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Topic: Aesthetic Surgery of the Breast

Augmentation mastopexy and

augmentation mammoplasty: an analysis

of 1,406 consecutive cases

Umar Daraz Khan
Aesthetic Plastic Surgeon, Reshape House, West Malling, Kent ME19 6QR, UK.

Address for correspondence: Dr. Umar Daraz Khan, Aesthetic Plastic Surgeon, Reshape House, 2-4 High Street, West Malling, Kent
ME19 6QR, UK. E-mail: mrumarkhan@aol.com

ABSTRACT
Aim: Simultaneous augmentation mastopexy is a challenging operation for esthetic plastic surgeons.
Complication and revision rates following augmentation mammoplasty or mastopexy are less commonly
seen when these two procedures are performed separately. However, when the two procedures are
combined, the complication rate is reported exponentially higher when compared with its individual
component carried out separately. The current retrospective chart review is a comparative analysis of the
two procedures performed by a single surgeon. Methods: Retrospective data were collected using patient’s
charts. All patients who had augmentation mammoplasty (Group A) or simultaneous augmentation with
mastopexy (Group B) in muscle splitting biplane using round cohesive gel textured silicone implants by a
single surgeon were included. Results: A total of 1,406 patients had consecutive augmentation mammoplasty
or simultaneous augmentation mastopexy. Augmentation mammoplasty (Group A) included 1,298 and
simultaneous augmentation with mastopexy (Group B) had 108 patients, respectively. The mean age of
the patients in Group A and B was 29.6 years and 32.2 years, respectively (P = 0.006). The mean size of the
implants in Group A and B was 340 mL and 308 mL (P = 0.001), respectively. Wound infection in Group
A and B was seen in 0.6% and 3.7%, respectively. Wound breakdown was seen in 1.1% in Group A as
compared to 6.5% in Group B (P = 0.001). Revision surgeries were performed in 1.4% and 11.1% of Group
A and B, respectively (P = 0.001). Conclusion: There was a statistically and clinically significant higher
rate of complications and revision rate noted in simultaneous augmentation with mastopexy (Group B) as
compared to augmentation mammoplasty alone (Group A). However, the rise in complications rate is sum
of the complications of the two individual components performed and not exponential.
Key words:
Breast asymmetries, breast ptosis, muscle splitting augmentation, muscle splitting mastopexy,
revision augmentation mammoplasty, revision augmentation mastopexy
INTRODUCTION surgery following primary augmentation mammoplasty
is generally low with a very high satisfaction rate. A
[3]
Augmentation mammoplasty and simultaneous 3-year revision rate following primary mammoplasty
augmentation mastopexy constitute a vast majority of the has been reported between 0%, 1.97%, and 15%
[3-6]
esthetic procedures. With the rise in a total number of for silicone and 13.2% for saline filled implants.
[1]
procedure, a rise in total revisions is expected by a plastic This is an open access article distributed under the terms of the Creative
Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows
surgeon. Earlier complications leading to revision others to remix, tweak and build upon the work non-commercially, as long as
[2]
Access this article online the author is credited and the new creations are licensed under the identical
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How to cite this article: Khan UD. Augmentation mastopexy
and augmentation mammoplasty: an analysis of 1,406 consecutive
DOI: cases. Plast Aesthet Res 2016;3:26-30
10.20517/2347-9264.2015.67
Received: 08-06-2015; Accepted: 19-11-2015
26 © 2016 Plastic and Aesthetic Research | Published by OAE Publishing Inc.