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Aesthetic Plastic Surgery
Published in: Aesthetic Plastic Surgery 5/2020

01-10-2020 | Breast Augmentation | Innovative Techniques

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

Authors: Alexandre Elias Contin Mansur, Ruth Maria Graf, Romeu Fadul Jr., Priscilla Balbinot, Isis Guarezi Nasser, Dayane Raquel de Paula, André Gustavo Maschio, Fadel Chahine, Bishara Atiyeh

Published in: Aesthetic Plastic Surgery | Issue 5/2020

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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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Metadata
Title
Simultaneous Augmentation Mastopexy: An Innovative Anatomical Approach—The Fascioglandular Flap for Improved Lower Pole Support
Authors
Alexandre Elias Contin Mansur
Ruth Maria Graf
Romeu Fadul Jr.
Priscilla Balbinot
Isis Guarezi Nasser
Dayane Raquel de Paula
André Gustavo Maschio
Fadel Chahine
Bishara Atiyeh
Publication date
01-10-2020
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 5/2020
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-020-01702-5

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