Comment on Simultaneous Mastopexy via Areola Excision to Correct Mild and Moderate Breast Ptosis

2021 ◽  
Author(s):  
Bishara S. Atiyeh ◽  
Fadl Chahine ◽  
Natasha Habr
Keyword(s):  
Breast Ptosis

Anatomy, physiology, and pathology of body fat

2021 ◽  
pp. 1465-1472
Author(s):  
Isabel Teo ◽  
Mark Soldin
Keyword(s):  
Fatty Acids ◽  
Energy Storage ◽  
Soft Tissue ◽  
Body Fat ◽  
Subcutaneous Fat ◽  
Soft Tissue Tumour ◽  
Hormone Production ◽  
Anatomical Entity ◽  
Breast Ptosis ◽  
Tissue Tumour

Subcutaneous body fat is a distinct anatomical entity with unique physiology, metabolism, and disease. The main roles of fat are energy storage, hormone production, and insulation. Free fatty acids and glycerol can be assembled into triglycerides, and conversely triglycerides can undergo lipolysis. Insulin is the key hormone that controls this fine balance. Pregnancy is associated with increased truncal body fat and breast ptosis. Cellulite is the padded appearance of fat and there is currently no single proven treatment. Lipomas are the most common soft tissue tumour and can be treated with excision or liposuction. Lipodystrophies are disorders characterized by the selective loss of body fat and lipofilling is a useful treatment modality. Panniculitis is the inflammation of subcutaneous fat and treatment involves dealing with the precipitating cause. The plastic surgeon should be familiar with the anatomy, physiology, and pathology of fat in order to treat this wide array of adipose-related conditions.

Single Staged Mastopexy With Autologous Fat Grafting: An Alternative to Augmentation Mastopexy With Implants

2019 ◽  
Author(s):  
Jules Walters ◽  
Lynn Bourn ◽  
Oren Tessler ◽  
Charles Patterson ◽  
Kamran Khoobehi
Keyword(s):  
Surgical Site Infections ◽  
Breast Implants ◽  
Fat Grafting ◽  
Level Of Evidence ◽  
Breast Ptosis ◽  
Autologous Fat ◽  
Ptotic Breast ◽  
The Mean ◽  
To Receive ◽  
Augmentation Mastopexy

Abstract Background Improving the ptotic breast with mastopexy and restoring upper pole fullness with augmentation continues to be a challenging issue for plastic surgeons. Autologous fat grating (AFG) for shaping and contouring of implant augmented breasts has shown positive outcomes with few complications. Objectives The objective of this study was to evaluate our experience with combined mastopexy and fat grafting for women with existing breast ptosis who prefer not to receive prosthetic breast implants but do desire volume enhancement. Methods A retrospective review of patients undergoing a single staged mastopexy with AFG, from 2006 to 2017, was performed. Inclusion criteria were women with breast ptosis or tuberous breasts desiring improved breast shape and volume. Patients were excluded if they were undergoing implant removal before the procedure. Clinical aesthetic outcomes were assessed by fellow plastic surgeons according to the Telemark Breast Scoring system. Results A total of 284 breasts, in 140 women, underwent a single staged mastopexy with AFG. The mean amount of fat grafted per breast was 299.4 mL (range, 50-710 mL). There were no surgical site infections, hematomas, or seromas. There were 3 major and 8 minor (0.06%) postoperative breast complications. A total of 13 plastic surgeons, of the 183 invited (7.1%), completed the breast outcomes survey. Regarding each category, there was significant improvement (P ≤ 0.0001) in upper pole fullness, ptosis, overall aesthetics, and symmetry postoperatively. Conclusion AFG combined with mastopexy is not associated with significant postoperative complications and results in excellent breast aesthetic outcomes. Level of Evidence: 4

scholarly journals Management of asymptomatic silicone-injected breast with reduction mammoplasty

2015 ◽  
Vol 48 (03) ◽  
pp. 317-320 ◽  
Author(s):  
Theddeus Octavianus Hari Prasetyono ◽  
Patricia Marcellina Sadikin
Keyword(s):  
Breast Reduction ◽  
Reduction Mammoplasty ◽  
Long Term Effects ◽  
Breast Ptosis ◽  
Silicone Injection ◽  
Asymptomatic Patients ◽  
Liquid Silicone ◽  
History Of ◽  
Silicone Injections

