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Tailor-Made Mastopexy Plus Implant, A Safe Journey Toward Breast Reshaping and Augmentation

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  • Breast Surgery
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Abstract

Background

Augmentation/mastopexy represents one of the most complex procedures in the setting of cosmetic surgery, and there is still an ongoing debate about the most suitable approach to undertake to avoid major complications and deliver the desired result. The present study aims to offer a further contribute to the topic by presenting our personal experience with an implant-guided tailor-made mastopexy technique to manage moderate breast ptosis and hypotrophy.

Methods

A retrospective analysis of our database was carried out, and a total of 194 women who underwent a tailor-made resection pattern mastopexy plus implant from November 2016 to December 2021 were enrolled. All patients included in the study presented breast hypoplasia and ptosis classified as Regnault grade II. At the first-year follow-up visit, patients received an anonymous written questionnaire that addressed their self-perception of cosmetic results and overall satisfaction.

Results

The technique presented in the study showed a favorable safety profile with a total complication rate accounting for an 8.2% and an overall reoperation rate as low as 4.6%. Major concerns including wound dehiscence, implant exposure, and nipple necrosis are not reported. Patients’ self-reported outcomes revealed high satisfaction rates and stable results in the long-term follow-up.

Conclusions

The described approach ensures proper reshaping together with the desired increased breast volume minimizing the chance of implant exposure due to wound dehiscence or any sort of tissue necrosis from devascularized skin edges. The surgical procedure described herein is safe and reliable.

Level of Evidence IV

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.com/00266.

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Acknowledgement

The authors declare that they have no conflict of interest.

Funding

The authors received no financial support for the research, authorship, and publication of this article.

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Authors and Affiliations

  1. Medicinaplasticaroma Center, Plastic Surgery, Via Clitunno 22, 00198, Rome, Italy

    Ernesto Maria Buccheri

  2. Department of Plastic and Reconstructive Surgery, IFO–Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy

    Amedeo Villanucci & Roy de Vita

  3. Akademikliniken, Storängsvägen, 1011541, Stockholm, Sweden

    Paolo Montemurro

  4. Department of Advanced Biomedical Sciences, University of Naples Federico II, Via Sergio Pansini 5, 80131, Naples, Italy

    Nicola Rocco

  5. G.RE.T.A. Group for Reconstructive and Therapeutic Advancements, Milan, Naples, Catania, Italy

    Nicola Rocco

Authors
  1. Ernesto Maria Buccheri
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  3. Paolo Montemurro
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  4. Nicola Rocco
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Correspondence to Amedeo Villanucci.

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All procedures performed in this study were conducted in accordance with the 1964 Helsinki Declaration and its later amendments.

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Buccheri, E.M., Villanucci, A., Montemurro, P. et al. Tailor-Made Mastopexy Plus Implant, A Safe Journey Toward Breast Reshaping and Augmentation. Aesth Plast Surg 48, 4986–4993 (2024). https://doi.org/10.1007/s00266-024-04099-7

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