Breast Lift with and without Implant: A Synopsis and Primer for the Plastic Surgeon

Summary. Breast ptosis is a common occurrence following weight loss, pregnancy, and breastfeeding, or as a consequence of normal aging. This results in loss of a youthful shape and contour of the breast, with a change in the position of the nipple–areolar complex. Mastopexy can restore this youthful...

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Main Authors: Smita R. Ramanadham, MD, FACS, Anna Rose Johnson, MD, MPH
Format: Article
Language:English
Published: Wolters Kluwer 2020-10-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003057
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author Smita R. Ramanadham, MD, FACS
Anna Rose Johnson, MD, MPH
author_facet Smita R. Ramanadham, MD, FACS
Anna Rose Johnson, MD, MPH
author_sort Smita R. Ramanadham, MD, FACS
collection DOAJ
description Summary. Breast ptosis is a common occurrence following weight loss, pregnancy, and breastfeeding, or as a consequence of normal aging. This results in loss of a youthful shape and contour of the breast, with a change in the position of the nipple–areolar complex. Mastopexy can restore this youthful appearance and transpose the nipple–areolar complex to a more aesthetic position on the breast. Various techniques exist that address the skin and parenchyma of the breast and are chosen based on the degree of ptosis and skin laxity, as well as the patient’s goals. These techniques all differ in scar burden and risk profile. Additionally, this can be done simultaneously or in a staged manner. In this literature review, we aim to provide an overview of mastopexy procedures, with and without augmentation. Further, we aim to detail recent advancements in technical approaches, and delineate common complications in certain patient demographics. To this end, we performed a literature search with a medical librarian, using PubMed/Medline to identify pertinent literature. In the context of the review, we discuss important considerations in patient selection and counseling to set expectations and ultimately, optimize surgical outcome and patient satisfaction.
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spelling doaj.art-b499dc16b78e495bba79e9042a84f6822022-12-21T19:56:39ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742020-10-01810e305710.1097/GOX.0000000000003057202010000-00009Breast Lift with and without Implant: A Synopsis and Primer for the Plastic SurgeonSmita R. Ramanadham, MD, FACS0Anna Rose Johnson, MD, MPH1From the * SR Plastic Surgery P.C., East Brunswick, N.J.† Division of Plastic and Reconstructive Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, N.J.Summary. Breast ptosis is a common occurrence following weight loss, pregnancy, and breastfeeding, or as a consequence of normal aging. This results in loss of a youthful shape and contour of the breast, with a change in the position of the nipple–areolar complex. Mastopexy can restore this youthful appearance and transpose the nipple–areolar complex to a more aesthetic position on the breast. Various techniques exist that address the skin and parenchyma of the breast and are chosen based on the degree of ptosis and skin laxity, as well as the patient’s goals. These techniques all differ in scar burden and risk profile. Additionally, this can be done simultaneously or in a staged manner. In this literature review, we aim to provide an overview of mastopexy procedures, with and without augmentation. Further, we aim to detail recent advancements in technical approaches, and delineate common complications in certain patient demographics. To this end, we performed a literature search with a medical librarian, using PubMed/Medline to identify pertinent literature. In the context of the review, we discuss important considerations in patient selection and counseling to set expectations and ultimately, optimize surgical outcome and patient satisfaction.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003057
spellingShingle Smita R. Ramanadham, MD, FACS
Anna Rose Johnson, MD, MPH
Breast Lift with and without Implant: A Synopsis and Primer for the Plastic Surgeon
Plastic and Reconstructive Surgery, Global Open
title Breast Lift with and without Implant: A Synopsis and Primer for the Plastic Surgeon
title_full Breast Lift with and without Implant: A Synopsis and Primer for the Plastic Surgeon
title_fullStr Breast Lift with and without Implant: A Synopsis and Primer for the Plastic Surgeon
title_full_unstemmed Breast Lift with and without Implant: A Synopsis and Primer for the Plastic Surgeon
title_short Breast Lift with and without Implant: A Synopsis and Primer for the Plastic Surgeon
title_sort breast lift with and without implant a synopsis and primer for the plastic surgeon
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003057
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