A long term review of augmentation mastopexy in muscle splitting biplane

Aim: Simultaneous or single stage mastopexy with augmentation is challenging, unique and commonly performed by a plastic surgeon. In this procedure pocket for implant placement, marking for envelope reduction and type of implants used can affect the outcome of the procedure. Muscle splitting pocket for mastopexy is a plane described by the author for implant placement with a short term follow up. The use and outcome of the technique is presented with a larger series and a long term follows up to evaluate the efficacy of the procedure. Methods: Retrospective data was collected. Augmentation was performed using muscle splitting technique and periareolar, vertical scar and wise pattern were used for skin reduction and mastopexy. A single surgeon performed all procedures. Results: In total 108 patients mastopexy with augmentation in muscle splitting technique. The mean age of the patient was 32.2 years (range: 18-67 years) with an average follow up of 4.5 years (range: 3 months to 10 years). All patients had round textured cohesive gel silicone implants with a mean size of 308 cc (range: 200-555 cc). Wound infection was seen in 4 (3.7%), wound breakdown in 7 (6.5%) patients. Drains were used in 25 (23.1%). All patients were treated as day cases and revision surgery was performed in 12 (11.1%). There was no hematoma, deep venous thrombosis (DVT) or nipple areolar complex in the series. Conclusion: Simultaneous augmentation mastopexy in muscle splitting pocket can be performed with good aesthetic results along with an acceptable revision rate.