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Plast Reconstr Surg Glob Open. 2016 Dec 27;4(12):e1170. doi: 10.1097/GOX.0000000000001170. eCollection 2016 Dec.

All Seasons Vertical Augmentation Mastopexy: A Simple Algorithm, Clinical Experience, and Patient-reported Outcomes.

Plastic and reconstructive surgery. Global open

Eric Swanson

Affiliations

  1. Swanson Center, Leawood, Kans.

PMID: 28293517 PMCID: PMC5222662 DOI: 10.1097/GOX.0000000000001170

Abstract

BACKGROUND: The safety of augmentation mastopexy has been questioned. Staging has been recommended for women deemed to be at higher risk, such as women with greater degrees of ptosis. Most existing studies evaluate women treated with multiple methods, including the traditional Wise pattern. This retrospective study specifically evaluates vertical augmentation mastopexy. A simple algorithm is introduced.

METHODS: From 2002 to 2016, 252 women underwent consecutive vertical augmentation mastopexies performed by the author, with no staged surgery. All patients underwent a vertical mastopexy using a medially based pedicle and intraoperative nipple siting. A subset of women treated from 2012 to 2016 were surveyed to obtain outcome data; 90 patients (inclusion rate, 90%) participated.

RESULTS: The complication rate was 32.9%, including persistent ptosis, delayed wound healing, scar deformities, and asymmetry. There were no cases of nipple loss. An increased risk of complications was detected for smokers (

CONCLUSIONS: A simple algorithm may be used to guide treatment in women who desire correction of ptosis and upper pole fullness. An "all seasons" vertical augmentation mastopexy is safe and widely applicable. Staging is unnecessary.

References

  1. Plast Reconstr Surg. 2004 Nov;114(6):1622-30 - PubMed
  2. Plast Reconstr Surg. 2003 Nov;112(6):1573-8; discussion 1579-81 - PubMed
  3. Plast Reconstr Surg. 2015 Mar;135(3):695-705 - PubMed
  4. Plast Reconstr Surg. 2013 Jul;132(1):48e-60e - PubMed
  5. Plast Reconstr Surg. 2014 Mar;133(3):527-42 - PubMed
  6. Plast Reconstr Surg. 2006 Jun;117(7):2152-65; discussion 2166-9 - PubMed
  7. Plast Reconstr Surg. 2007 Oct;120(5):1095-104; discussion 1105-7 - PubMed
  8. Plast Reconstr Surg. 2005 Apr 15;115(5):1428-9 - PubMed
  9. Ann Plast Surg. 2010 Mar;64(3):279-85 - PubMed
  10. Plast Reconstr Surg. 2005 Mar;115(3):743-51; discussion 752-4 - PubMed
  11. Aesthetic Plast Surg. 2006 Jan-Feb;30(1):21-33 - PubMed
  12. Aesthet Surg J. 2006 Nov-Dec;26(6):674-81 - PubMed
  13. Plast Reconstr Surg. 2014 Aug;134(2):215-25 - PubMed
  14. Plast Reconstr Surg. 2010 Feb;125(2):75e-77e - PubMed
  15. Plast Reconstr Surg. 2000 Mar;105(3):905-9 - PubMed
  16. Clin Plast Surg. 2015 Oct;42(4):505-18 - PubMed
  17. Aesthetic Plast Surg. 2011 Dec;35(6):1073-8 - PubMed
  18. Plast Reconstr Surg. 2003 Sep;112(3):905-6 - PubMed
  19. Plast Reconstr Surg. 2005 Oct;116(5):1306-13 - PubMed
  20. Plast Reconstr Surg. 2015 Jul;136(1):23-5 - PubMed
  21. Plast Reconstr Surg. 2006 Dec;118(7):1631-8 - PubMed
  22. Aesthet Surg J. 2010 Nov-Dec;30(6):832-7 - PubMed
  23. Ann Plast Surg. 2010 Mar;64(3):275-8 - PubMed
  24. Plast Reconstr Surg Glob Open. 2015 Jan 08;2(12):e281 - PubMed
  25. Plast Reconstr Surg Glob Open. 2014 Jan 06;1(9):e89 - PubMed
  26. Plast Reconstr Surg. 1979 Jun;63(6):765-73 - PubMed
  27. Aesthet Surg J. 2012 Aug;32(6):718-25 - PubMed
  28. Aesthet Surg J. 2015 Feb;35(2):204-14 - PubMed
  29. Plast Reconstr Surg. 2013 May;131(5):802e-19e - PubMed
  30. Plast Reconstr Surg. 2013 May;131(5):1158-66 - PubMed
  31. Plast Reconstr Surg. 2004 Jan;113(1):162-72; discussion 173-4 - PubMed
  32. Clin Plast Surg. 2009 Jan;36(1):105-15, vii; discussion 117 - PubMed
  33. Plast Reconstr Surg. 2011 Dec;128(6):1282-301 - PubMed
  34. Aesthetic Plast Surg. 1990 Spring;14(2):93-100 - PubMed
  35. Plast Reconstr Surg. 2011 Jan;127(1):56-66 - PubMed
  36. Plast Reconstr Surg. 2013 Jul;132(1):30e-45e - PubMed
  37. Plast Reconstr Surg. 2004 Dec;114(7):1724-33; discussion 1734-6 - PubMed
  38. J Plast Reconstr Aesthet Surg. 2013 Jul;66(7):937-49 - PubMed
  39. Plast Reconstr Surg. 1976 Jul;58(1):1-13 - PubMed
  40. Plast Reconstr Surg. 2003 Jan;111(1):469-80; discussion 481-2 - PubMed
  41. Plast Reconstr Surg. 2014 Apr;133(4):567e-83e - PubMed
  42. Plast Reconstr Surg. 2014 Nov;134(5):922-31 - PubMed
  43. Plast Reconstr Surg. 1999 Sep;104(3):748-59; discussion 760-3 - PubMed
  44. Aesthet Surg J. 2016 Nov;36(10 ):NP313-NP314 - PubMed
  45. Plast Reconstr Surg. 2006 Dec;118(7 Suppl):136S-147S; discussion 148S-149S, 150S-151S - PubMed
  46. Plast Reconstr Surg. 2010 Jun;125(6):1632-42 - PubMed
  47. Aesthet Surg J. 2015 Nov;35(8):938-49 - PubMed
  48. Plast Reconstr Surg. 2014 Mar;133(3):284e-292e - PubMed
  49. Plast Reconstr Surg. 2007 Nov;120(6):1674-9 - PubMed
  50. Aesthetic Plast Surg. 2003 Jan-Feb;27(1):13-9 - PubMed
  51. Plast Reconstr Surg. 2013 Jan;131(1):145-56 - PubMed
  52. Aesthet Surg J. 2014 Jul;34(5):723-32 - PubMed
  53. Plast Reconstr Surg Glob Open. 2014 Sep 08;2(8):e202 - PubMed
  54. Plast Reconstr Surg. 2016 Apr;137(4):1142-50 - PubMed
  55. Aesthet Surg J. 2014 Sep;34(7):1018-40 - PubMed
  56. Aesthetic Plast Surg. 1998 Nov-Dec;22(6):425-9 - PubMed

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