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

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

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Bibliographic Details
Published in:Aesthetic surgery journal 2014-07, Vol.34 (5), p.723-732
Main Authors: Stevens, W Grant, Macias, Luis H, Spring, Michelle, Stoker, David A, Chacón, Carlos O, Eberlin, Seth A
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Breast Implantation - adverse effects
Breast Implantation - instrumentation
Breast Implantation - methods
Breast Implants
California
Clinical Competence
Female
Humans
Middle Aged
Patient Selection
Photography
Postoperative Complications - etiology
Postoperative Complications - surgery
Prosthesis Design
Retrospective Studies
Time Factors
Treatment Outcome
Young Adult
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Summary: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. The authors investigated the safety and efficacy of the combined augmentation mastopexy procedure. 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. 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. With a skilled surgeon and proper patient selection, the combined augmentation mastopexy procedure can be safe and effective. 4.
ISSN:1090-820X
1527-330X
DOI:10.1177/1090820X14531434