Breast autoaugmentation

Abstract

A technique using a posteriorly based dermoglandular flap as an augmentation of the superior hemisphere of the breast combined with a periareolar mastopexy and vertical mastopexy is presented. The advantages of combining a periareolar mastopexy, in terms of reducing the length of the vertical scar and preventing areolar distortion, are explained.

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

“…The superior level of the areola is also checked manually by grasping the areola at 3 and 6 o'clock; placing cephalic tension on the areola until the infra-areolar skin is taut. No reference is made to mid-humeral length as previously described [ 3 12 ]. The amount of nipple elevation varied from less than 1 to 12 cm.…”

“…An 8 cm or a 9 cm circular diameter pattern [ 3 ] is then used to mark the area of peri-areolar skin de-epithelialization ( Fig. 1 ).…”

“…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 ].…”

“…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 ].…”

An original and simple autoaugmentation mastopexy in mild to moderate breast ptosis: superior pedicle frontal division to achieve upper pole fullness

“…These range from a simple dermal manipulation, with or without glandular reshaping, to the use of dermal flaps fixed to the pectoral fascia, to the use of synthetic mesh or sheets. The use of an autologous (usually glandular) flap to increase the upper pole fullness can replace the use of an implant (2). Unlike, dermal reshape, the use of a glandular reshape offers a more durable result with less tension on scars.…”