Simultaneous augmentation and periareolar mastopexy: selecting the correct implant.

[BACKGROUND] Periareolar mastopexy is a well-described technique for cosmetic improvement of breasts classified as Regnault ptosis grades 1 and 2. However, this technique is used less frequently for cases of grade 3 ptosis.

[METHODS] Grades 2 and 3 ptosis were corrected for selected patients using a combination of augmentation with Style 410 shaped, form-stable, highly cohesive, silicone gel implants and periareolar mastopexy.

[RESULTS] In this study, 17 patients were treated. The Style 410 implants used included four different devices: FX (full height, extra-full projection, n = 4), MX (medium height, extra-full projection, n = 1), MF (medium height, full projection, n = 8), and FF (full height, full projection, n = 4). No complications occurred immediately after surgery, and only two cases of capsular contracture Baker grade 2 cases with implant palpability occurred during a mean follow-up period of 18 months. All 17 women were very satisfied with the improvement in their clothed appearance, and 16 were very satisfied overall with their surgery and body image improvements.

[CONCLUSIONS] With proper selection of patients and Style 410 breast implants, cases of grade 3 breast ptosis can be managed successfully by the periareolar approach, thus extending the range of cases suitable for this technique. The different shapes of the Style 410 form-stable, silicone gel implants help to recreate the desired natural-looking breast, achieving stable results with minimal complications.