Introduction: Augmentation mastopexy is a challenging
operation which involves a fine balance between augmentation;
expanding the breast volume and mastopexy; reducing
the skin envelope. In implant augmentation mastopexy, many
authors proposed the use of designed dermoglandular flaps,
incorporating tissues from the inferior margin of the breast, it
clarifies the idea of using other designed dermoglandular flaps
in implant augmentation mastopexy as a tool to augment the
coverage of the implant.
Objective: Is to enhance the coverage of implant in augmentation
mastopexy using dermoglandular extension of superior
pedicle flap.
Patients and Methods: This prospective clinical study was
performed in Ain Shams University Hospitals from December
2020 – June 2023, with an average follow-up time of 9 months.
16 women complaining of ptotic hypoplastic breasts, underwent
augmentation mastopexy.
Results: All patients underwent augmentation mastopexy
with superior based pedicles with extended dermoglandular
flap, the breast implants used were smooth rounded implants.
The patients had no NAC complications or hematoma. And
there were no complications related to the implant either extrusion
or infection. However minor complications have occurred
as one case with disrupted sutures, two cases with seroma and
one case of hypertrophic scarring and they were managed conservatively.
Conclusion: Utilizing the extended dermoglandular flap to
cover the implant in superiorly based augmentation mastopexy
offers a reliable method with minor complications and high
satisfaction scores.