Modified double space technique for augmentation mastopexy

Introduction: Mastopexy with prosthesis remains a challenge for all plastic surgeons. Consistent results are still difficult to obtain for many reasons, and some authors advocate caution due to complications.Methods: This retrospective study includes 92 consecutive single-stage augmentation mastopex...

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Main Authors: Luiz Roberto Reis Araujo, William Massami Itikawa
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Plástica 2022-03-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/3081/en_v37n1a07.pdf
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author Luiz Roberto Reis Araujo
William Massami Itikawa
author_facet Luiz Roberto Reis Araujo
William Massami Itikawa
author_sort Luiz Roberto Reis Araujo
collection DOAJ
description Introduction: Mastopexy with prosthesis remains a challenge for all plastic surgeons. Consistent results are still difficult to obtain for many reasons, and some authors advocate caution due to complications.Methods: This retrospective study includes 92 consecutive single-stage augmentation mastopexy cases performed by the same surgeon between March 2012 and October 2019.Results: The median follow-up was 14 months for the augmentation mastopexy group. Three patients (3.3%) had grade III capsular contracture. The revision rate was 25.3%: 7.6% with ptosis recurrence, scar revision in 6.5%, and 1.1% asymmetries. Three patients (3.3%) had ruptured muscle loop fixation, four patients (4.4%) had dynamic deformities.Conclusion: The modified double-space technique in our experience shows consistent long-term results, and revision/complication rates were similar to some studies but higher than others. Prior breast surgery, smoking, breastfeeding, and previous bariatric surgery do not increase rates of complications and revisions. It can be one of the options for covering and supporting implants in augmentation mastopexy procedures.
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spelling doaj.art-158dd1e52e324646b43cda4882aba80a2023-12-02T09:09:01ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352022-03-013701364410.5935/2177-1235.2022RBCP0007Modified double space technique for augmentation mastopexyLuiz Roberto Reis Araujo0William Massami Itikawa1Private practice, Curitiba, PR, Brazil.Private practice, Curitiba, PR, Brazil.Introduction: Mastopexy with prosthesis remains a challenge for all plastic surgeons. Consistent results are still difficult to obtain for many reasons, and some authors advocate caution due to complications.Methods: This retrospective study includes 92 consecutive single-stage augmentation mastopexy cases performed by the same surgeon between March 2012 and October 2019.Results: The median follow-up was 14 months for the augmentation mastopexy group. Three patients (3.3%) had grade III capsular contracture. The revision rate was 25.3%: 7.6% with ptosis recurrence, scar revision in 6.5%, and 1.1% asymmetries. Three patients (3.3%) had ruptured muscle loop fixation, four patients (4.4%) had dynamic deformities.Conclusion: The modified double-space technique in our experience shows consistent long-term results, and revision/complication rates were similar to some studies but higher than others. Prior breast surgery, smoking, breastfeeding, and previous bariatric surgery do not increase rates of complications and revisions. It can be one of the options for covering and supporting implants in augmentation mastopexy procedures.http://www.rbcp.org.br/export-pdf/3081/en_v37n1a07.pdfmammoplastybreast implantrisk-factorspostoperative complicationssurgical flapscomparative study
spellingShingle Luiz Roberto Reis Araujo
William Massami Itikawa
Modified double space technique for augmentation mastopexy
Revista Brasileira de Cirurgia Plástica
mammoplasty
breast implant
risk-factors
postoperative complications
surgical flaps
comparative study
title Modified double space technique for augmentation mastopexy
title_full Modified double space technique for augmentation mastopexy
title_fullStr Modified double space technique for augmentation mastopexy
title_full_unstemmed Modified double space technique for augmentation mastopexy
title_short Modified double space technique for augmentation mastopexy
title_sort modified double space technique for augmentation mastopexy
topic mammoplasty
breast implant
risk-factors
postoperative complications
surgical flaps
comparative study
url http://www.rbcp.org.br/export-pdf/3081/en_v37n1a07.pdf
work_keys_str_mv AT luizrobertoreisaraujo modifieddoublespacetechniqueforaugmentationmastopexy
AT williammassamiitikawa modifieddoublespacetechniqueforaugmentationmastopexy