Augmentation Mastopexy With Polyurethane-Coated Implants in the Prepectoral Plane: A 24-Month Follow-Up Study

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Breast Surgery

Background:

• Augmentation mastopexy addresses breast ptosis by restoring shape and volume.
• Polyurethane-coated implants may improve stability via early tissue adhesion in the prepectoral plane.
• Mid-term outcomes of this technique require further definition.

Purpose of the Study:

• To evaluate the long-term aesthetic stability of augmentation mastopexy using prepectoral polyurethane-coated implants.
• To assess the complication profile and patient satisfaction with this surgical approach.
• To determine the efficacy of selective fat grafting in conjunction with the procedure.

Main Methods:

• 169 patients underwent augmentation mastopexy with prepectoral polyurethane-coated implants from 2019-2023.
• The protocol included mastopexy, implant placement, and optional fat grafting for contour optimization.
• Nipple-to-jugular distance (NJD) was measured for stability assessment; patient satisfaction was surveyed at 12 months.

Main Results:

• Postoperative NJD significantly reduced from baseline (27.4 cm to 21.5 cm at 1 month) and remained stable (22.3 cm at 24 months).
• One case of capsular contracture occurred, managed by implant replacement.
• 78% of patients reported "very satisfied" (Score 5) with their aesthetic results at 12 months.

Conclusions:

• Augmentation mastopexy with prepectoral polyurethane-coated implants yields stable, long-term breast positioning.
• The technique is associated with high patient satisfaction and minimal complications.
• This method presents a dependable alternative to conventional augmentation mastopexy procedures.