Augmentation Mammoplasty/Mastopexy: Lessons Learned from 107 Aesthetic Cases

详细信息    查看全文

• 作者：Manuel Francisco Castello ; Alessandro Silvestri ; Fabio Nicoli…
• 关键词：Augmentation mammoplasty ; Breast surgery ; Mastopexy ; Breast implantation ; Breast lift ; Breast ptosis
• 刊名：Aesthetic Plastic Surgery
• 出版年：2014
• 出版时间：October 2014
• 年：2014
• 卷：38
• 期：5
• 页码：896-907
• 全文大小：2,025 KB
• 参考文献：1. Hidalgo DA, Spector JA (2013) Mastopexy. Plast Reconstr Surg 132:642e-56e CrossRef
  2. Calobrace MB, Herdt DR, Cothron KJ (2013) Simultaneous augmentation/mastopexy: a retrospective 5-year review of 332 consecutive cases. Plast Reconstr Surg 131:145-56 CrossRef
  3. Spear SL, Boehmler JH 4th, Clemens MW (2006) Augmentation/mastopexy: a 3-year review of a single surgeon’s practice. Plast Reconstr Surg 118:136S-47S CrossRef
  4. Regnault P (1976) Breast ptosis: Definition and treatment. Clin Plast Surg 3:193-03
  5. Hoffman S (2004) Some thoughts on augmentation/mastopexy and medical malpractice. Plast Reconstr Surg 113:1892-893 CrossRef
  6. Nahai F, Fisher J, Maxwell PG, Mills DC II (2007) Augmentation mastopexy: To stage or not. Aesthet Surg J 27:297-05 CrossRef
  7. Spear SL, Boehmler JH 4th, Clemens MW (2006) Augmentation/mastopexy: a 3-year review of a single surgeon’s practice. Plast Reconstr Surg 118(7 Suppl):136S-47S CrossRef
  8. Spear SL, Giese SY (2000) Simultaneous breast augmentation and mastopexy. Aesthet Surg J 20:155-63 CrossRef
  9. Spear SL, Pelletiere CV, Menon N (2004) One-stage augmentation combined with mastopexy: Aesthetic results and patient satisfaction. Aesthetic Plast Surg 28:259-67 CrossRef
  10. Pitanguy I, Carreir?o S, Mazzarone F, Fróes LB, Cló TT (1991) Mastopexia associada à inclus?o de prótese. Rev Bras Cir 81(2):101-11
  11. Carramaschi FR, Tanaka MP (2003) Mastopexia associada à inclus?o de prótese mamária. Rev Soc Bras Cir Plást 18(1):25-6
  12. Gallent IM, Pons MR, Drever M (2003) Vertical scar mastopexy with an implant. Aesthetic Plast Surg 27:406-10 CrossRef
  13. Karnes J, Morrison W, Salisbury M, Schaeferle M, Beckham P, Ersek RA (2000) Simultaneous breast augmentation and lift. Aesthetic Plast Surg 24:148-54 CrossRef
  14. Stevens WG, Freeman EM, Stoker DA, Quardt SM, Cohen R, Hirsch EM (2007) One-stage mastopexy with breast augmentation: A review of 321 patients. Plast Reconstr Surg 120:1674-679 CrossRef
  15. Stevens WG, Stoker DA, Freeman ME, Quardt SM, Hirsch EM, Cohen R (2006) Is one-stage breast augmentation with mastopexy safe and effective? A review of 186 primary cases. Aesthet Surg J 26:674-81 CrossRef
  16. Tessone A, Millet E, Weissman O et al (2011) Evading a surgical pitfall: Mastopexy-augmentation made simple. Aesthetic Plast Surg 35:1073-078 CrossRef
  17. Persoff MM (2003) Mastopexy with expansion-augmentation. Aesthet Surg J 23:34-9 CrossRef
  18. Swanson E (2013) Prospective comparative clinical evaluation of 784 consecutive cases of breast augmentation and vertical mammaplasty, performed individually and in combination. Plast Reconstr Surg 132(1):30e-5e CrossRef
  19. Pelle-Ceravolo M, Del Vescovo A, Bertozzi E, Molinari P (2004) A technique to decrease breast shape deformity during muscle contraction in submuscular augmentation mammaplasty. Aesthetic Plast Surg 28(5):288-94 CrossRef
  20. Hammond DC, Khuthaila DK, Kim J (2007) The interlocking Gore-Tex suture for control of areolar diameter and shape. Plast Reconstr Surg 119(3):804-09 CrossRef
  21. Righi B, Robotti E (2011) Successfully exploiting two opposing forces: a rational explanation for the “interlocking suture- Aesthetic Plast Surg 35(2):177-83 CrossRef
  22. Castello MF, Lazzeri D, Silvestri A, Agostini T, Pascone C, Marcelli C, Gigliotti D, D’Aniello C, Gasparotti M (2011) Maximizing the use of precapsular space and the choice of implant type in breast augmentation mammaplasty revisions: review of 49 consecutive procedures and patient satisfaction assessment. Aesthetic Plast Surg 35(5):828-38 CrossRef
  23. Gonzalez-Ulloa M (1960) Correction of hypotrophy of the breast by means of exogenous material. Plast Reconstr Surg 25(1):15-0 CrossRef
  24. Regnault P (1966) The hypoplastic and ptotic breast: A combined operation with prosthetic augmentation. Plast Reconstr Surg 37:31-7 CrossRef
  25. Spear SL, Dayan JH, Clemens MW (2009) Augmentation mastopexy. Clin Plast Surg 36:105-15 CrossRef
  26. Sanchéz J, Carvalho AC, Erazo P (2008) Mastopexia com prótese: técnica em “D-espelhado. Rev Bras Cir Plást 23(3):200-06
  27. Mansur JR, Bozola AR (2009) Mastopexia e aumento das mamas com prote??o e suporte inferior da prótese com retalho de pedículo inferior. Rev Bras Cir Plást 24(3):304-09
  28. Gomes RS (2008) Mastopexia com retalho de pedículo superior e implante de silicone. Rev Bras Cir Plást 23(4):241-47
  29. Castello MF, Han S, Silvestri A, Grassetti L, Torresetti M, Zhang YX, Perdanasari AT, Marcelli C, Gigliotti D, Lazzeri D (2014) A simple method to inset and position polyurethane-covered breast implants. Aesthetic Plast Surg 38(2):365-68 CrossRef
  
