Abstract
Background
Breast ptosis is a deformity commonly found in patients seeking breast augmentation. Current mastopexy techniques rely on incisions on the breast to correct ptosis; nonetheless, they leave extensive scars. Having to opt for a visibly scarred breast over a ptotic breast can be a difficult choice.
Objectives
We sought an innovative internal suture mastopexy for hypomastia of mild breast ptosis.
Methods
A procedure that left a tiny scar on the nipple-areolar complex was introduced. This method was safe and efficient when combining mastopexy with augmentation.
Results
Overall, 53 patients underwent this operation in the Plastic and Cosmetic Department of Guangdong Second Provincial General Hospital from January 1, 2013, to June 30, 2017, with a mean follow-up of 38 ± 16 months. The pre-operation and post-operation SN-N lines (the distance from the sternal notch to the nipple) were 21.8 ± 1.2 cm and 20.7 ± 1.0 cm, respectively; the difference was statistically significant (P<0.05). The patients and surgeon expressed satisfaction with the procedure.
Conclusion
Based on the results of the present study, which included more than 50 patients, we believe that internal suture mastopexy can be used as an effective alternative hypomastia in patients with mild breast ptosis.
Level of Evidence IV
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..
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References
Rinker B, Veneracion M, Walsh CP (2010) Breast ptosis: causes and cure. Ann Plast Surg 64(5):579–584
Visscher MO, Bailey JK, Hom DB (2014) Scar treatment variations by skin type[J]. Fac Plast Surg Clin North Am 22(3):453–462
Sun J, Mu D, Liu C et al (2016) Scar assessment after breast augmentation surgery with axillary incision versus inframammary fold incision long-term follow-up in chinese patients [J]. Aesthet Plast Surg 40:699–706
Spear S (2003) Augmentation/mastopexy: “surgeon, beware”[J]. Plast Reconstr Surg 112(3):905–906
Lin F, Hong W, Zeng L et al (2020) A prospective study of breast morphological changes and the correlative factors after periareolar dual-plane augmentation mammaplasty with anatomic implant[J]. Aesthet Plast Surg 44:1965–1976
Sarwer DB, LaRossa D, Bartlett SP et al (2003) Body image concerns of breast augmentation patients[J]. Plast Reconstr Surg 112(1):83–90
Regnault P (1976) Breast ptosis definition and treatment [J]. Clin Plast Surg 3:193–203
Davison SP, Spear SL (2004) Simultaneous breast augmentation with periareolar mastopexy[J]. Semin Plast Surg 18(3):189–201
Owsley JJ (1979) Simultaneous mastopexy and augmentation for correction of the small, ptotic breast[J]. Ann Plast Surg 2(3):195–200
Gruber RP, Jones HJ (1980) The, “donut” mastopexy: indications and complications[J]. Plast Reconstr Surg 65(1):34–38
Puckett CL, Meyer VH, Reinisch JF (1985) Crescent mastopexy and augmentation[J]. Plast Reconstr Surg 75(4):533–543
Gonzalez R, The PAM (2012) Method-periareolar augmentation mastopexy: a personal approach to treat hypoplastic breast with moderate ptosis[J]. Aesthet Surg J 32(2):175–185
Mahabir RC, Zamboni WA (2008) A new technique of internal suture mastopexy for mild to moderate breast ptosis[J]. Can J Plast Surg 16(1):11–13
Funding
The study is not supported by any funding source.
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WJH is a plastic surgeon who performed the data analysis, prepared the manuscript, and was involved in the study design; HBW is a plastic surgeon who designed the study and participated in the surgical procedures; LZ is a plastic surgeon who participated in the surgical procedures and was responsible for the patients’ follow-up; FCL is a plastic surgeon who helped revise the manuscript and the data analysis; SKL conceived the research idea, supervised this project, critically reviewed the manuscript, and was responsible for execution of the study. All authors have seen and approved the manuscript.
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Hong, WJ., Wang, HB., Lin, FC. et al. Internal Mastopexy: A Novel Method of Filling the Upper Poles During Dual-Plane Breast Augmentation Trough Periareolar Incision. Aesth Plast Surg 45, 1469–1475 (2021). https://doi.org/10.1007/s00266-020-02098-y
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DOI: https://doi.org/10.1007/s00266-020-02098-y