Journal CME Article: Expanded Approaches for Mastopexy in Aesthetic and Reconstructive Breast Surgery-43654-Article

Pdf Summary

The frequency and techniques of mastopexy procedures, both aesthetic and reconstructive, are expanding. Increasing cases are driven by factors such as higher rates of breast implant removal without replacement, patients seeking rejuvenated breasts without implants, and more women undergoing nipple-sparing mastectomy (NSM) with aesthetic expectations. Traditional mastopexy aims to elevate the nipple, decrease the skin envelope, and rejuvenate breast shape. However, for patients avoiding implants, autoaugmentation using parenchymal flaps offers a solution, achieving modest improvements. Proper patient education about the limitations and benefits of these techniques is crucial. Alongside, innovations like supportive meshes have emerged, providing structural aid particularly for those with poor skin or soft-tissue quality.<br /><br />In breast reconstruction, these methods address specific challenges, such as managing ptosis during NSM or after mastectomy. Techniques include staged nipple-staging mastopexy, single-stage skin-only mastopexy with NSM, and using autoderm slings in skin-sparing mastectomies. These approaches help accommodate diverse breast morphologies and enhance aesthetic outcomes.<br /><br />Surgeons must skillfully adapt these evolving techniques, using knowledge of breast anatomy, surgical planning, and patient-specific considerations, alongside effective communication about outcomes and risks. This review highlights the current practices, emerging methods, and scientific insights guiding the expanding role of mastopexy, seeking to achieve improved patient satisfaction and surgical outcomes.

Asset Subtitle

Journal CME Article: Expanded Approaches for Mastopexy in Aesthetic and Reconstructive Breast Surgery

Keywords

mastopexy

breast reconstruction

autoaugmentation

nipple-sparing mastectomy

breast implant removal

parenchymal flaps

supportive meshes

ptosis management

aesthetic outcomes

surgical techniques