Simultaneous Augmentation Mastopexy: From Failure to Success

Simultaneous Augmentation Mastopexy : from failure to success

Simultaneous augmentation mastopexy is one of the most difficult breast surgeries.  The author presents his struggle to achieve predictable and long lasting results performing simultaneous breast augmentation and mastopexy.  For five years, several attempts were made, changing from one technique to another, until finally discovering how to achieve good results.  Performing the breast augmentation with implants in subglandular pocket and mastopexy led to a good initial result (image 1). However, in the long term, with the descent of the implant and breast and the lack of fullness on upper pole of the breast, the result was ruined (image 2). The final technique is performed in three simple steps allowing the surgeon to perform the surgery safely reaching good breast symmetry and lasting results (image 3). First, the implant is placed in the submuscular pocket. Second, breast tissue is detached from the muscle and the conference of markings is done. Third, the lower portion of the breast tissue is resected and the pillars of the breast are mounted together and fixed in the pectoral muscle. The presentation will focus on each step showing the tricks of each step and how to avoid pitfalls.

IMAGE 1 – FIRST POST-OP DAY MASTOPEXY AUGMENTATION

IMAGE 2 – BEFORE AND AFTER ONE YEAR

IMAGE 3 -  BEFORE AND AFTER ONE YEAR