Simultaneous Augmentation Mastopexy: An Innovative Anatomical Approach—The Fascioglandular Flap for Improved Lower Pole Support

MAMAS (mastopexy–augmentation made applicable and safer): A standardized template of pre-operative marking and step-by-step surgical procedure

“…This is one of the most common shortcomings of this procedure, which is usually due to the increased skin tension of the T-scar on the lower pole of the breast that compromises the healing. 30 While the issue of this drawback is considerable and needs further investigation to limit its occurrence, it was successfully treated by local wound care without the need of extensive intervention. As part of tissue-related complications, it is important to mention that only 1.9% of our patients experienced post-surgical infections, which is comparable to many other major publications; the infections were similarly treated in a conservative way, without negatively affecting the final result.…”

“…Retrospectively, De Vita et al 6 incorporated the use of an inferior dermoglandular flap, which showed promising results in stabilizing the implant and improving tissue healing at the sensitive location of the inverted-T scar. Likewise, Mansur et al 30 developed an alternative way, by utilizing the fasciae and creating a fascioglandular flap, diverting the tension from the skin, with the intention of limiting post-operational implant location complications. Nevertheless in the latter study, while it is mentioned that there was no recurrence of ptosis, the authors did not include any detailed results or overall satisfaction patient report (Breast-Q or other) and it is a subject of a future summary.…”

Mastopexy using de-epithelialised dermoglandular flaps: a case series for maximal volume conservation following breast implants removal

“…Following the introduction of these flaps in oncologic breast reconstruction, the idea was extended to aesthetic mastopexies with augmentation. The flap provides support and safety to the implants during wound healing, and in the long term, these flaps provide support to the lower pole to prevent bottoming-out [17][18][19][20][21][22][23][24]. The use of an inferior-based flap for projection following breast reduction has also been eloquently described by Ribeiro [25].…”

Invited Response on: Comment on Double Space Augmentation Mastopexy—A Reflection After 15 Years

“…Level of Evidence V. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the The author mentions, not only in relation to this text, but also in Mansur's paper [1] commentary, all the difficulties of augmentation mastopexy surgery. In fact, the paragraphs of both letters are identical, which surprises us [2].…”