectoralis muscle sling is a successful technique for one-stage augmentation mastopexy.
• This method is associated with low complication and revision rates.
• The technique effectively addresses challenges in augmentation mastopexy, leading to favorable patient outcomes.