Background: The augmented breast frequently becomes
ptotic by time and most of the patients may seek mastopexy.
Although the rate of breast lift surgeries after breast augmentation
is increasing, there are few studies regarding the nature
of these procedures.
Patients and Methods: Sixty patients with moderate grade
ptosis and previously augmented breast by breast implants
seeking breast mastopexy. Group A included 30 patients who
underwent intra-capsular circum-areolar mastopexy and Group
B including another 30 patients who underwent extra-capsular
circum-areolar mastopexy. Follow-up after complete healing
was scheduled at 3, 6, and 12 months post-operative Frontal
and lateral views photography were taken each visit and
objective evaluation, carried on by a plastic surgeon not
involved in the surgeries. A questionnaire was performed by
using the Likert scale to assess patients' satisfaction.
Results: In group A; the overall rate of complications was
17%. While in group B; the overall rate of complications was
10%. Patients of group A showed overall satisfaction of 4.53
(±0.69) in comparison to 3.06 (±0.25) in group B. In group
A; objective evaluation, was excellent in 87% while in group
B it was excellent in 43%.
Conclusion: Reshaping of breast pillars mastopexy augmentation
is very important to prevent bottoming-out of the
breasts.