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Single Staged Augmentation-Mastopexy in Patients with Severe Ptosis: A Review of 98 Consecutive Patients and Technique.
K. Roxanne Grawe and Bivik Shah
The Ohio State University Medical Center
2010-03-17
Presenter: K. Roxanne Grawe
Affidavit:
Director Name:
Author Category: Resident/Fellow
Presentation Category: Clinical
Abstract Category: Breast (Aesthetic and Recon.)
Single stage Augmentation-Mastopexy is a procedure that is regarded with significant reservation. With the large influx of massive weight loss patients, augmentation-mastopexy is growing in demand especially in the most difficult group, the severely ptotic patient. The hesitation to perform this operation in one stage is based on fear of nipple and areola loss and an unacceptably high reported revision rate. This study is an evaluation of one surgeon's technique for single staged augmentation-mastopexy to ascertain the validity of these concerns and to assess patient satisfaction.
A retrospective review was conducted of 98 consecutive patients undergoing single stage augmentation-mastopexy using a Wise pattern skin excision with an inferiorly based pedicle and sub-muscular implant. All patients had severe grade II-grade III ptosis. Data collected included: patient demographics, implant information, post-operative results, patient satisfaction by phone survey, and complications.
No major complications were recorded over an average follow up of 8 months. Sixteen patients required a revision (16 percent). Revisions due to implant based problems including infection and deflation were performed on 4 patients (4 percent). Twelve patients (12 percent) had a revision of their mastopexy for implant malposition or skin revision, of which 5 percent were minor office based scar revisions. There was no total nipple loss. Patient satisfaction evaluation showed 76% of respondents rated their immediate result as great or excellent while 74% similarly rated their current result at an average of 4 years after the operation. Ninety two percent of respondents were very satisfied with their implant size.
