Reverse-Muscle Sling Reduces Complications in Revisional Mastopexy–Augmentation
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Simultaneous augmentation–mastopexy is a particularly tricky operation with a considerable reoperation rate. The pectoralis muscle sling has proven to be a suitable alternative technique for long-term results in breast parenchyma suspension without silicone implants. This study aims to propose a promising approach to simultaneous augmentation–mastopexy revisional surgery using an inverted dual-plane technique acting as a muscular sling.
A 10-year historic cohort was conducted to obtain the following variables from our preexisting database: age, preoperative measurements, operative technicalities, implant details, time from procedure to revision, complications, and outcomes.
Twenty-six patients assessed after the initial postoperative year were analyzed. Review of this series of patients revealed a revision rate of 3.8% and overall rate of morbidity of 11.5%.
Simultaneous augmentation–mastopexy using an inverted dual-plane technique acting as a muscular sling is a reliable and safe procedure. Review of this series of patients revealed low rates of morbidity and reoperation need.
Level of Evidence IV
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KeywordsRevisional surgery Augmentation mastopexy Breast augmentation Breast lift Round breast Mastopexy Silicone implants
Compliance with Ethical Standards
Conflict of interest
The author does not have any commercial associations or financial disclosures that might pose or create a conflict of interest with information or medical devices presented in this submitted manuscript. There are no conflicts of interest in this research.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.
Video 1: Trans operative surgical technique (MP4 72187 kb)
Video 2: Breast dynamics 4 years after augmentation–mastopexy with muscular sling (MP4 26427 kb)