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Explantation Combined with Lollipop Incision Mastopexy after Unsatisfactory Breast Augmentation: A Reliable Surgical
Tongtong Zhang1, Zhongming Cai, Dali Mu
1Department of Breast Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100144, China.
Plastic and Reconstructive Surgery
|December 22, 2025
Summary
Secondary mastopexy using the lollipop incision technique effectively corrects breast ptosis after failed augmentation. This reliable method improves aesthetic outcomes and patient satisfaction.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Breast Reconstruction
Background:
- Breast augmentation may fail to correct ptosis, especially with large volumes.
- Implants alone can worsen ptosis in specific patient groups.
- Secondary mastopexy is needed for unsatisfactory breast augmentation outcomes.
Purpose of the Study:
- To evaluate the efficacy of secondary mastopexy with a lollipop incision.
- To assess outcomes in patients with failed breast augmentation and ptosis.
- To summarize clinical experience with this specific surgical technique.
Main Methods:
- Retrospective single-center study (October 2019-October 2024).
- Included patients undergoing explantation and lollipop incision mastopexy.
- Analyzed demographic data, ptosis correction parameters, and BREAST-Q scores.
Main Results:
- Significant reduction in nipple-to-inframammary fold, sternal notch-to-nipple, clavicle-to-nipple distances, and breast base width (all P < 0.001).
- Successful ptosis correction in all 23 patients.
- Marked improvement in BREAST-Q scores for satisfaction, psychosocial, physical, and sexual well-being.
Conclusions:
- Explantation combined with lollipop incision mastopexy is a reliable secondary procedure.
- This technique effectively manages failed breast augmentation and corrects ptosis.
- Achieved good aesthetic results and patient satisfaction, particularly with glandular reshaping and skin redraping.
