Abstract
Breast ptosis or sagging is a natural consequence of aging. The key factors influencing breast ptosis are, pregnancy, gravity, high BMI, breast size, and significant weight gain and/or loss. We use Regnault’s classification (mild, moderate, severe, and pseudoptosis), which is the most known and used. Mastopexy with implant is considered one of the most complex surgeries because of the difficulty in achieving the right balance between two antagonist vectors: reduction and augmentation. The treatment becomes more complex as the degree of ptosis increases. When the ptosis is mild it can be treated with a periareolar approach with implant inclusion or in more severe cases a periareolar approach with a vertical or inverted T. There are several factors that affect the outcome of the surgery. Every aspect of the patient should be evaluated, especially the patient’s expectations.
Head of Division of Plastic and Reconstructive Surgery of Universidade Federal do Estado of the Rio de Janeiro (UNIRIO)
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References
Araco A, Gravante G, Araco F et al (2007) A retrospective analysis of 3,000 primary aesthetic breast augmentations: postoperative complications and associated factors. Aesth Plast Surg 31(5):532–539. Epub 2007 July 20
Baran CN, Peker F, Ortak T et al (2001) Unsatisfactory results of periareolar mastopexy with or without augmentation and reduction mammaplasty: enlarged areola with flattened nipple. Aesth Plast Surg 25(4):286
Benelli L (1990) A new periareolar mammaplasty: the round block technique. Aesth Plast Surg 14:93–100
Bostwick J (1983) Correctin of the breast ptosis. In: Aesthetic and recent breast surgery. CV Mosby, St Louis, pp 209–249
Cárdenas-Camarena L, Ramírez-Macías R (2006) Augmentation/mastopexy: how to select and perform the proper technique. Aesth Plast Surg 30(1):21–33
Chekkoury IH, Rodier C, Keller P et al (1991) Our own experience in the treatment of hypotrophy and ptosis of the breast. Ann Chir Plast Esthetic 36(2):116–119
Daher C, Di Lamartini J (2012) Mastopexy associated with submuscular or subglandular silicone implants: indications and complications. Rev Bras Cir Plást. 27(2):294–300
De Benito J, Sánchez K (2010) Key points in mastopexy. Aesthet Plast Surg 34(6):711–715
Dufourmentel C, Mouly R (1959) Chirurgie plastique. Flammarion, Paris, pp 327–370
de la Fuente A, Martin del Yerro JL (1992) Periareolar mastopexy with mammary implants. Aesth Plast Surg 16(4):337–341
Gonzales-Ulloa M (1960) Correction of hypotrophy of the breast by means of exogenous material. Plast Reconstr Surg 25(1):15–40
Gruber R, Denkler K, Hvistendahl Y (2006) Extended crescent mastopexy with augmentation. Aesth Plast Surg 30(3):269–274. discussion 275-76
Handel N (2006) Secondary mastopexy in the augmented patient: a recipe for disaster. Plast Reconstr Surg 118(7 Suppl):152S–163S. discussion 164S-65S, 166S-67S
Hoover DJ, Paragi PR, Santoro E, Schafer S, Chamberlain RS (2010) Pro- phylactic mastectomy in high risk patients: a practice-based review of the indications. Do we follow guidelines? Breast Dis 31(1):19–27
Khan UD Lower pole enhancement in breast augmentation. In: 6th Croatian Congress of Plastic, Reconstructive and Aesthetic Surgery. Croatia: Opatja-Rijeka, 2006.
Khan UD (2007) Muscle splitting biplane breast augmentation. A new pocket in a different plane. Aesth Plast Surg 31:353–358
Kirwan L (1999) Augmentation of the ptotic breast: simultaneous periareolar mastopexy and breast augmentation. Aesth Surg 19:34
Lalardrie J, Jouglard JP (1974) La chirurgie plastique du sein. Masson, Paris, p 290
Lejour M (1999) Vertical mammaplasty: early complications after 250 personal consecutive cases. Plast Reconstr Surg 104(3):764
Owaley J Jr (1979) Simultaneous mastopexy and augmentation for correction of the small, ptotic breast. Ann Plastic Surg 2(3):195–200
Parsa FD, Parsa AA (2006) Breast ptosis: to augment, to lift, or to do both? Plast Reconstr Surg 117:2101–2102
Pesquisa Datafolha encomendada pela Sociedade Brasileira de Cirurgia Plástica. (n.d.) Disponível em http://www2.cirurgiaplastica.org.br. Accessed 22 August 2011
Pitanguy I (1961) Mammaplasty: study of 245 consecutive cases and presentation of a personal technique. Rev Bras Cir 42:201–220
Puckett CL (1985) Crescent mastopexy and augmentation. Plast Reconstr Surg 75(4):533
Regnault P (1976) Breast ptosis. Definition and treatment. Clin Plast Surg 3:193
Regnault P (1990) Breast reduction and mastopexy, an old love story: B technique update. Aesth Plast Surg 14(2):101
Rohrich RJ, Gosman AA, Brown SA et al (2006) Mastopexy preferences: a survey of board-certified plastic surgeons. Plast Reconstr Surg 118(7):1631–1638
Saldanha OR, Maloof RG, Dutra RT, Luz OAL, Saldanha Filho O, Saldanha CB (2010) Mamaplastia redutora com implante de silicone. Rev Bras Cir Plást. 25(2):317–324
Saleh KH, Letter A (2009) Incision periareolar mastopexy with breast implant augmentation. N Iraqi J Med 5(1)
Spear SL (2006) Augmentation/mastopexy: “surgeon, beware”. Plast Reconstr Surg 118(7 Suppl):133S–135S
Spear SL, Low M, Ducic I (2003) Revision augmentation mastopexy: indications, operations and outcomes. Ann Plast Surg 51:540–546
Spear SL, Pelletiere CV, Menon N (2004) One-stage augmentation combined with mastopexy: aesthetic results and patient satisfaction. Aesth Plast Surg. 28(5):259–267
Stevens WG, Freeman ME, Stoker DA et al (2007) One-stage mastopexy with breast augmentation: a review of 321 patients. Plast Reconstr Surg 120(6):1674–1679
Tebbetts JB (2001a) Dual plane breast augmentation: optimizing implant-soft tissue relationship in a wide range of breast types. Plast Reconstr Surg 107:1255–1272
Tebbetts JB (2001b) Alternatives and trade-offs in breast augmentation. Clin Plast Surg 28(3):485–500
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Ribeiro, R.C., Bermudez, A., Pastor, M. (2018). Mastopexy with Implant Inclusion. In: Avelar, J. (eds) Breast Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-54115-0_54
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