"A systematic review of mesh support of the breast in aesthetic breast surgery"

Aesthetic breast surgeries, including reduction mammoplasty, mastopexy, and breast augmentation, aim to enhance patient satisfaction by improving breast aesthetics. The use of mesh in these surgeries has been proposed to provide improved long-term structural support, addressing conditions such as recurrent ptosis and implant displacement. This narrative systematic review analysed 31 studies involving 2,425 patients to evaluate the effectiveness and safety of mesh in aesthetic breast surgeries. The studies, comprising mostly retrospective case series and a few prospective observational studies, generally reported favourable outcomes with improved breast shape and high patient satisfaction. Reported complication rates were low, with issues such as seroma, haematoma, and infection. However, the evidence is insufficient to recommend the routine use of mesh in aesthetic breast surgery. Future research should focus on high-quality, unbiased studies with standardised outcome measures.