Al Mahmoudy, N., Saad, H., Osama, M. (2024). Enhancing Augmentation Mastopexy with Breast Implant by Extended Superior Pedicle Flap. The Egyptian Journal of Plastic and Reconstructive Surgery, 48(4), 255-260. doi: 10.21608/ejprs.2024.385094
Niveen Fathy Al Mahmoudy; Hany Saad; Mohamed Osama. "Enhancing Augmentation Mastopexy with Breast Implant by Extended Superior Pedicle Flap". The Egyptian Journal of Plastic and Reconstructive Surgery, 48, 4, 2024, 255-260. doi: 10.21608/ejprs.2024.385094
Al Mahmoudy, N., Saad, H., Osama, M. (2024). 'Enhancing Augmentation Mastopexy with Breast Implant by Extended Superior Pedicle Flap', The Egyptian Journal of Plastic and Reconstructive Surgery, 48(4), pp. 255-260. doi: 10.21608/ejprs.2024.385094
Al Mahmoudy, N., Saad, H., Osama, M. Enhancing Augmentation Mastopexy with Breast Implant by Extended Superior Pedicle Flap. The Egyptian Journal of Plastic and Reconstructive Surgery, 2024; 48(4): 255-260. doi: 10.21608/ejprs.2024.385094
Enhancing Augmentation Mastopexy with Breast Implant by Extended Superior Pedicle Flap
The Department of Plastic, Burn, Reconstructive and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University
Abstract
Introduction: Augmentation mastopexy is a challenging operation which involves a fine balance between augmentation; expanding the breast volume and mastopexy; reducing the skin envelope. In implant augmentation mastopexy, many authors proposed the use of designed dermoglandular flaps, incorporating tissues from the inferior margin of the breast, it clarifies the idea of using other designed dermoglandular flaps in implant augmentation mastopexy as a tool to augment the coverage of the implant. Objective: Is to enhance the coverage of implant in augmentation mastopexy using dermoglandular extension of superior pedicle flap. Patients and Methods: This prospective clinical study was performed in Ain Shams University Hospitals from December 2020 – June 2023, with an average follow-up time of 9 months. 16 women complaining of ptotic hypoplastic breasts, underwent augmentation mastopexy. Results: All patients underwent augmentation mastopexy with superior based pedicles with extended dermoglandular flap, the breast implants used were smooth rounded implants. The patients had no NAC complications or hematoma. And there were no complications related to the implant either extrusion or infection. However minor complications have occurred as one case with disrupted sutures, two cases with seroma and one case of hypertrophic scarring and they were managed conservatively. Conclusion: Utilizing the extended dermoglandular flap to cover the implant in superiorly based augmentation mastopexy offers a reliable method with minor complications and high satisfaction scores.
Kim P., Kim K.K. and Casas L.A.: Superior Pedicle Autoaugmentation Mastopexy: A Review of 34 Consecutive Patient, Aesthetic Surgery Journal, 30 (2): 201–210, 2010. 2- Khavanin N., Jordan S.W., Rambachan A. and Kim J.Y.: A Systematic Review of Single-Stage Augmentation-Mastopexy, Plast. Reconstr. Surg., 134 (5): 922-931, 2014. 3- Biggs T.M., Graf R. and Taneja A.: Maintaining shape in mastopexy, Aesthet. Surg. J., 23 (5): 391–392, (2003) 4- Lazaro Cardenas-Camarena and Roberto Ramırez-Macıas: Augmentation/Mastopexy: How to Select and Perform the Proper Technique, Aesth. Plast. Surg., 30: 21-33, 2006. 5- Roy de Vita, Giovanni Zoccali and Ernesto Maria Buccheri: The Balcony Technique of Breast Augmentation and Inverted-T Mastopexy With an Inferior Dermoglandular Flap, Aesthetic Surgery Journal, 37 (10): 1114–1123,2017. 6- Eduardo Melero Forcada, Miguel Calderon Fernandez, Jorge Vizan Aso, Israel Pena Iglesias and Augmentation Mastopexy: Maximal Reduction and Stable Implant Coverage Using Four Flaps, Aesth. Plast. Surg., 38: 711–717, 2014. 7- Scott L. Spear, Christopher V. Pelletiere and Nathan Menon: One-Stage Augmentation Combined with Mastopexy: Aesthetic Results and Patient Satisfaction. Aesth. Plast. Surg., 28: 259–267, 2004. 8- Lejour M.: Vertical mammaplasty: Early complications after 250 personal consecutive cases. Plast. Reconstr. Surg., 104 (3): 764-770, 1999. 9- Persoff M.M.: Vertical mastopexy with expansion augmentation. Aesth. Plast. Surg., 27: 13-19, 2003. 10- Swanson E.: A retrospective photometric study of 82 published reports of mastopexy and breast reduction. Plast. Reconstr. Surg., 128: 1282–1301, 2011. 11- Scott L. Spear, Mervin Low and Ivica Ducic: Revision Augmentation Mastopexy: Indications, Operations, and Outcomes, Ann. Plast. Surg.; 51: 540–546, 2003. 12- Mestak J., Sukop A. and Mestak O.: Use of deepithelialized flap in mammoplasties: Simple method with excellent results. Aesthetic Plast. Surg., 35: 1106–1111, 2011. 13- Ladizinsky D.A., Sandholm P.H., Jewett S.T., Shahzad F. and Andrews K.: Breast reconstruction with the Bostwick autoderm technique. Plast. Reconstr. Surg., 132 (2): 261– 270, 2013. 14- Albert Losken and Christopher D.: Funderburk, Claire Duggal. The Extended Superomedial Pedicle: Advancing Mammaplasty Techniques. Modern Plastic Surgery, 3: 20- 27, 2013. 15- Spear S.L., Sinkin J.C. and Al-Attar A.: Porcine acellular dermal matrix (Strattice) in primary and revision cosmetic breast surgery. Plast. Reconstr. Surg., 131 (5): 1140–1148, 2013. 16. Spear S.L., Boehmler J.H. IV and Clemens M.W.: Augmentation/ mastopexy: A 3-year review of a single surgeon’s practice. Plast. Reconstr. Surg., 118 (Suppl): 136S–147S, 2006. 17- Gonzalez R.: The PAM method periareolar augmentation mastopexy: A personal approach to treat hypoplastic breast with moderate ptosis. Aesthet. Surg. J., 32: 175– 185, 2012. 18- Stevens W.G., Freeman M.E., Stoker D.A., Quardt S.M., Cohen R. and Hirsch E.M.: One-stage mastopexy with breast augmentation: A review of 321 patients. Plast. Reconstr. Surg., 120: 1674–1679, 2007
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