Enhancing augmentation mastopexy with breast implant by extended superior pedicle flap

Abstract

Introduction: Augmentation mastopexy is a challenging operation which involves a fine balance between augmentation; expanding the breast volume and mastopexy; reducing the skin envelope. In implant augmentation mastopexy, many authors proposed the use of designed dermoglandular flaps, incorporating tissues from the inferior margin of the breast, it clarifies the idea of using other designed dermoglandular flaps in implant augmentation mastopexy as a tool to augment the coverage of the implant. Aim of the study: is to enhance the coverage of implant in augmentation mastopexy using dermoglandular extension of superior pedicle flap. Patients and Methods: This prospective clinical study was performed in Ain-Shams University hospitals from December 2020- June 2023, with an average follow-up time of 9 months. 16 women complaining of ptotic hypoplastic breasts, underwent augmentation mastopexy. Result: all patients underwent augmentation mastopexy with superior based pedicles with extended dermogalandular flap, the breast implants used were smooth rounded implants. the patients had no NAC complications or hematoma. And there were no complications related to the implant either extrusion or infection. However minor complications have occurred as one case with disrupted sutures, two cases with seroma and one case of hypertrophic scarring and they were managed conservatively. Conclusion: Utilizing the extended dermoglandular flap to cover the implant in superiorly based augmentation mastopexy offers a reliable method with minor complications and high satisfaction scores.