ABSTRACTEven though Silicone injection for breast augmentation has been related to disastrous long-term effects and complications, some patients do not develop significant symptoms at all (asymptomatic). Unfortunately, the management of asymptomatic Silicone-injected breast is still unclear and has never been reported exclusively. We present two cases of asymptomatic patients with a history of liquid Silicone injections who refused to have a mastectomy. They were concerned with the breast ptosis and chose to undergo reduction mammoplasty to improve the appearance of the breasts. Magnetic resonance imaging may be useful as an additional screening tool to confirm the diagnosis and exclude the presence of malignancy in breasts with injected Silicone. We believe that breast reduction may be the alternative option for women with a history of liquid Silicone injection who have no symptoms but desire to preserve their breasts and improve their aesthetics.

scholarly journals Treatment of breast ptosis

2003 ◽  
Vol 23 (4) ◽  
pp. 279-285
Author(s):  
S Colen
Keyword(s):  
Breast Ptosis

scholarly journals Revisiting the Free Nipple Graft: An Opportunity for Nipple Sparing Mastectomy in Women with Breast Ptosis

2013 ◽  
Vol 20 (10) ◽  
pp. 3350-3350 ◽  
Author(s):  
Jeremy R. Chidester ◽  
Andrea O. Ray ◽  
Sharon S. Lum ◽  
Duncan C. Miles
Keyword(s):  
Breast Ptosis ◽  
Nipple Sparing Mastectomy ◽  
Nipple Sparing ◽  
Free Nipple Graft

A NEW MASTOPEXY OPERATION FOR MILD OR MODERATE BREAST PTOSIS

1976 ◽  
Vol 57 (6) ◽  
pp. 687-691 ◽  
Author(s):  
ROGER J. BARTELS ◽  
DANIEL M. STRICKLAND ◽  
WILLIAM M. DOUGLAS
Keyword(s):  
Breast Ptosis

scholarly journals Thread lift in breast ptosis

2017 ◽  
Vol 10 (4) ◽  
pp. 228 ◽  
Author(s):  
Sandeep Arora ◽  
Gulhima Arora
Keyword(s):  
Breast Ptosis ◽  
Thread Lift

Single-Stage Augmentation Mastopexy With Composite Reverse Inferior Muscle Sling Technique for Autologous Reinforcement of the Inferior Pole: Technical Refinements and Outcomes

2019 ◽  
Author(s):  
Alexandre Mendonça Munhoz ◽  
Ary Marques Filho ◽  
Orlando Ferrari
Keyword(s):  
Three Dimensional ◽  
Single Stage ◽  
Complication Rates ◽  
Lower Pole ◽  
Breast Ptosis ◽  
Common Procedure ◽  
Inferior Pole ◽  
Augmentation Mastopexy

Abstract Background Single-stage augmentation mastopexy (SAM) is a common procedure, but revision rates are high. Muscle slings have been used in SAM, but despite satisfactory outcomes, most studies in the literature do not contain objective or accurate measurements of implant/breast position. This article describes a surgical technique for SAM using a composite reverse inferior muscle sling (CRIMS). Objectives To assess outcomes from primary SAM procedures using the CRIMS technique in a cohort of patients operated on by a single surgeon. Methods Thirty-two patients (60 breasts) with a mean age of 43.1 ± 6.8 years underwent primary CRIMS mastopexy to treat severe ptosis (grade III–IV) in 25 patients (78.1%). The average implant volume was 255 cc (range, 215-335 cc). Three-dimensional imaging obtained from the Divina scanner system was used to evaluate lower pole stretch and lower pole arc, and to determine long-term ptosis. Results Four cases of complications were observed in 3 patients (9.3%): minor dehiscence in 2 and capsular contraction in 1, during a mean follow-up of 42 months. The value for lower pole stretch was 5.5% (p <0.0001) between 10 days and 1 year, with the majority occurring early in the first 6 months, indicating that lower pole arc remains steady during the last months of follow-up. Conclusions Advances in techniques have led to improvements in aesthetic outcomes following SAM, and CRIMS can play a useful role. Our results show this procedure to be suitable for patients with breast ptosis, with acceptable complication rates and the added bonus of implant stabilization within the pocket.

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