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Plast Reconstr Surg Glob Open 2022 Jun 15;10(6):e4349. Epub 2022 Jun 15.

Department of Plastic Surgery, Faculty of Medicine, Cairo University, Egypt.

Planning a combined procedure requires ensuring an optimal fill of the reduced breast skin envelope, which in turn requires a system to quantify skin excess to ensure that the selected implant achieves that optimal fill. This has led us to develop a five-step approach that a surgical team can use to assess patients scheduled to undergo an augmentation mastopexy and arrive at an optimal surgical strategy.

Methods: This retrospective study included 50 consecutive cases where layered mastopexies combined with augmentation mammaplasties were performed. Read More

Ann Plast Surg 2022 May 30. Epub 2022 May 30.

From the Division of Plastic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA.

Abstract: Crescent mastopexy is an operation that is often maligned and infrequently used. However, it can be a useful adjunct both in primary augmentation mammaplasty and in secondary breast revision cases. The key to achieving good results with this procedure lies in conceptualizing the operation in 3 dimensions rather than 2. Read More

Gland Surg 2022 May;11(5):927-931

Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, DC, USA.

Background: Nearly 80% of women who undergo post-mastectomy reconstruction opt for implant-based reconstruction. Preservation of the nipple-areolar complex (NAC) in nipple-sparing mastectomy (NSM) significantly improves patient satisfaction; however in women with macromastia or breast ptosis, NAC preservation carries an increased risk of nipple ischemia. Traditional options have included free nipple grafts or a staged reconstruction, however in patients with aggressive or multifocal breast cancer, this is not feasible due to the need for timely oncologic resection. Read More

Case Rep Oncol Med 2022 31;2022:4162832. Epub 2022 May 31.

Netcare Breast Care Centre of Excellence, Milpark Hospital, 9 Guild Road Parktown, South Africa.

Breast augmentation is the most common surgical procedure for women globally, with 1,795,551 cases performed in 2019. Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is highly uncommon, with 733 reported cases as of January 2020. In South Africa, there are less than 4000 breast augmentation surgeries annually. Read More

Plast Reconstr Surg 2022 Jun 6. Epub 2022 Jun 6.

Chunjun Liu, MD. Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences; Beijing, China.

Background: At present, there is no uniform and quantitative indication standard for periareolar augmentation mastopexy. We proposed an indication algorithm and a matched approach to delineate outer circle, in order to optimize the result of this surgery.

Method: Five parameters, including both implant and breast characteristics, were incorporated to form an indication algorithm based on 3D-measurement. Read More

Plast Reconstr Surg 2022 Jun 3. Epub 2022 Jun 3.

Resident in Plastic and Reconstructive Surgery, Spectrum Health Plastic Surgery Residency, Grand Rapids, Michigan.

Background: The indications for nipple sparing mastectomy (NSM) have broadened over time. Patients undergoing NSM who have enlarged or ptotic breasts are at risk for skin flap and/or nipple and areola complex (NAC) necrosis. Pre-mastectomy mastopexy or breast reduction may reduce the risk for these complications. Read More

Aesthet Surg J Open Forum 2022 14;4:ojac017. Epub 2022 Mar 14.

Department of General Surgery, Weill-Cornell NYP, New York City, NY, USA.

In this article, the authors describe the 1-stage surgical technique that has been used by the senior author since 1990 for all his primary grade 2 and grade 3 augmentation-mastopexies. The article provides a safe, simple, and reproducible approach to a challenging procedure, one that tends to be the most litigious in aesthetic breast surgery. The key points of this technique are simple preoperative markings; the augmentation is performed with a true submuscular placement of smooth implants; and the mastopexy is performed with an inferior pedicle technique with unlimited skin flap undermining and no limitation of nipple elevation. Read More

Plast Reconstr Surg Glob Open 2022 Apr 28;10(4):e3952. Epub 2022 Apr 28.

Department of Plastic Surgery, Faculty of Medicine, Cairo University, Egypt.

In the years after unilateral breast reconstruction, the reconstructed breast resists ptosis more than natural breast tissue in the native contralateral breast. As acellular dermal matrix (ADM) becomes fully incorporated into the recipient's anatomy, thus reinforcing the inferior pole of the uplifted breast, we combined our mastopexy cases with ADM in an attempt to reduce the rate of recurrent ptosis.

Method: This was a prospective randomized analysis of a cohort of 24 patients, divided into two groups (A and B); all underwent primary unilateral mastopexy to correct grade III breast ptosis. Read More

Clin Infect Dis 2022 04;74(8):1493-1495

Division of Infectious Diseases, Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York,USA.

Aesthet Surg J 2022 Apr 26. Epub 2022 Apr 26.

Clinical instructor of surgery, Washington University, St. Louis, MO, USA.

