Three-Dimensional Concept in Simultaneous Periareolar Augmentation-Mastopexy

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Breast Surgery

Background:

• Breast ptosis, often due to aging or pregnancy, causes tissue laxity and volume loss.
• Traditional mastopexy may not fully address horizontal glandular laxity.
• This study addresses post-lactational breast atrophy and ptosis.

Purpose of the Study:

• Evaluate a 3D conceptual approach for simultaneous augmentation-mastopexy.
• Correct mild-to-moderate breast ptosis and restore breast contour.
• Utilize a circumareolar incision for comprehensive correction.

Main Methods:

• Retrospective analysis of 51 patients (102 breasts) with mild-to-moderate ptosis.
• Single-stage augmentation-mastopexy using a 3D technique: circumareolar incision, limited upper pole resection, dual-plane implants.
• Recorded perioperative data, complications, and patient satisfaction (Likert scale).

Main Results:

• Significant improvement in nipple position (mean change 4.71 cm).
• High patient satisfaction (8.94/10) with minimal scarring and preserved nipple sensation.
• Low complication rate (5.88%) with no capsular contracture or NAC necrosis.

Conclusions:

• The 3D augmentation-mastopexy technique effectively treats mild-to-moderate breast ptosis.
• Restores breast contour, preserves nipple sensation, and achieves high patient satisfaction.
• Offers a comprehensive solution for post-lactational breast atrophy and ptosis.