Lower Pole Dermoglandular Flap Autoaugmentation versus Mastopexy Augmentation with Subpectoral Implants: Outcomes after Reshaping of Ptotic Breasts

Document Type : Research article

Authors

1 Specialist of Plastic Surgery, Ministry of Health

2 The Department of Urology, , Faculty of Medicine, Benha University, Egypt

3 Department of Plastic & Reconstructive Surgery, Faculty of Medicine, Mansoura University, Egypt

Abstract

Background: Single stage augmentation mastopexy is a
challenging procedure for both volume expansion and skin
envelope reduction. Also, the patient experience is an important
issue after mastopexy as it affects the patient physical functioning,
psychosocial wellbeing, and the aesthetic result.
Aim: To assess the outcomes of reshaping of a ptotic
breast and its impact on the quality of life.
Patients and Methods: This prospective comparative study
was conducted over a 2-year period in 32 female patients with
different degrees of breast ptosis. Patients were divided into
two groups according to their desire to increase breast volume
either using or not using an implant. Standard breast measurements
as well as early and late complications were recorded,
and patient satisfaction was assessed using the BREAST-Q.
Results: Postoperatively, both the groups showed significant
improvements in ptosis and in the BREAST-Q scores
compared to pre-operative scores in all domains (p£0.001).
However, regarding post-operative satisfaction with breast
volume, psychosocial wellbeing, and outcomes, the autoaugmentation
group showed a significantly higher BREAST-Q
score compared with the implant augmentation group (p£0.05).
Conclusion: The BREAST-Q provides significant clinical
information and evaluates the influence of the surgical procedure
on the patient's regular life activities. Mastopexy autoaugmentation
using the lower pole dermoglandular flap is a
reliable technique for enhancing the projection of the breast,
improving the upper pole shape, and creating an adequate
breast volume with a low complication rate and high patient
satisfaction.

Keywords

Main Subjects

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