BACKGROUND Simultaneous breast augmentation and mastopexy has historically been a controversial topic, and it has been considered by some to be a difficult and unpredictable procedure. Secondary breast augmentation and mastopexy after previous breast surgery is rarely discussed in the literature, and little is known about the outcomes of these secondary procedures. OBJECTIVE The authors prese...

BACKGROUND Despite the growing popularity of breast lift surgery, no published study prospectively evaluates mastopexy and augmentation/mastopexy. Several investigators suggest an inordinate risk in combining augmentation and mastopexy, and recommend staging the surgery in some patients. However, no existing study includes the necessary individual and combined treatment cohorts to allow reliabl...

BACKGROUND Mastopexy is a challenging procedure, particularly with the trend toward procedures with lesser scarring. When combined with breast augmentation, the risk of complications is greater than with either component alone. OBJECTIVE An attempt was made to simplify mastopexy, giving a "what you see is what you get" result before any surgical bridges are crossed while minimizing disruption...

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.

BACKGROUND Current mastopexy techniques rely on incisions on the breast to correct ptosis. Trading a ptotic breast for a visibly scarred breast can be a difficult choice. OBJECTIVE AND METHODS A technique of internal suture mastopexy that consists of plicating sutures placed in the superficial fascia of the breast from the deep surface is presented. The procedure leaves no scar on the breast ...

In the absence of any published information on the indications, frequency, and outcomes of revision augmentation/mastopexy, an 8-year retrospective review was undertaken of all patients undergoing revision of a previous augmentation/mastopexy in the senior author's practice. The data collected included original implant type, location and mastopexy type, indication for revision, interval from or...

BACKGROUND The effect of surgery on the level of the inframammary crease, a long-standing landmark in cosmetic breast surgery, has not been previously investigated. There has been speculation that breast augmentation may lower this level and that vertical mastopexy may raise it, but no confirmation of these opinions has been published. OBJECTIVES The author measured the preoperative and posto...

BACKGROUND Although there is an abundance of data in the literature regarding the safety of breast reduction and augmentation, nearly all of the literature concerning mastopexy describes techniques. There are few studies regarding revision and complication rates for mastopexy procedures. METHODS A retrospective review was performed on a series of 150 consecutive patients who underwent a masto...

BACKGROUND The use of one stage mastopexy augmentation in the ptotic patient remains controversial. Expansion of breast volume and reduction of the skin envelope contradict each other and increase the risks of potential complications. By carefully selecting and consenting patients appropriately I describe the use of the superiorly based dermal flap for autologous reinforcement of the inferior p...