• 作者单位：Manuel Francisco Castello (1)
  Alessandro Silvestri (1)
  Fabio Nicoli (2)
  Talal Dashti (1)
  Sheng Han (3)
  Luca Grassetti (4)
  Matteo Torresetti (4)
  Aurelia Trisliana Perdanasari (5)
  Yi Xin Zhang (5)
  Giovanni Di Benedetto (4)
  Davide Lazzeri (1)
  
  1. Plastic Reconstructive and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy
  2. Department of Plastic Reconstructive and Aesthetic Surgery, University of Rome, Rome, Italy
  3. Shanghai Tida Medical Aesthetic Hospital, Shanghai, China
  4. Department of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, University Hospital of Ancona, Ancona, Italy
  5. Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China
  
• ISSN：1432-5241

文摘

Background One-stage augmentation/mastopexy entails the challenge of augmenting breast volume with an implant while resecting excess skin. Although both augmenting and lifting the breast in a one-stage operation is gaining in popularity, its safety and its efficacy are still under debate and merit deeper evaluation. Methods We retrospectively reviewed our experience over a 5-years period with patients who underwent augmentation mammoplasty/mastopexy with the specific objectives of documenting their outcomes and formulating algorithms for safe, simple, and effective operative strategies to manage such patients. Our surgical approach to augmentation/mastopexy breast ptosis was described step by step. Patient satisfaction with the results was also evaluated. Results One hundred seven patients underwent successful simultaneous augmentation/mastopexy surgery. Sixty-nine underwent primary breast surgery and 38 underwent secondary breast surgery. In 12 cases a periareolar mastopexy scar was used, while in 51 patients a vertical approach was preferred; in 11 and 33 patients a short “T-and an inverted “T-scar mastopexy was necessary, respectively. Few complications were observed, with a very low overall complication rate (14?%) and a reoperation rate of 12.1?% at 14.7?months. Patient satisfaction with the results of this procedure was extremely high. Conclusions Simultaneous augmentation/mastopexy is an effective and versatile way to lift the NAC, tighten the breast skin, increase breast projection, and fill in the upper pole. Our technique of simultaneous breast mastopexy after augmentation through a lower periareolar approach showed excellent correction of pre-existing ptosis, making this method highly reliable because the intraoperative tailor-tacking was customized to the patient, implant size, and projection. Level of Evidence IV 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 Table of Contents or the online Instructions to Authors www.springer.com/00266.