Abstract
Background
Periareolar mastopexy is a well-described technique for cosmetic improvement of breasts classified as Regnault ptosis grades 1 and 2. However, this technique is used less frequently for cases of grade 3 ptosis.
Methods
Grades 2 and 3 ptosis were corrected for selected patients using a combination of augmentation with Style 410 shaped, form-stable, highly cohesive, silicone gel implants and periareolar mastopexy.
Results
In this study, 17 patients were treated. The Style 410 implants used included four different devices: FX (full height, extra-full projection, n = 4), MX (medium height, extra-full projection, n = 1), MF (medium height, full projection, n = 8), and FF (full height, full projection, n = 4). No complications occurred immediately after surgery, and only two cases of capsular contracture Baker grade 2 cases with implant palpability occurred during a mean follow-up period of 18 months. All 17 women were very satisfied with the improvement in their clothed appearance, and 16 were very satisfied overall with their surgery and body image improvements.
Conclusions
With proper selection of patients and Style 410 breast implants, cases of grade 3 breast ptosis can be managed successfully by the periareolar approach, thus extending the range of cases suitable for this technique. The different shapes of the Style 410 form-stable, silicone gel implants help to recreate the desired natural-looking breast, achieving stable results with minimal complications.
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References
Rohrich RJ, Gosman AA, Brown SA, Reisch J (2006) Mastopexy preferences: a survey of board-certified plastic surgeons. Plast Reconstr Surg 118:1631–1638
Baran CN, Peker F, Ortak T, Sensoz O, Baran NK (2001) Unsatisfactory results of periareolar mastopexy with or without augmentation and reduction mammoplasty: Enlarged areola with flattened nipple. Aesth Plast Surg 25:286–289
Persoff MM (2003) Vertical mastopexy with expansion augmentation. Aesth Plast Surg 27:13–19
Pontes R (1981) Reduction mammaplasty: variations I and II. Ann Plast Surg 6:437–447
Spear SL, Pelletiere CV, Menon N (2004) One-stage augmentation combined with mastopexy: aesthetic results and patient satisfaction. Aesth Plast Surg 28:259–267
Regnault P (1976) Breast ptosis: definition and treatment. Clin Plast Surg 3:193–203
Allergan, Inc (2006) INAMED Style 410 silicone-filled breast implants directions for use. Allergan, Inc, Santa Barbara, CA
Spear SL, Kassan M, Little JW (1990) Guidelines in concentric mastopexy. Plast Reconstr Surg 85:961–966
Tebbetts JB (2001) Dual-plane breast augmentation: optimizing implant–soft-tissue relationships in a wide range of breast types. Plast Reconstr Surg 107:1255–1272
Hammond DC, Hollender HA, Bouwense CL (2001) The sit-up position in breast surgery. Plast Reconstr Surg 107:572–576
Puckett CL, Meyer VH, Reinisch JF (1985) Crescent mastopexy and augmentation. Plast Reconstr Surg 75:533–543
Erol OO, Spira M (1980) A mastopexy technique for mild to moderate ptosis. Plast Reconstr Surg 65:603–609
Gruber RP, Jones HW Jr (1980) The “donut” mastopexy: indications and complications. Plast Reconstr Surg 65:34–38
Hinderer UT (2001) Circumareolar dermo-glandular plication: a new concept for correction of breast ptosis. Aesth Plast Surg 25:404–420
Benelli L (2006) Periareolar mastopexy and reduction: the “round block”. In: Spear SL (ed) Surgery of the breast: principles and art, 2nd edn. Lippincott Williams and Wilkins, Philadelphia, pp 977–990
Goes JC (1996) Periareolar mammaplasty: double-skin technique with application of polyglactine or mixed mesh. Plast Reconstr Surg 97:959–968
Qiao Q, Sun J, Liu C, Liu Z, Zhao R (2003) Reduction mammaplasty and correction of ptosis: dermal bra technique. Plast Reconstr Surg 111:1122–1130
Gryskiewicz JM, Hatfield AS (2002) “Zigzag” wavy-line periareolar incision. Plast Reconstr Surg 110:1778–1783
Becker H (2003) Subareolar mastopexy: update. Aesthet Surg J 23:357–363
Spear SL, Giese SY, Ducic I (2001) Concentric mastopexy revisited. Plast Reconstr Surg 107:1294–1299
Bartels RJ, Strickland DM, Douglas WM (1976) A new mastopexy operation for mild or moderate breast ptosis. Plast Reconstr Surg 57:687–691
Acknowledgments
Funding for editorial support was provided by Allergan, Inc., Irvine, CA, USA. Editorial assistance was provided by Health Learning Systems, Parsippany, NJ, USA.
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For commentary to this article, see doi:10.1007/s00266-009-9441-x.
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Rancati, A., Nava, M. & Tessari, L. Simultaneous Augmentation and Periareolar Mastopexy: Selecting the Correct Implant. Aesth Plast Surg 34, 33–39 (2010). https://doi.org/10.1007/s00266-009-9440-y
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DOI: https://doi.org/10.1007/s00266-009-9440-y