Lower Pole Dermoglandular Flap Autoaugmentation versus Mastopexy Augmentation with Subpectoral Implants: Outcomes after Reshaping of Ptotic Breasts

Abstract

Background: Single stage augmentation mastopexy is a challenging procedure for both volume expansion and skin envelope reduction. Also, the patient experience is an important issue after mastopexy as it affects the patient physical functioning, psychosocial wellbeing, and the aesthetic result.Aim: To assess the outcomes of reshaping of a ptotic breast and its impact on the quality of life.Patients and Methods: This prospective comparative study was conducted over a 2-year period in 32 female patients with different degrees of breast ptosis. Patients were divided into two groups according to their desire to increase breast volume either using or not using an implant. Standard breast measurements as well as early and late complications were recorded, and patient satisfaction was assessed using the BREAST-Q.Results: Postoperatively, both the groups showed significant improvements in ptosis and in the BREAST-Q scores compared to pre-operative scores in all domains (p≤0.001). However, regarding post-operative satisfaction with breast volume, psychosocial wellbeing, and outcomes, the autoaugmentation group showed a significantly higher BREAST-Q score compared with the implant augmentation group (p≤0.05). Conclusion:The BREAST-Q provides significant clinical information and evaluates the influence of the surgical procedure on the patient's regular life activities. Mastopexy autoaugmentation using the lower pole dermoglandular flap is a reliable technique for enhancing the projection of the breast, improving the upper pole shape, and creating an adequate breast volume with a low complication rate and high patient satisfaction.