Explantation With Concomitant Autologous Augmentation Mammoplasty Utilizing De-epithelialized Intercostal Perforator...

Area of Science:

• Plastic Surgery
• Reconstructive Surgery

Background:

• Breast explantation is common for various reasons, with some patients seeking autologous augmentation.
• Previous breast augmentation can complicate autologous augmentation using intercostal perforator (IP) flaps due to altered blood supply.
• A novel technique is needed to ensure reliable IP flaps during explantation.

Purpose of the Study:

• To describe a new technique for autologous augmentation mammoplasty using de-epithelialized intercostal perforator (IP) flaps during breast explantation.
• To evaluate the safety and efficacy of this technique in patients with prior breast augmentation.

Main Methods:

• Retrospective review of patients undergoing simultaneous explantation and autologous augmentation mammoplasty between January 2016 and January 2024.
• Inclusion of medial, anterior, and lateral IP flaps to create reliable tissue.
• Tabulation of outcomes and photometric analysis of breast shape.

Main Results:

• Thirty-six patients (69 breasts) underwent the procedure with concomitant IP flaps.
• No major complications were reported.
• Photometric analysis demonstrated statistically significant and lasting improvements in breast shape and proportions.

Conclusions:

• Breast explantation with autologous augmentation mammoplasty using de-epithelialized IP flaps is a safe and effective procedure.
• The technique provides durable aesthetic results, improving breast shape and proportions.
• This method offers a reliable option for patients seeking breast reconstruction after explantation.