A long term review of augmentation mastopexy in muscle splitting biplane

Abstract

Aim: Simultaneous or single stage mastopexy with augmentation is challenging, unique and commonly performed by a plastic surgeon. In this procedure pocket for implant placement, marking for envelope reduction and type of implants used can affect the outcome of the procedure. Muscle splitting pocket for mastopexy is a plane described by the author for implant placement with a short term follow up. The use and outcome of the technique is presented with a larger series and a long term follows up to evaluate the efficacy of the procedure.

Methods: Retrospective data was collected. Augmentation was performed using muscle splitting technique and periareolar, vertical scar and wise pattern were used for skin reduction and mastopexy. A single surgeon performed all procedures.

Results: In total 108 patients mastopexy with augmentation in muscle splitting technique. The mean age of the patient was 32.2 years (range: 18-67 years) with an average follow up of 4.5 years (range: 3 months to 10 years). All patients had round textured cohesive gel silicone implants with a mean size of 308 cc (range: 200-555 cc). Wound infection was seen in 4 (3.7%), wound breakdown in 7 (6.5%) patients. Drains were used in 25 (23.1%). All patients were treated as day cases and revision surgery was performed in 12 (11.1%). There was no hematoma, deep venous thrombosis (DVT) or nipple areolar complex in the series.

Conclusion: Simultaneous augmentation mastopexy in muscle splitting pocket can be performed with good aesthetic results along with an acceptable revision rate.

Keywords

Augmentation mastopexy / muscle splitting mastopexy / muscle splitting augmentation / submuscular augmentation mammoplasty

References

[1] Biggs TM.Augmentation mammoplasty: A comparative analysis. Plast..Reconstr Surg1990;85:368-372

[2] Regnault P.Partially submuscular breast augmentation..Plast Reconstr Surg1977;59:72-6

[3] Binelli L.A new periareolar mammoplasty: the "round block" technique..Aesthetic Plast Surg1990;14:93-100

[4] Wise RL.A preliminary report on a method of planning the mammoplasty..Plast Reconstr Surg (1946)1956;17:367-75

[5] Lejour M.Vertical mammoplasty and liposuction of the breast..Plast Reconstr Surg1994;94:100-14

[6] Khan UD.Vertical scar mastopexy with cat's tail extension for prevention of skin Redundancy: an experience with 17 consecutive cases after mastopexy and mastopexy with breast augmentation..Aesthetic Plast Surg2012;36:303-7

[7] Khan UD.Augmentation mastopexy in muscle-splitting biplane: outcome of first 44 consecutive cases of mastopexies in a new pocket..Aesthetic Plast Surg2010;34:313-321

[8] Khan UD.Vertical scar with the bipedicle technique: a modified procedure for breast reduction and mastopexy..Aesthetic Plast Surg2007;31:337-42

[9] Spear S.Augmentation/mastopexy: "Surgeon, beware"..Plast Reconstr Surg2003;112:905-6

[10] Stevens WG,Freman ME,Hircsh EM.Is one-stage breast augmentation with mastopexy safe and effective? A review of 186 primary cases..Aesthet Surg J2006;26:674-81

[11] Swanson E.Prospective comparative clinical evaluation of 784 consecutive cases of breast augmentation and vertical mammoplasty, performed individually and in combination..Plast Reconstr Surg2013;132:30e-45e

[12] Khan UD.Poly Implant Prothèse (PIP) incidence of device failure and capsular contracture: a retrospective comparative analysis..Aesthetic Plast Surg2013;37:906-13

[13] Khan UD.Mugea TT.Aesthetic surgery of the breast..Use of nipple-areolar to inframammary crease mesurments to reduce bottoming out following augmentation mastopexy.2015;BerlinSpringer649-56 PMCID:PMC5506487

[14] Spear SL,Ducic I.Revision augmentation mastpexy: indications, operations, and outcomes..Ann Plast Surg2003;51:540-6

[15] Khan UD.Muscle-splitting breast augmentation: a new pocket in a different Plane..Aesthetic Plast Surg2007;31:553-8

[16] Khan UD.Muscle-splitting, subglandular, and partial submuscular augmentation mammoplasties: a 12-year retrospective analysis of 2026 primary cases..Aesthetic Plast Surg2013;37:290-302

[17] Calobrace MB,Cothron KJ.Simultaneous augmentation/mastopexy: a retrospective 5-year review of 332 consecutive cases..Plast Reconstr Surg2013;131:145-56

[18] Stevens WG,Stoker DA,Cohen R.One-stage mastopexy with breast augmentation: a review of 321 patients..Plast Reconstr Surg2007;120:1674-9