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Retrospective Multicenter Review of Mastopexy Using the "Mushroom" Auto-augmentation Flap Technique.
Virginie Van Boeckel1, Christophe Nizet1, Jean-Luc Nizet1
1From the Department of Plastic, Reconstructive, Maxillofacial Surgery and Burn Center, University Hospital of Liege, Liege, Belgium.
Plastic and Reconstructive Surgery. Global Open
|June 1, 2026
Summary
This study introduces mushroom mastopexy, a novel breast lift technique using a unique flap to enhance upper pole volume. The procedure offers excellent aesthetic results with a low complication rate, improving patient outcomes.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Breast Surgery
Background:
- Numerous mastopexy techniques exist for breast lifting and upper pole aesthetics.
- Auto-augmentation mastopexy aims to improve the breast's upper pole appearance.
- This study introduces a novel mushroom-shaped flap for mastopexy.
Purpose of the Study:
- To introduce and evaluate a novel mastopexy procedure.
- To optimize volume in the central and upper breast pole.
- To assess the efficacy and safety of the mushroom mastopexy technique.
Main Methods:
- Retrospective, multicentered case series.
- Modified approach using a median, deep-based pedicle flap.
- Perioperative management and surgical technique described.
- Systematic identification of postoperative complications.
Main Results:
- 198 women underwent mushroom mastopexy (Jan 2018-Dec 2023).
- Mean age was 44.3 years; 13% general complication rate.
- Low rates of hematoma (1), revision (17), and no nipple-areola necrosis.
Conclusions:
- Mushroom mastopexy effectively lifts breasts and restores upper pole volume.
- Can be combined with implants or lipofilling for augmentation.
- Simple, reliable technique with excellent aesthetic outcomes and low complications.