Refining Aesthetics and Volume: A Retrospective Analysis of Our Experience With Autoaugmentation Mastopexy

Autoaugmentation mastopexy is an innovative technique in aesthetic breast surgery that utilizes autologous tissue to restore breast volume and contour, offering an alternative to implants. This study retrospectively analyzes outcomes and patient satisfaction following autoaugmentation mastopexy at a single center.

A retrospective review was conducted of 135 female patients who underwent autoaugmentation mastopexy between February 2022 and October 2024. Preoperative planning involved precise skin markings and selection of superior and inferior pedicles to be used as retroglandular flap. The surgical procedure included de-epithelialization, pedicle dissection, creation of a retroglandular pocket, and fixation of the inferior pedicle in retroglandular space to enhance upper pole fullness. Patient satisfaction was assessed preoperatively and postoperatively using the BREAST-Q questionnaire.

The mean age was 46.2 ± 5.9 years, with the majority of patients (72.6%, n = 98) aged 41-55 years. Preoperatively, 91.1% (n = 123) of patients were dissatisfied (BREAST-Q score 40.65 ± 11.4). Postoperatively, 87.4% (n = 118) reported high satisfaction (score 86.12 ± 6.8), representing a statistically significant improvement (mean difference 45.47, P  < 0.0001). The technique consistently provided durable upper pole fullness and a natural breast contour, with minimal complications observed.

Autoaugmentation mastopexy is a safe, reliable, and effective procedure for patients seeking natural breast enhancement with upper pole fullness without implants. This approach yields high satisfaction, improved aesthetics, and stable long-term results. As patient preferences shift toward autologous solutions, this technique represents a cornerstone in modern breast surgery. Further studies with larger cohorts and longer follow-up are recommended.