W Grant Stevens1, Luis H Macias2, Michelle Spring3, David A Stoker4, Carlos O Chacón5, Seth A Eberlin3. 1. Dr Stevens is a Clinical Professor of Surgery, Dr Spring is a volunteer clinical instructor, and Dr Eberlin is a resident in the Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles drstevens@hotmail.com. 2. Dr Macias is a fellow, Aesthetic Surgery Fellowship, University of Southern California-Marina Plastic Surgery, Los Angeles. 3. Dr Stevens is a Clinical Professor of Surgery, Dr Spring is a volunteer clinical instructor, and Dr Eberlin is a resident in the Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles. 4. Dr Stoker is a plastic surgeon in private practice in Marina del Rey, California. 5. Dr Chacón is a plastic surgeon in private practice in Encinitas, California.
Abstract
BACKGROUND: Despite the increasing popularity of the combined augmentation mastopexy procedure among patients, the safety and efficacy of this surgery have been questioned by many surgeons. OBJECTIVE: The authors investigated the safety and efficacy of the combined augmentation mastopexy procedure. METHODS: The authors retrospectively reviewed the medical records of 615 consecutive patients who underwent combined augmentation mastopexy procedures at a single outpatient surgery center from 1992 through 2011. Patient demographics, operative and implant details, and long-term outcomes were analyzed. Rates of complications and revisions were calculated. RESULTS: The most common complications were poor scarring (5.7%), wound-healing problems (2.9%), and deflation of saline implants (2.4%). Of the 615 patients evaluated, 104 (16.9%) elected to undergo revision surgery: 54 revision procedures were secondary to implant-related complications, and 50 were secondary to tissue-related complications. Our data compare favorably with previously reported revision rates for breast augmentation alone and mastopexy alone. CONCLUSIONS: With a skilled surgeon and proper patient selection, the combined augmentation mastopexy procedure can be safe and effective. LEVEL OF EVIDENCE: 4.
BACKGROUND: Despite the increasing popularity of the combined augmentation mastopexy procedure among patients, the safety and efficacy of this surgery have been questioned by many surgeons. OBJECTIVE: The authors investigated the safety and efficacy of the combined augmentation mastopexy procedure. METHODS: The authors retrospectively reviewed the medical records of 615 consecutive patients who underwent combined augmentation mastopexy procedures at a single outpatient surgery center from 1992 through 2011. Patient demographics, operative and implant details, and long-term outcomes were analyzed. Rates of complications and revisions were calculated. RESULTS: The most common complications were poor scarring (5.7%), wound-healing problems (2.9%), and deflation of saline implants (2.4%). Of the 615 patients evaluated, 104 (16.9%) elected to undergo revision surgery: 54 revision procedures were secondary to implant-related complications, and 50 were secondary to tissue-related complications. Our data compare favorably with previously reported revision rates for breast augmentation alone and mastopexy alone. CONCLUSIONS: With a skilled surgeon and proper patient selection, the combined augmentation mastopexy procedure can be safe and effective. LEVEL OF EVIDENCE: 4.
Authors: David A Daar; Jonathan M Bekisz; Michael V Chiodo; Evellyn M DeMitchell-Rodriguez; Pierre B Saadeh Journal: Aesthetic Plast Surg Date: 2021-04-16 Impact factor: 2.326
Authors: Adriano Santorelli; Marco Bernini; Lorenzo Orzalesi; Stefano Avvedimento; Paolo Palumbo; Ashutosh Kothari; Alfonso Fausto; Cesare Magalotti; Giuseppina Buzzi; Sara Sandroni; Claudio Calabrese Journal: Aesthet Surg J Open Forum Date: 2021-05-04