Simultaneous Augmentation Mastopexy: An Innovative Anatomical Approach—The Fascioglandular Flap for Improved Lower Pole Support

Simultaneous Augmentation Mastopexy: An Innovative Anatomical Approach—The Fascioglandular Flap for Improved Lower Pole Support:

Abstract

Simultaneous breast augmentation and mastopexy is very challenging often considered to be one of the most difficult cosmetic breast surgeries. Although a patient is sometimes better served with 2 separately staged procedures, the demand for single-stage combined augmentation mastopexy is increasing associated with increasing demands for larger implants. Combining these 2 operations presents special problems because of the interplay of opposing forces. To avoid bottoming out, wound dehiscence, and ultimately implant extrusion, it is essential to provide proper coverage and support of the inferior breast pole. The goal of this report is to illustrate the benefit of an inferiorly based fascioglandular flap in providing adequate breast lower pole support in simultaneous breast augmentation mastopexy.

Level of Evidence IV

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