Background: Breast Implant Illness (BII), as described in recent medical literature and by social media, describes a range of symptoms in patients with breast implants for which there are no physical findings or laboratory results that explain their symptoms. The Aesthetic Surgery Education and Research Foundation (ASERF) Biospecimen study utilized a convergent design to prospectively study both qualitative systemic symptom data and quantitative heavy metals analysis of tissue obtained in surgery.

Objectives: Part two of this study aims to determine whether heavy metals are present in the capsules around both saline and silicone implants and if there is a statistical difference in the type or level of these metals between women with or without symptoms. Read More

Aesthet Surg J 2022 May;42(6):NP404-NP406

Gland Surg 2022 Mar;11(3):524-534

Department of Family Medicine and Population Health, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.

Background: Large and ptotic breasts are considered an anatomical contraindication for nipple sparing mastectomy (NSM). Necrosis rates can be as high as 76%. The authors examined whether targeted preshaping mastopexy/reduction combined with simultaneous two-stage preshaping of the implant pocket prepares for an uneventful implant reconstruction. Read More

Acta Chir Plast 2022 ;64(1):18-22

Background: Breast ptosis is characterized by severe volumetric deficiency of the upper pole, excess of skin in the lower pole and descent of the nipple-areola complex (NAC). Mastopexy, also known as breast lifting, is the surgical operation aimed to reshape the ptotic breast. Recurrence of breast ptosis after mastopexy is common but to the best of our knowledge no study before has measured it. Read More

Aesthetic Plast Surg 2022 Apr 5. Epub 2022 Apr 5.

Section of Plastic and Reconstructive Surgery, Department of General Surgery, Kepler University Hospital, Krankenhausstrasse 9, 4020, Linz, Austria.

Background: Mastopexy is one of the most performed annual plastic surgery procedures; hence, various techniques are described over the last decades. It varies from simple skin incisions to internally shaped pedicle designs. In this study, the authors present their modified auto-augmentation mastopexy technique and the resulting patient satisfaction. Read More

Clin Plast Surg 2022 Apr;49(2):293-305

Hurwitz Center for Plastic Surgery; UNLV School of Medicine, 1701 W Charleston Blvd, Las Vegas, NV 89102, USA.

Contemporary management of gynecomastia includes transareolar excision of gland, disruption of inframammary fold, ultrasonic-assisted lipoplasty with muscular definition, bipolar radiofrequency tightening, pedicled NAC mastopexy with boomerang pattern excision and J torsoplasty, NAC grafts with hockey stick excision pattern, and pectoralis muscle lipoaugmentation. Therapeutic options are arranged across a modified Simon classification. The aesthetic goal is near total glandular reduction, with proper position and shape of the nipple areolar complexes, and masculinity with skin adherence reflecting musculoskeleton. Read More

Aesthet Surg J 2022 Mar 16. Epub 2022 Mar 16.

Private practice, London, United Kingdom.

Background: Obtaining optimum breast aesthetics can be challenging in secondary aesthetic breast surgery, particularly with poor quality skin, when downsizing implants and in cases where patients will not accept additional mastopexy scars. Most techniques described in these cases rely on internal suturing and capsulorrhaphy, which can lack precision in tailoring the skin over the internal pocket.

Objectives: The authors present their experience using the haemostatic net to help address a range of challenging breast cases in their practices. Read More

Aesthetic Plast Surg 2022 Mar 14. Epub 2022 Mar 14.

Private Practice, Milan, Italy.

J Plast Reconstr Aesthet Surg 2022 Jun 26;75(6):2001-2018. Epub 2022 Feb 26.

From the Division of Plastic and Reconstructive Surgery. Mexican Institute of Social Security (IMSS) No. 21 Pino Suárez y 15 de Mayo, col. Centro. c.p.64000. Monterrey Nuevo León, Mexico; Universidad de Monterrey. Av. Ignacio Morones Prieto 4500 Pte. 6238. San Pedro garza García NL. Mexico.

Aesthetic Plast Surg 2022 Mar 10. Epub 2022 Mar 10.

Istanbul Training and Research Hospital, Plastic, Reconstructive and Aesthetic Surgery Department, Health Sciences University, Istanbul, Turkey.

Background: In mastopexy surgery, extra skin and a specific amount of breast tissue are resected. Resected breast tissue is not in a large amount as in reduction surgery. In this study, we have investigated the results of an auto-augmentation mastopexy technique involving use of a superior pedicled mastopexy with conic-shaped inferior butterfly flap for augmentation without implant or fat injection. Read More

Aesthetic Plast Surg 2022 Mar 4. Epub 2022 Mar 4.

Hôpital Américain de Paris, 63, boulevard Victor-Hugo, 92200, Neuilly-sur-Seine, France.

Aesthetic Plast Surg 2022 Mar 3. Epub 2022 Mar 3.

Department of Surgery, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.

Aesthetic Plast Surg 2022 Feb 22. Epub 2022 Feb 22.

