The Modified Periareolar Mastopexy To Treat Mammary Ptosis Post Augmentation Mammoplasty

Objective To explore the clinical practice of modified periareolar mastopexy in the treatment of mammary ptosis post augmentation mammoplasty.Methods(1) Removing breast implants and correcting mastoptosis with modified periareolar mastopexy: Through the dual-circinal periareolar incision, the epidermis is incised. Sharp dissection of the mammary glandular flap is conducted on the surface of the breast, within the area between 4 and 8 o’clock; towards the margin of the breast tissue. Afterwards, incise the gland radially in the lower quadrant. Remove the implants along with damaged tissues before dissection in other quadrants which should be conducted under the condition that the blood supply of nipple-areolar complex is guarantied. The mastoptosis is corrected through horizontally folding the mammary gland in the lower quadrant, without fixation.(2) Modified periareolar mastopexy with immediate silicone gel prostheses re-implantation: The dissection of glandular flap and remove of previous implants are performed as has described before. Incise the pectoralis major, bluntly dissect the post-pectoris major space and re-implant silicone gel prostheses. Folding the gland horizontally in the lower quadrant to moderate mastoptosis.Results A total of 15 patients suffering from mammary ptosis post augmentation mammoplasty have been operated on with the presented technique, including 7 cases with PAHG injection, 2 cases with liquid silicone oil injection, and 6 cases with silicone gel prostheses. All patients aged between 35 and 50, with an average of 42.5. The mammary ptosis was mild in 6 patients, moderate in 4, severe in 5. Modified periareolar mastopexy was performed on 9 patients to remove breast implants and correct mammary ptosis while additional immediate silicone gel prostheses re-implantation was conducted on 6 patients. The follow-up period ranged from 2 to 30 months. Satisfactory results were achieved in all cases without any post-operative complications observed.Conclusions The modified periareolar mastopexy is an optimal choice for the treatment of mammary ptosis post augmentation mammoplasty with its simple surgical techniques, hidden scars and superior outcomes.