Autoaugmentation Mastopexy Modification Prevents Bottoming-Out Deformity and Areola Distortion: A Preliminary Report

Abstract

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Longevity of ptosis correction in mastopexy and reduction mammaplasty: A systematic review of techniques

“… 16 All other studies incorporating the vertical reduction pattern reported the elongation of the lower inframammary pole length, bottoming out, or increase in pseudoptosis over the study period. 2 , 6 , 9 , 17 , 18 , 19 , 20 …”

“…These include pillar sutures, permanent and absorbable meshes, lipofilling, dermal or dermoglandular slings, autoaugmentation flaps, and muscular slings. 2 , 3 , 4 , 6 , 9 , 11 , 15 , 16 , 17 , 18 , 20 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 The meshes used were variable and permanent or partially absorbable meshes generally had better outcomes compared to fully absorbable meshes. Hamdi et al.…”

Long-term results measured by BREAST-Q reveal higher patient satisfaction after “autoimplant-mastopexy” than augmentation-mastopexy

“…Since the first reports of autologous parenchymal flaps in the 1970s (14,15), numerous techniques with only subtle variations were published. These include variations regarding incision patterns, orientation of the pedicle and fixation maneuver (2)(3)(4)(15)(16)(17). Further techniques propose the additional use of tissue from the back, referred to as thoracic wall flaps, that are especially popular in massive weight loss patients (5,18).…”

“…In the past, various techniques that differ in the incision pattern and dermoglandular pedicle have been proposed under the term "Autoaugmentation" mastopexy (3,4,8,9). In our department, an inferior based dermoglandular flap proposed by Graf and Biggs was used (2).…”

“…Although all techniques make use of the existing breast tissue, we prefer to use the term "Autoimplant-Mastopexy," as no augmentation of the breast volume was achieved. Concerning mastopexies combined with an autoimplant, literature is relatively sparse and heterogeneous due to different surgical techniques and outcome definitions (1)(2)(3)(4). Given the increasing demand of the use of autologous tissue, we therefore aimed to compare the combination of a mastopexy either with an "Autoimplant" or a silicone implant to determine differences in complications, longterm results and patient satisfaction using BREAST-Q score (10).…”