Background: Mastopexy is the art of restoring breast
volume and its youthful appearance.
Aim: We present a surgical technique for simultaneous
mastopexy using auto-augmentation by superiorly based
dermoglandular flap. In addition, we use two dermo-facial
flaps to support the breast tissue in high position to restore
and maintain central mound projection and elevate inframammary
fold.
Patients and Methods: Auto-augmentation mastopexy
was performed for 36 patients using vertical superior pedicle
deepithelialized dermoglandular flap that inserted beneath
the breast tissue. Two opposing dermo-facial flaps based on
medial and lateral pillars along the vertical line were used to
support the deepithelialized dermoglandular tissue that sutured
to anterior chest wall and to each other.
Results: During follow-up period there was no bottoming
out of breast tissues or other major adverse effects except for
mild asymmetry in early 3 patients and patients showed high
rate of satisfaction by the results. The results confirmed that
this technique corrects ptosis while increasing the projection
and apparent volume of the breast and keep inframammary
fold (IMF) in high position with minimal degree of descend
which is parallel to that of the nipple.
Conclusion: The combined use of dermo-fascial flap to
support the glandular tissue with auto-augmentation mastopexy
improves the shape; projection and contour of the breast and
it also help to have long lasting results. The advantage of the
technique is that it optimizes the shape and volume of the
breast and creating a narrow breast base with a new high
inframammary fold without the use of an implant. With this
technique recurrent breast ptosis can be minimized after
mastopexy procedures.
Evidence Based Medicine: Level IV, case series.