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Augmentation mastopexy using the "double inner bra technique" (DIB) in post-bariatric surgery.
Melodi Motamedi1, Asim Gueven2, Raya Isaev1
1Department of Plastic und Aesthetic Surgery, Hand Surgery, Sana Klinikum Hameln-Pyrmont, Saint-Maur-Platz 1, 31785 Hameln, Germany.
Summary
The double inner bra (DIB) technique effectively stabilizes breast implants in augmentation mastopexy, particularly for post-bariatric patients. This method significantly reduces complications like implant dislocation and loss, achieving satisfactory aesthetic outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Aesthetic Surgery
Background:
- Augmentation mastopexy carries a high complication rate, especially in post-bariatric patients with compromised skin quality.
- Common complications include implant dislocation, recurrent ptosis, wound healing issues, and implant loss.
- Preventing these complications is crucial for successful augmentation mastopexy.
Purpose of the Study:
- To present and evaluate the double inner bra (DIB) technique for breast implant stabilization.
- To assess the efficacy and safety of the DIB technique in reducing complications associated with augmentation mastopexy.
Main Methods:
- A case series study involving 37 patients undergoing augmentation mastopexy.
- The double inner bra (DIB) technique utilizes laterobasal myofascial and inferiorly based dermoglandular flaps for implant stabilization and protection.
Main Results:
- Zero complications were recorded for hematomas, seromas, infections, implant losses, or malposition.
- Early ptosis (within 3 months) occurred in 2.6% of cases, decreasing over time, with 1.81% experiencing ptosis after 6-12 months.
- No implant defects or ruptures were observed.
Conclusions:
- The double inner bra (DIB) technique is a simple and adaptable method for breast augmentation.
- It demonstrates low complication rates and yields aesthetically pleasing mid- to long-term results.
- The DIB technique is a valuable option for improving outcomes in augmentation mastopexy, particularly in challenging patient populations.
