TITLE

Multiplane technique for simultaneous submuscular breast augmentation and internal glandulopexy using inframammary crease incision in selected patients with early ptosis

AUTHOR(S)
Khan, Umar
PUB. DATE
October 2011
SOURCE
European Journal of Plastic Surgery;Oct2011, Vol. 34 Issue 5, p337
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Augmentation mammoplasty is a procedure with a high satisfaction rate. On the other hand, augmentation in a ptotic breast requires conventional mastopexy which has a high surgical morbidity. In selected cases, the multiplane technique, a simultaneous submuscular augmentation with internal glandulopexy, is a procedure which avoids the external scarring of mastopexy. Between June 2005 and October 2008, the author operated on 44 patients (12 unilateral for nipple level asymmetry not exceeding 1.5 cm and 32 bilateral procedures in patients with nipple-areolar complexes (NAC) below the inframammary crease (IMC) but not exceeding 1.5 cm). The procedure is performed under general anesthesia through an IMC incision. The average age of the patient was 33.5 years (range 19-50), and in all but one patient, a round, high-profile cohesive gel silicone implants with an average size of 354 cm (range 260-440) in bilateral and 350 cm (range 300-440) in unilateral procedures, were used. The average preoperative suprasternal notch to NAC measurement in unilateral ( n = 12) and bilateral ( n = 32) procedures was 22.2 cm (range19-24) and 23.2 cm (range 20-26) respectively. The preoperative average NAC distance to IMC distance in bilateral and unilateral cases was 8.03 cm (range 6-12) and 7.2 (range 4-9) cm respectively. The measured postoperative supra-sternal notch to NAC distance, 22.0 cm (range 19.5-23) in unilateral ( n = 12) and 22.4 cm (range 20-26) in bilateral procedures ( n = 32) respectively, shows the reduction in suprasternal notch to NAC distance. Postoperative NAC to IMC distance in bilateral and unilateral breasts was 9.3 cm (range 7-11) and 9.1 cm (range 7-10) respectively. When a unilateral procedure is performed, the contra lateral breast is used as a control to compare the results. One patient had an infection and of the 12 unilateral and 32 bilateral procedures, nipple sensation was present in 8 unilateral and 28 bilateral cases. Only one patient with bilateral procedure reported a bilateral loss of nipple sensation in the early part of her recovery. Two patients did have residual ptosis and one requested a bilateral vertical scar mastopexy. The multiplane procedure for submuscular augmentation with internal subglandular mastopexy is an option in selected patients with early ptosis or patients presenting with minor NAC asymmetry in the vertical axis. If necessary, conventional external mastopexy remains a possibility in patients with inadequate results.
ACCESSION #
65636055

 

Related Articles

  • Does the reductive mastopexy with implant approach prevent the late bottoming out? Mounir, Abder-Rahman; Mahdi, Shahab; Clark, Paul // European Journal of Plastic Surgery;Dec2013, Vol. 36 Issue 12, p757 

    Background: After breast surgery, the late upward rotation of the nipple–areola complex and the increased of the fullness at the lower pole of the breast have been defined as a Bottoming out. Although several studies have focused on the safety and complication rate of the one-stage...

  • Breast and chest asymmetries: classification and relative distribution of common asymmetries in patients requesting augmentation mammoplasty. Khan, Umar // European Journal of Plastic Surgery;Oct2011, Vol. 34 Issue 5, p375 

    Asymmetries of the breast and chest wall are common but a comprehensive classification of these asymmetries and their relative distribution is lacking in the literature. These asymmetries can be primarily due to breast size and shape or nipple areolar complex size or level discrepancy...

  • Surgical treatment of areolar neurofibromas. White, Colin; Martin, Stuart; Dal Cin, Arianna // European Journal of Plastic Surgery;Nov2012, Vol. 35 Issue 8, p625 

    The article presents case studies to two women aged 50-years old and 52-years old, getting a surgical treatment of areolar neurofibromas. Examination of the first woman showed the nipple had redundancy in length and were covered with overlying neurofibromata. The second woman showed marked...

  • Breast Augmentation Using McGhan's Biodimensional Silicone Implants. Agarwal, R.K.; Roy, D. // International Journal of Cosmetic Surgery & Aesthetic Dermatolog;Sep2001, Vol. 3 Issue 3, p211 

    The aim of breast augmentation has to be a simple approach to retromammary location, preserving the breast anatomy, inconspicuous scar, ideal implant, minimal complications, and high degree of patient satisfaction. This article reports the author's technique and experience with McGhan's...

  • Latest on breast implants.  // HealthFacts;Apr93, Vol. 18 Issue 167, p1 

    Discusses whether or not silicone breast implants cause or worsen autoimmune diseases like rheumatoid arthritis. Research of Frank Vasey on five women with RA who had their implants removed; Results after 16 months; Warnings against the use of fat injections for breast enlargement.

  • Acute pneumonitis after subcutaneous injections of silicone for augmentation mammaplasty. Smith, Jeanette M. // JAMA: Journal of the American Medical Association;2/22/95, Vol. 273 Issue 8, p600m 

    Examines the side effects of subcutaneous injections with silicone for augmentation mammaplasty. Occurrence of acute pneumonitis.

  • nipple. Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p546 

    An encyclopedia entry for "nipple," the small prominence at the tip of the breast, is presented. During pregnancy, the nipple and the areola both increase in size. Disorders of the nipple include an inverted nipple, cracked nipples, and papilloma of the nipple. Reasons for the discharge from the...

  • The Transareolar Incision for Breast Augmentation Revisited Transareolar Incision for Breast Augmentation. Kompatscher, Peter; Schuler, Christine; Beer, Gertrude M. // Aesthetic Plastic Surgery;Mar/Apr2004, Vol. 28 Issue 2, p70 

    Of the various possible incisions for breast augmentation, the transareolar access has gained only limited popularity. The potential side effects of this incision are said to be altered nipple sensation, impaired lactation, an increased rate of infections with capsular fibrosis, well visible...

  • Review of implant sizes in 146 consecutive asymmetrical augmentation mammoplasties. Khan, Umar // European Journal of Plastic Surgery;May2014, Vol. 37 Issue 5, p273 

    Background: Breast and chest asymmetries have been reported with varying incidences in patients requesting augmentation mammoplasty. However, there is a paucity of information regarding the sizes of different implants used, their relative distribution on either side, complications and revision...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics