Related Experiment Video
Updated: Jun 23, 2026
13:35
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
The Octopus Mastopexy: A True "Implant-First" and On-Demand Approach Based on Parenchymal Reduction
Salvatore Taglialatela Scafati1, Gianmarco Polverino2, Francesca Russo3
1Plastiké STP, Plastic Surgery Clinic, Giugliano in Campania (Naples), Italy.
Aesthetic Plastic Surgery
|June 21, 2026
Summary
The Octopus Mastopexy technique offers a stable, tension-free solution for breast augmentation and lift, improving patient satisfaction and reducing complications. This refined approach enhances aesthetic outcomes in breast surgery.
Area of Science:
- Aesthetic and reconstructive surgery
- Plastic surgery outcomes research
Background:
- Simultaneous augmentation mastopexy is complex, balancing volume and lift.
- Traditional methods face challenges with long-term stability, high tension, and complications.
- The Octopus Mastopexy was developed to address these limitations.
Purpose of the Study:
- To evaluate the safety, efficacy, and patient-reported outcomes of the Octopus Mastopexy technique.
- To assess the technique's ability to provide reproducible, tension-free results with stable nipple-areolar complex vascularization.
Main Methods:
- Retrospective review of 95 patients undergoing primary or secondary augmentation mastopexy with the Octopus technique (Jan 2019-Jan 2024).
- Technique involves an implant-first sequence, selective parenchymal reduction, and multivector pillar mobilization.
- Patient-reported outcomes assessed using the BREAST-Q questionnaire preoperatively and ≥12 months postoperatively.
Main Results:
- No major complications; minor wound dehiscence in 2 patients, 6 revisions for laxity/weight change.
- Significant improvement in BREAST-Q scores across all domains (satisfaction, physical, psychosocial well-being).
- Mean patient age 39.2 years, mean implant volume 300 cc.
Conclusions:
- The Octopus Mastopexy is a safe, stable, and reproducible technique for simultaneous breast augmentation and mastopexy.
- It effectively improves aesthetic results, reduces tension-related complications, and lowers revision rates.
- The technique enhances patient satisfaction and quality of life.
