Augmentation Mastopexy: A Personalized Technique on 200 Patients.

Aesthetic plastic surgery 2026 Vol.50(3) p. 1098-1108

Bruno A, Barbera M, Cilluffo M, Schirosi M

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Abstract

[BACKGROUND] Augmentation mastopexy is a complex and technically demanding procedure that addresses breast ptosis and volume deficiency simultaneously. It requires careful planning, precise surgical techniques, and customization to each patient's anatomical and esthetic characteristics. Consistent outcomes remain a challenge due to the interplay between implant placement, tissue reshaping, and long-term stability.

[METHODS] This study describes a tailored mastopexy technique implemented in 200 patients. Preoperative planning included comprehensive clinical assessments and precise skin markings. Implant selection was individualized based on patient morphology and esthetic goals. A dual-plane pocket dissection was employed to optimize implant positioning and achieve natural outcomes. Advanced tissue management strategies were used to maintain vascular integrity and ensure long-term stability. Emphasis was placed on achieving symmetry and minimizing complications such as capsular contracture, implant malposition, or the "waterfall effect."

[RESULTS] Outcomes were evaluated in terms of esthetic results, complication rates, and patient satisfaction over a follow-up period of 12 to 36 months. High satisfaction (92%) was reported, with consistently natural and harmonious outcomes. The complication rate was low: Implant malposition occurred in 3% of cases and capsular contracture in 2.5%. No significant vascular compromise or severe wound healing issues were observed.

[CONCLUSION] The personalized mastopexy technique demonstrates efficacy in achieving esthetically pleasing and durable outcomes with a low rate of complications. By integrating individualized planning, precise surgical execution, and advanced tissue management, this method offers a reliable framework for ptosis correction and volume enhancement in esthetic breast surgery.

[LEVEL OF EVIDENCE III] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 mastopexy 유방성형술 dict 4
해부 breast 유방 dict 2
합병증 capsular contracture 피막구축 dict 2
해부 tissue scispacy 1
해부 skin scispacy 1
합병증 vascular compromise 혈관폐색 dict 1
합병증 wound scispacy 1
약물 [BACKGROUND] Augmentation scispacy 1
질환 breast ptosis C2233848
Ptosis of breast
scispacy 1
질환 volume deficiency scispacy 1
질환 implant malposition C4552558
Implant malposition
scispacy 1
질환 ptosis correction and volume enhancement scispacy 1
기타 Patients scispacy 1
기타 patient scispacy 1
기타 vascular scispacy 1
기타 capsular scispacy 1

MeSH Terms

Humans; Female; Adult; Breast Implantation; Middle Aged; Patient Satisfaction; Treatment Outcome; Mammaplasty; Esthetics; Young Adult; Breast Implants; Follow-Up Studies; Retrospective Studies; Cohort Studies; Risk Assessment

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