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Safety of Augmentation Mastopexy in a Teaching Environment: Complication Analysis
Aesthetic Surgery Journal. Open Forum
|June 17, 2026
Summary
Augmentation mastopexy can be safely performed by plastic surgery residents under supervision, with complication rates comparable to published data. This supports its role in surgical training programs.
Area of Science:
- Plastic Surgery
- Surgical Education
- Aesthetic Surgery
Background:
- Breast hypoplasia and ptosis significantly impact quality of life.
- Augmentation mastopexy is an effective but complex procedure.
- Concerns exist regarding complications and resident training in this surgery.
Purpose of the Study:
- Evaluate complications of augmentation mastopexy performed by residents.
- Assess the safety and training implications in an academic setting.
- Compare resident outcomes with published data.
Main Methods:
- Retrospective analysis of 289 augmentation mastopexy procedures.
- Procedures performed by residents under direct attending supervision.
- Data collected on patient characteristics, technique, implants, and complications.
Main Results:
- Overall complication rate was 15.9% (46/289).
- Minor complications included suture dehiscence, secondary ptosis, asymmetry, hematoma, and seroma.
- Major complications included capsular contracture (0.7%) and infection (1.0%).
Conclusions:
- Supervised augmentation mastopexy is safe for resident training.
- Complication rates are comparable to established literature.
- This procedure is a valuable component of plastic surgery education.
