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Aesthet Surg J. 2014 Jul;34(5):723-32. doi: 10.1177/1090820X14531434. Epub 2014 Jul 1.

One-Stage Augmentation Mastopexy: A Review of 1192 Simultaneous Breast Augmentation and Mastopexy Procedures in 615 Consecutive Patients.

Author information

1
Dr Stevens is a Clinical Professor of Surgery, Dr Spring is a volunteer clinical instructor, and Dr Eberlin is a resident in the Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles drstevens@hotmail.com.
2
Dr Macias is a fellow, Aesthetic Surgery Fellowship, University of Southern California-Marina Plastic Surgery, Los Angeles.
3
Dr Stevens is a Clinical Professor of Surgery, Dr Spring is a volunteer clinical instructor, and Dr Eberlin is a resident in the Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles.
4
Dr Stoker is a plastic surgeon in private practice in Marina del Rey, California.
5
Dr Chacón is a plastic surgeon in private practice in Encinitas, California.

Abstract

BACKGROUND:

Despite the increasing popularity of the combined augmentation mastopexy procedure among patients, the safety and efficacy of this surgery have been questioned by many surgeons.

OBJECTIVE:

The authors investigated the safety and efficacy of the combined augmentation mastopexy procedure.

METHODS:

The authors retrospectively reviewed the medical records of 615 consecutive patients who underwent combined augmentation mastopexy procedures at a single outpatient surgery center from 1992 through 2011. Patient demographics, operative and implant details, and long-term outcomes were analyzed. Rates of complications and revisions were calculated.

RESULTS:

The most common complications were poor scarring (5.7%), wound-healing problems (2.9%), and deflation of saline implants (2.4%). Of the 615 patients evaluated, 104 (16.9%) elected to undergo revision surgery: 54 revision procedures were secondary to implant-related complications, and 50 were secondary to tissue-related complications. Our data compare favorably with previously reported revision rates for breast augmentation alone and mastopexy alone.

CONCLUSIONS:

With a skilled surgeon and proper patient selection, the combined augmentation mastopexy procedure can be safe and effective.

LEVEL OF EVIDENCE:

4.

KEYWORDS:

breast augmentation; breast lift; implants; mastopexy; revision surgery; secondary surgery; simultaneous augmentation mastopexy

PMID:
24792479
DOI:
10.1177/1090820X14531434
[Indexed for MEDLINE]

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