Enhancing Augmentation Mastopexy with Breast Implant by Extended Superior Pedicle Flap

Abstract

Introduction: Augmentation mastopexy is a challengingoperation which involves a fine balance between augmentation;expanding the breast volume and mastopexy; reducingthe skin envelope. In implant augmentation mastopexy, manyauthors proposed the use of designed dermoglandular flaps,incorporating tissues from the inferior margin of the breast, itclarifies the idea of using other designed dermoglandular flapsin implant augmentation mastopexy as a tool to augment thecoverage of the implant.Objective: Is to enhance the coverage of implant in augmentationmastopexy using dermoglandular extension of superiorpedicle flap.Patients and Methods: This prospective clinical study wasperformed in Ain Shams University Hospitals from December2020 – June 2023, with an average follow-up time of 9 months.16 women complaining of ptotic hypoplastic breasts, underwentaugmentation mastopexy.Results: All patients underwent augmentation mastopexywith superior based pedicles with extended dermoglandularflap, the breast implants used were smooth rounded implants.The patients had no NAC complications or hematoma. Andthere were no complications related to the implant either extrusionor infection. However minor complications have occurredas one case with disrupted sutures, two cases with seroma andone case of hypertrophic scarring and they were managed conservatively.Conclusion: Utilizing the extended dermoglandular flap tocover the implant in superiorly based augmentation mastopexyoffers a reliable method with minor complications and highsatisfaction scores.