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Breast Augmentation with Periareolar Mastopexy

  • Steven P. Davison
  • Mark W. Clemens

Abstract

The goals of augmentation and mastopexy are diametrically opposed — volume enhancement with skin envelope reduction — yet they must be combined to yield the best results when breast augmentation alone will not suffice. Multiple variables such as volume, skin amount, nipple position, and inframammary distance must all be accounted for, requiring meticulous planning, staging, and execution. Implant size and amount of skin excision are important decisions. The type of mastopexy includes periareolar or donut mastopexy, lollipop or short-scar vertical limb, and Wise pattern and/or short horizontal scar. Simultaneous augmentation and periareolar mastopexy are effective because enlargement of a breast with an implant helps fill out much of the excess.

Keywords

Breast Augmentation Inframammary Fold Skin Excision Skin Envelope Periareolar Incision 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Gonzalez-Ulloa M: Correction of hypotrophy of the breast by means of exogenous material. Plast Reconstr Surg 1960;25:15–26CrossRefGoogle Scholar
  2. Regnault P: The hypoplastic and ptotic breast: a combined operation with prosthetic augmentation. Plast Reconstr Surg 1966;37(1):31–37PubMedCrossRefGoogle Scholar
  3. Persoff MM: Vertical mastopexy with expansion augmentation. Aesthetic Plast Surg 2003;27(1):13–19PubMedCrossRefGoogle Scholar
  4. Gruber RP, Jones HW Jr: The “donut” mastopexy: indications and complications. Plast Reconstr Surg 1980;65(1):34–38PubMedCrossRefGoogle Scholar
  5. Benelli L: A new periareolar mammaplasty: the “round block” technique. Aesthetic Plast Surg 1990;14(2):93–100PubMedCrossRefGoogle Scholar
  6. Hammond DC, Khuthaila DK, Kim J: The interlocking Gore-Tex suture for control of the areolar diameter and shape. Plast Reconstr Surg 2007;19(3):804–809CrossRefGoogle Scholar
  7. Regnault P: Breast ptosis. Definition and treatment. Clin Plast Surg 1976;3(2):193–203PubMedGoogle Scholar
  8. Gorney M, Maxwell PG, Spear SL: Augmentation mastopexy. Aesthetic Surg J 2005;5(3):275–284CrossRefGoogle Scholar
  9. Spear SL, Boehmier JH, Clemens MW: Augmentation/mastopexy: a 3-year review of a single surgeon’s practice. Plast Reconstr Surg 2006;118(7 suppl):136S–147SvvvPubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Steven P. Davison
    • 1
  • Mark W. Clemens
    • 1
  1. 1.Department of Plastic SurgeryGeorgetown University Medical CenterWashingtonUSA

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