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Periareolar augmentation mastopexy with interlocking gore-tex suture, retrospective review of 50 consecutive patients.

Franco J, Kelly E, Kelly M - Arch Plast Surg (2014)

Bottom Line: Four patients had complications following surgery for an overall complication rate of 13%.Two patients developed an infected Gore-Tex suture.Two of these complications were treated with revision surgery.

View Article: PubMed Central - PubMed

Affiliation: Miami Plastic Surgery, Department of Surgery, Division of Plastic Surgery, Florida International University, Herbert Wertheim College of Medicine, Miami, FL, USA.

ABSTRACT

Background: Periareolar Augmentation Mastopexy is one of the most challenging operations in plastic surgery. Problems with scar quality, areolar widening, and distortion are frequent problems that interfere with a predictable result.

Methods: A retrospective review was performed on fifty consecutive patients who underwent a periareolar augmentation mastopexy with the interlocking approach. Of the 50 patients, 30 had both preoperative and postoperative photographs and were the basis of the study.

Results: The age of the patients ranged from 19 to 56 years with the average age being 39 years. The postoperative follow-up averaged 9.5 months and the implants averaged 316 mL. There were no deaths, pulmonary embolism, deep vein thrombosis, or infected implants. Four patients had complications following surgery for an overall complication rate of 13%. Two patients developed an infected Gore-Tex suture. Two of these complications were treated with revision surgery. Five patients required reoperation for an overall reoperative rate of 16% (one patient was converted to a full mastopexy).

Conclusions: As a result of this retrospective study, we have found the interlocking approach to periareolar augmentation/mastopexy to be a safe and reliable operation.

No MeSH data available.


Related in: MedlinePlus

Patient 5, 31-year-old(A) Preoperative image. (B) Postoperative image.
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Figure 5: Patient 5, 31-year-old(A) Preoperative image. (B) Postoperative image.

Mentions: All patients were females exhibiting micromastia and ptosis. The average age of the patients was 39 and ranged from 19 to 56 years. Twenty-three patients underwent primary surgery whereas five patients received an implant exchange, one mastopexy augmentation after a breast reduction and one mastopexy revision with augmentation (Figs. 2,3,4,5). Four patients exhibited grade I ptosis, 20 patients exhibited grade II ptosis and 6 patients exhibited grade III ptosis, according to the Regnault Scale. The postoperative follow-up periods ranged from 2 to 34 months. The overall average follow-up period was approximately 9.5 months. The implants ranged in size from 125 to 465 mL with an average implant size of 320 mL. Post-operative photographs were routinely taken at 3 months after surgery. Postoperative photographs were available for comparison in 30 patients and served as the basis for analysis of this study. In addition, long-term photos (greater than 1 year or longer) were obtained in 12 cases.


Periareolar augmentation mastopexy with interlocking gore-tex suture, retrospective review of 50 consecutive patients.

Franco J, Kelly E, Kelly M - Arch Plast Surg (2014)

Patient 5, 31-year-old(A) Preoperative image. (B) Postoperative image.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4228217&req=5

Figure 5: Patient 5, 31-year-old(A) Preoperative image. (B) Postoperative image.
Mentions: All patients were females exhibiting micromastia and ptosis. The average age of the patients was 39 and ranged from 19 to 56 years. Twenty-three patients underwent primary surgery whereas five patients received an implant exchange, one mastopexy augmentation after a breast reduction and one mastopexy revision with augmentation (Figs. 2,3,4,5). Four patients exhibited grade I ptosis, 20 patients exhibited grade II ptosis and 6 patients exhibited grade III ptosis, according to the Regnault Scale. The postoperative follow-up periods ranged from 2 to 34 months. The overall average follow-up period was approximately 9.5 months. The implants ranged in size from 125 to 465 mL with an average implant size of 320 mL. Post-operative photographs were routinely taken at 3 months after surgery. Postoperative photographs were available for comparison in 30 patients and served as the basis for analysis of this study. In addition, long-term photos (greater than 1 year or longer) were obtained in 12 cases.

Bottom Line: Four patients had complications following surgery for an overall complication rate of 13%.Two patients developed an infected Gore-Tex suture.Two of these complications were treated with revision surgery.

View Article: PubMed Central - PubMed

Affiliation: Miami Plastic Surgery, Department of Surgery, Division of Plastic Surgery, Florida International University, Herbert Wertheim College of Medicine, Miami, FL, USA.

ABSTRACT

Background: Periareolar Augmentation Mastopexy is one of the most challenging operations in plastic surgery. Problems with scar quality, areolar widening, and distortion are frequent problems that interfere with a predictable result.

Methods: A retrospective review was performed on fifty consecutive patients who underwent a periareolar augmentation mastopexy with the interlocking approach. Of the 50 patients, 30 had both preoperative and postoperative photographs and were the basis of the study.

Results: The age of the patients ranged from 19 to 56 years with the average age being 39 years. The postoperative follow-up averaged 9.5 months and the implants averaged 316 mL. There were no deaths, pulmonary embolism, deep vein thrombosis, or infected implants. Four patients had complications following surgery for an overall complication rate of 13%. Two patients developed an infected Gore-Tex suture. Two of these complications were treated with revision surgery. Five patients required reoperation for an overall reoperative rate of 16% (one patient was converted to a full mastopexy).

Conclusions: As a result of this retrospective study, we have found the interlocking approach to periareolar augmentation/mastopexy to be a safe and reliable operation.

No MeSH data available.


Related in: MedlinePlus