Hôpital américain de Paris, 63, boulevard Victor-Hugo, 92200, Neuilly-sur-Seine, France.

Plast Reconstr Surg Glob Open 2022 Jan 27;10(1):e4073. Epub 2022 Jan 27.

Bodyworx Medical Center, Abu Dhabi, United Arab Emirates.

Several methods have been developed for the treatment of ptosis and breast hypertrophy, with good early results but with dissatisfaction in the long term, due to loss of volume and projection of the upper pole and recurrence of ptosis. In the face of this adversity, the purposes of the present study were to describe a surgical technique of breast reduction and mastopexy with silicone implants, named structured mammoplasty, and to present the outcomes of patients who underwent this technique.

Methods: The structured mammoplasty technique with round silicone prostheses (surgical marking and stages), performed on 100 patients who were operated on between 2017 and 2020 and were followed up for a minimum of 12 months, was described. Read More

Aesthetic Plast Surg 2022 Feb 14. Epub 2022 Feb 14.

Department of Plastic Surgery, Royal Vinohrady Teaching Hospital, Prague, Czech Republic.

In patients with large breasts undergoing a subcutaneous mastectomy with immediate implant-based reconstruction, is necessary to perform a mastopexy. The combination of these procedures increases the complication rate. To reduce it, it is necessary to cover the lower pole of the implant. Read More

Aesthet Surg J 2022 May;42(6):NP393-NP403

Department of Plastic Surgery, Oregon Health and Science University, Eugene, OR, USA.

Background: Classically large, ptotic breasts have been a contraindication for nipple preservation during breast reconstruction. We present a technique of "smile mastopexy" (SM) to reduce the excess skin in both vertical and transverse directions, avoid a T-junction, preserve the nipple areolar complex, and add thickness to the upper pole of the breast at the time of mastectomy.

Objectives: The authors sought to demonstrate the safety and reliability of a novel technique that addresses the excess skin envelope during breast reconstruction while preserving the nipple-areola complex in large, ptotic breasts. Read More

Aesthetic Plast Surg 2022 Apr 29;46(2):644-654. Epub 2022 Jan 29.

Plastic Surgery Unit, Department of Surgical Sciences and Integrated Diagnostics (DISC), School of Medical and Pharmaceutical Sciences, University of Genoa, Genoa Liguria, Italy.

Background: Massive weight loss (MWL) has a positive impact on the comorbidities associated with obesity but leaves patients with ongoing body issues due to skin excess. Almost all patients present some degree of breast ptosis and breast volume deficiency, which can be addressed with different techniques including autologous flaps.

Material And Methods: A literature search was conducted by using PubMed, Google Scholar, and Cochrane databases. Read More

Plast Reconstr Surg 2022 Feb;149(2):209e-215e

From private practice.

Background: Because of the multiplying number of patients undergoing breast augmentation, nonprimary augmentation mastopexy will be increasingly requested in the future; this operation represents an even more significant challenge than primary augmentation mastopexy. The authors describe a standardized approach for subglandular-to-subpectoral implant pocket conversion in mastopexy that provides a tight neopocket with inferolateral muscular support, which minimizes implant displacement complications and allows operative strategies to reduce the risk of bacterial load on implants.

Methods: The authors' technique proposes the following: (1) modified subpectoral pocket, with muscular inferolateral support for the implant; (2) independent approaches to the submuscular pocket and subglandular (preexisting) pocket; and (3) preestablished four-step surgical sequence. Read More

Aesthetic Plast Surg 2022 Jan 24. Epub 2022 Jan 24.

Brazilian Society of Plastic Surgery, Sao Paulo, Brazil.

Background: Reoperative augmentation mammoplasty (RAM) is a challenging procedure, with the highest rates of complications and revision. Complications include implant malposition, lateral displacement, bottoming out, and rotation. These deformities can be addressed with various procedures, but the pocket control and stability of the new smooth implant surface may present limitations. Read More

Aesthetic Plast Surg 2022 Jan 22. Epub 2022 Jan 22.

Hôpital américain de Paris, 63, boulevard Victor-Hugo, Via Nomentana 295, Roma 00161, 92200, Neuilly-sur-Seine, France.

Introduction: Revising unsatisfactory outcomes in breast augmentation represents one of the most challenging procedures in aesthetic breast surgery. Different techniques for revising unsatisfactory outcomes in breast augmentation have been described, which can be summarized in two options: implant replacement procedures and implant explantation procedures. Implant explantation procedures can be performed alone or in combination with other techniques to restore volume. Read More

Aesthetic Plast Surg 2022 Jan 18. Epub 2022 Jan 18.

Department of Obstetrics, Zibo Maternal and Child Health Hospital, No. 11, Xingyuan East Road, Zibo, 255000, Shandong Province, China.

Level Of Evidence V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer. Read More