Single-stage Layered versus Nonlayered Mastopexy with Augmentation in Muscle Splitting Biplane: A Comparative Analysis
Background:. Single-stage layered mastopexy with augmentation is a modification of muscle-splitting pocket that reduces risk of complications and revision rate. Methods:. A retrospective chart review of all the consecutive cases, performed by a single surgeon, from March 2007 to August 2019, was con...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2022-09-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004514 |
| _version_ | 1817977588396589056 |
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| author | Umar D. Khan, MBBS, FRCS |
| author_facet | Umar D. Khan, MBBS, FRCS |
| author_sort | Umar D. Khan, MBBS, FRCS |
| collection | DOAJ |
| description | Background:. Single-stage layered mastopexy with augmentation is a modification of muscle-splitting pocket that reduces risk of complications and revision rate.
Methods:. A retrospective chart review of all the consecutive cases, performed by a single surgeon, from March 2007 to August 2019, was conducted. All patients had surgery with superomedial pedicle in an approved facility. The patients were divided into group A whose implants were placed through the mastopexy incision, and group B whose implants were placed first and access closed prior to mastopexy.
Results:. Nonlayered group A included 116 patients and layered group B included 102 patients. Groups A and B had a mean age of 32.3 + 9.70 and 34.8 + 10.39 years (range, 20–66), respectively (P value 0.070). In groups A and B, 95 (81.9%) and 74 (72.5%) patients underwent primary and 21 (18.1%) and 28 (27.5%) patients underwent secondary procedures, respectively (P value 0.099). There were no hematomas in group A and two patients had hematoma in group B (P value 0.218). In group A, one patient experienced periprosthetic infection with none in group B (P value 0.41). Wound breakdown was observed in ten (8.6%) patients in group A and four (3.9%) patients in group B (P value 0.128). In group A, there was a partial or complete nipple loss in two (1.7%) and none in group B (P value 0.412). In group A, 15 (12.9%) underwent revision surgery and six (6.5%) in group B (P value 0.127).
Conclusion:. Layered mastopexy with augmentation provides improved safety, fewer complications and revisions with adequate results. |
| first_indexed | 2024-04-13T22:18:24Z |
| format | Article |
| id | doaj.art-8143ab3c61c74ee78e99b65516e65fe8 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-13T22:18:24Z |
| publishDate | 2022-09-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-8143ab3c61c74ee78e99b65516e65fe82022-12-22T02:27:22ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-09-01109e451410.1097/GOX.0000000000004514202209000-00026Single-stage Layered versus Nonlayered Mastopexy with Augmentation in Muscle Splitting Biplane: A Comparative AnalysisUmar D. Khan, MBBS, FRCS0From the Reshape House, West Malling, Kent, UK.Background:. Single-stage layered mastopexy with augmentation is a modification of muscle-splitting pocket that reduces risk of complications and revision rate. Methods:. A retrospective chart review of all the consecutive cases, performed by a single surgeon, from March 2007 to August 2019, was conducted. All patients had surgery with superomedial pedicle in an approved facility. The patients were divided into group A whose implants were placed through the mastopexy incision, and group B whose implants were placed first and access closed prior to mastopexy. Results:. Nonlayered group A included 116 patients and layered group B included 102 patients. Groups A and B had a mean age of 32.3 + 9.70 and 34.8 + 10.39 years (range, 20–66), respectively (P value 0.070). In groups A and B, 95 (81.9%) and 74 (72.5%) patients underwent primary and 21 (18.1%) and 28 (27.5%) patients underwent secondary procedures, respectively (P value 0.099). There were no hematomas in group A and two patients had hematoma in group B (P value 0.218). In group A, one patient experienced periprosthetic infection with none in group B (P value 0.41). Wound breakdown was observed in ten (8.6%) patients in group A and four (3.9%) patients in group B (P value 0.128). In group A, there was a partial or complete nipple loss in two (1.7%) and none in group B (P value 0.412). In group A, 15 (12.9%) underwent revision surgery and six (6.5%) in group B (P value 0.127). Conclusion:. Layered mastopexy with augmentation provides improved safety, fewer complications and revisions with adequate results.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004514 |
| spellingShingle | Umar D. Khan, MBBS, FRCS Single-stage Layered versus Nonlayered Mastopexy with Augmentation in Muscle Splitting Biplane: A Comparative Analysis Plastic and Reconstructive Surgery, Global Open |
| title | Single-stage Layered versus Nonlayered Mastopexy with Augmentation in Muscle Splitting Biplane: A Comparative Analysis |
| title_full | Single-stage Layered versus Nonlayered Mastopexy with Augmentation in Muscle Splitting Biplane: A Comparative Analysis |
| title_fullStr | Single-stage Layered versus Nonlayered Mastopexy with Augmentation in Muscle Splitting Biplane: A Comparative Analysis |
| title_full_unstemmed | Single-stage Layered versus Nonlayered Mastopexy with Augmentation in Muscle Splitting Biplane: A Comparative Analysis |
| title_short | Single-stage Layered versus Nonlayered Mastopexy with Augmentation in Muscle Splitting Biplane: A Comparative Analysis |
| title_sort | single stage layered versus nonlayered mastopexy with augmentation in muscle splitting biplane a comparative analysis |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004514 |
| work_keys_str_mv | AT umardkhanmbbsfrcs singlestagelayeredversusnonlayeredmastopexywithaugmentationinmusclesplittingbiplaneacomparativeanalysis |