BACKGROUND Dual-plane breast augmentation (DPBA) can be an effective technique for treating patients with ptotic breasts who fall somewhere in between the traditional requirements for breast augmentation versus a more extensive augmentation-mastopexy. OBJECTIVES The author outlines indications for DPBA, describes the technique, and presents outcomes data from patients receiving gel or saline ...

Cosmetic breast procedures are widely performed by plastic surgeons all over the world with high satisfaction rate for patients. The most common complications described for reduction mammaplasty and mastopexy are wound dehiscence, breast asymmetry, partial or total loss of the nipple-areolar complex (NAC). Pyoderma gangrenosum (PG) is a rare ulcerative dermatitis of unclear origins first descri...

BACKGROUND A previous submission defined methods to objectively define nipple position and vertical and horizontal skin excess in mastopexy and breast reduction. This article defines a set of second-stage processes for quantified design and operative planning for skin envelope modification. METHODS A skin envelope modification procedure (periareolar, periareolar plus vertical, or periareolar ...

Background Autologous breast reconstruction can be performed for breasts with ptosis to a certain extent, but if patients desire to correct ptosis, mastopexy of the contralateral breast is indicated. However, accurate prediction of post-mastopexy breast shape is difficult to make, and symmetrical breast reconstruction requires certain experience. We have previously reported the use of three-dim...

When a woman is diagnosed with breast cancer many aspects of her physical, emotional, and sexual wholeness are threatened. The quickly expanding field of oncoplastic breast surgery aims to enhance the physician commitment to restore the patient's image and self-assurance. By combining a multidisciplinary approach to diagnosis and treatment with oncoplastic surgery, successful results in the eye...

BACKGROUND Breast reshaping after massive weight loss represents a challenging procedure because of severe hypoplasia and tissue ptosis. Standard mastopexy techniques are often inadequate to restore a pleasant profile and volume. The authors present their experience with the anterior intercostal artery perforator flap in breast autologous augmentation and remodeling. METHODS Fifteen bariatric...

Aim: The primary author previously described his technique for periareolar closure in mastopexy using a pinwheel interlocking purse string with absorbable barbed suture and now reports the results of a retrospective photometric analysis comparing this technique with the same closure using Gortex® suture. This study is designed to compare the degree of areolar widening and safety profile of usin...

Background: One-stage treatment of breast ptosis with hypomastia using mastopexy techniques combined with breast augmentation is often believed to have the potential for more serious complications than when the procedures are performed separately. However, available data show that the incidence of complications associated with the combined treatment is similar to that of both procedures perform...