Three-Dimensional Concept in Simultaneous Periareolar Augmentation-Mastopexy.
Abstract
[BACKGROUND] Breast ptosis commonly arises from tissue laxity associated with aging, weight fluctuations, pregnancy, or lactation, often accompanied by upper-pole volume depletion. Post-lactational atrophy further exacerbates ptosis, causing physical and psychological distress. Traditional mastopexy techniques typically focus on vertical tightening and may insufficiently address horizontal glandular laxity. This study evaluates a three-dimensional (3D) conceptual approach for simultaneous augmentation-mastopexy via a circumareolar incision, aiming to correct mild-to-moderate breast ptosis and restore optimal breast contour.
[METHODS] A retrospective analysis was conducted on 51 female patients (102 breasts; mean age 32.52 ± 4.62 years) with mild-to-moderate breast ptosis who underwent single-stage augmentation-mastopexy using our 3D conceptual technique. The surgical design featured a circumareolar incision, limited glandular tissue excision at the upper pole, and dual-plane implant placement. Perioperative data, including ptosis grade, operative time, implant size, and short-term complications, were meticulously recorded. Patient satisfaction was assessed via a Likert scale (0 = poor, 10 = very satisfied), and mean follow-up was 6.96 ± 2.96 months.
[RESULTS] Preoperatively, 78.43% of breasts had Grade II ptosis, and 21.57% had Grade I ptosis. The mean nipple-to-midclavicular distance decreased significantly from 24.22 ± 1.55 cm to 19.18 ± 0.78 cm, yielding a mean nipple position change of 4.71 ± 1.02 cm. The mean implant volume was 267.63 ± 38.50 mL, and the mean operative time was 143.73 ± 16.43 minutes. Scarring was minimal around the areola, and periareolar wrinkles typically resolved within 3-6 months. The overall complication rate was 5.88%, with no capsular contracture or NAC necrosis reported. Patient satisfaction was high (8.94 ± 0.83), and NAC sensation was preserved in all cases.
[CONCLUSIONS] The 3D conceptual augmentation-mastopexy via a circumareolar incision offers a comprehensive solution for mild-to-moderate breast ptosis. By integrating limited glandular resection with vertical and horizontal tightening, this technique restores breast contour, preserves NAC sensitivity, and achieves high patient satisfaction with minimal scarring. Post-lactational breast atrophy and accompanying ptosis can thus be effectively managed using this approach, relieving both physical and psychological burdens.
[LEVEL OF EVIDENCE IV] The journal asks authors to assign a level of evidence to each article. For a complete description of Evidence-Based Medicine ratings, see the Table of Contents or the online Instructions for Authors at www.springer.com/00266 .
[METHODS] A retrospective analysis was conducted on 51 female patients (102 breasts; mean age 32.52 ± 4.62 years) with mild-to-moderate breast ptosis who underwent single-stage augmentation-mastopexy using our 3D conceptual technique. The surgical design featured a circumareolar incision, limited glandular tissue excision at the upper pole, and dual-plane implant placement. Perioperative data, including ptosis grade, operative time, implant size, and short-term complications, were meticulously recorded. Patient satisfaction was assessed via a Likert scale (0 = poor, 10 = very satisfied), and mean follow-up was 6.96 ± 2.96 months.
[RESULTS] Preoperatively, 78.43% of breasts had Grade II ptosis, and 21.57% had Grade I ptosis. The mean nipple-to-midclavicular distance decreased significantly from 24.22 ± 1.55 cm to 19.18 ± 0.78 cm, yielding a mean nipple position change of 4.71 ± 1.02 cm. The mean implant volume was 267.63 ± 38.50 mL, and the mean operative time was 143.73 ± 16.43 minutes. Scarring was minimal around the areola, and periareolar wrinkles typically resolved within 3-6 months. The overall complication rate was 5.88%, with no capsular contracture or NAC necrosis reported. Patient satisfaction was high (8.94 ± 0.83), and NAC sensation was preserved in all cases.
[CONCLUSIONS] The 3D conceptual augmentation-mastopexy via a circumareolar incision offers a comprehensive solution for mild-to-moderate breast ptosis. By integrating limited glandular resection with vertical and horizontal tightening, this technique restores breast contour, preserves NAC sensitivity, and achieves high patient satisfaction with minimal scarring. Post-lactational breast atrophy and accompanying ptosis can thus be effectively managed using this approach, relieving both physical and psychological burdens.
[LEVEL OF EVIDENCE IV] The journal asks authors to assign a level of evidence to each article. For a complete description of Evidence-Based Medicine ratings, see the Table of Contents or the online Instructions for Authors at www.springer.com/00266 .
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 해부 | breast
|
유방 | dict | 7 | |
| 시술 | mastopexy
|
유방성형술 | dict | 5 | |
| 해부 | nac
|
유방 | dict | 3 | |
| 해부 | tissue
|
scispacy | 1 | ||
| 해부 | glandular
|
scispacy | 1 | ||
| 해부 | circumareolar
|
scispacy | 1 | ||
| 해부 | glandular tissue
|
scispacy | 1 | ||
| 해부 | breasts
|
scispacy | 1 | ||
| 해부 | Periareolar
|
scispacy | 1 | ||
| 합병증 | upper-pole
|
scispacy | 1 | ||
| 합병증 | areola
|
scispacy | 1 | ||
| 합병증 | periareolar wrinkles
|
scispacy | 1 | ||
| 합병증 | necrosis
|
괴사 | dict | 1 | |
| 합병증 | capsular contracture
|
피막구축 | dict | 1 | |
| 약물 | [CONCLUSIONS] The
|
scispacy | 1 | ||
| 약물 | NAC necrosis
|
scispacy | 1 | ||
| 약물 | [BACKGROUND] Breast
|
scispacy | 1 | ||
| 질환 | Grade II
|
scispacy | 1 | ||
| 질환 | Breast ptosis
|
C2233848
Ptosis of breast
|
scispacy | 1 | |
| 질환 | Post-lactational atrophy
|
scispacy | 1 | ||
| 질환 | breasts
|
C0006141
Breast
|
scispacy | 1 | |
| 질환 | contracture
|
C0009917
Contracture
|
scispacy | 1 | |
| 질환 | Post-lactational breast atrophy
|
scispacy | 1 | ||
| 질환 | ptosis
|
C0005745
Blepharoptosis
|
scispacy | 1 | |
| 기타 | augmentation-mastopexy
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | Patient
|
scispacy | 1 | ||
| 기타 | nipple
|
scispacy | 1 | ||
| 기타 | glandular
|
scispacy | 1 |
MeSH Terms
Humans; Female; Retrospective Studies; Adult; Mammaplasty; Patient Satisfaction; Treatment Outcome; Breast Implantation; Esthetics; Nipples; Follow-Up Studies; Imaging, Three-Dimensional; Cohort Studies; Young Adult; Breast Implants; Risk Assessment
📑 인용 관계
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- A mastopexy technique for mild to moderate ptosis.
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- The hypoplastic and ptotic breast: a combined operation with prosthetic augmentation.
외부 PMID 2건 (DB 미수집)
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