Breast autoaugmentation

Kirwan, Laurence

doi:10.4172/plastic-surgery.1000509

Cited by 7 publications

(27 citation statements)

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“…The senior author's 2007 article [ 3 ] based on an earlier presentation 'Lollipop Mastopexy' [ 4 ] described a modification of the technique of Botti [ 5 ] and Graf et al [ 6 ] using an inferior parenchymal pedicle transposed superiorly to the anterior face of the pectoralis major. This was combined with a vertical mastopexy [ 7 ] and a peri-areolar purse-string suture [ 8 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Breast Auto-Augmentation: A Versatile Method of Breast Rehabilitation—A Retrospective Series of 107 Procedures

2015

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BackgroundBreast auto-augmentation (BAA) using an inferior pedicle dermoglandular flap aims to redistribute the breast tissue in order to increase the fullness in the upper pole and enhance the central projection of the breast at the time of mastopexy in women who want to avoid implants. The procedure achieves mastopexy and an increase in breast volume.MethodsBetween 2003 and 2014, 107 BAA procedures were performed in 53 patients (51 bilateral, 2 unilateral and 3 reoperations) with primary or secondary ptosis of the breast associated with loss of fullness in the upper pole (n=45) or undergoing explantation combined with capsulectomy (n=8). Six patients (11.3%) had prior mastopexy and 2 (3.7%) patients had prior reduction mammoplasty. The mean patients' age was 41 years (range, 19-66 years). All patients had preoperative and postoperative photographs and careful preoperative markings. Follow-up ranged from 6 months to 9 years (mean, 6.6 months).ResultsThe range of elevation of the nipple was from 6 to 12 cm (mean, 8 cm). The wounds healed completely with no complications in 50 (94.3%) patients. Three patients had complications including 2 (3.7%) hematomas and 1 (1.9%) partial necrosis of the nipple-areola complex. Three (5.7%) patients were dissatisfied with the level of mastopexy achieved underwent a further procedure. No patient complained of scar hypertrophy.ConclusionsBAA is a versatile technique for women with small breasts associated with primary or secondary ptosis. It is also an effective technique for the salvage of breasts after capsulectomy and explantation.

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Section: Introductionmentioning

confidence: 99%

“…The technique was named 'Breast Auto-augmentation' (BAA) as used in subsequent papers [ 10 11 ]. In the original paper [ 3 ] the BAA technique was used in a case of explantation. Gurunluoglu et al [ 12 ] mistakenly credited the first use of combining BAA with explantation to Honig et al [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Breast Auto-Augmentation: A Versatile Method of Breast Rehabilitation—A Retrospective Series of 107 Procedures

2015

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“…For many years, I did one-stage, or simultaneous, augmentation mastopexy for moderately to severely ptotic breasts depending on common skin patterns [4,9,19] that had been developed to accomplish this goal. I drew a pattern, removed skin within the pattern, and then tailor tacked tissues together with skin staples [18].…”

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confidence: 99%

Simultaneous Augmentation Mastopexy: A Technique for Maximum En Bloc Skin Resection Using the Inverted-T Pattern Regardless of Implant Size, Asymmetry, or Ptosis

Eisenberg

2011

Aesth Plast Surg

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The described technique maximizes the amount of tissue to be resected in simultaneous augmentation mastopexy for moderately to severely ptotic breasts. Symmetry is more easily achieved with this approach regardless of the implant size used or the amount of skin to be resected. This technique minimizes the chance of tissue necrosis from devascularized skin edges. It also may shorten the inverted T scar and reduce the operative time.

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“…However, in patients with extensive breast tissue loss, a mastopexy often needs to be combined with prosthetic implants in order to restore the projection of the breast and gain a sufficient upper pole fullness. While breast implants cause a foreign body reaction that can lead to capsular contracture and results in poor aesthetic results, and pain in the long run, several authors have proposed the use of glandular rearrangement to optimize central mound projection in effort to avoid the use of implants (6)(7)(8).…”

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confidence: 99%

“…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).…”

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

Grünherz¹,

Burger²,

Giovanoli³

et al. 2019

Gland Surg.

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Breast ptosis is a common issue in plastic surgery that may result from a combination of breast parenchyma involution and reduced elasticity of the skin envelope. This therefore leads to a low breast profile and nipple-areolar complex (NAC) that descends towards the inframammary crease.Besides aging, several factors can contribute to breast ptosis such as massive weight loss, pregnancies, breast-feeding, and postpartum involution (1).A variety of mastopexy techniques have been described to address the degrees of breast ptosis (2-5). These approaches aim to raise the breast projection, tighten the skin envelope,

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Breast autoaugmentation

Cited by 7 publications

References 0 publications

Breast Auto-Augmentation: A Versatile Method of Breast Rehabilitation—A Retrospective Series of 107 Procedures

Breast Auto-Augmentation: A Versatile Method of Breast Rehabilitation—A Retrospective Series of 107 Procedures

Simultaneous Augmentation Mastopexy: A Technique for Maximum En Bloc Skin Resection Using the Inverted-T Pattern Regardless of Implant Size, Asymmetry, or Ptosis

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

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