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Original Article Plastic and Aesthetic Research

Use of the multiplane internal mastopexy

for ptosis correction revision-augmentation

mammoplasty

Umar Daraz Khan , Muhammad Riaz 2
1
1 Department of Aesthetic Surgery, Reshape Clinic, West Malling, Kent, ME19 6QR, UK.
2 Department of Plastic Surgery, Hull and East Yorkshire NHS Trust, Castle Hill Hospital, Cottingham, HU16 5JQ, UK.
Address for correspondence: Dr. Umar Daraz Khan, Department of Aesthetic Surgery, Reshape Clinic, West Malling, Kent, ME19 6QR, UK.
E-mail: Mrumarkhan@aol.com

ABSTRACT
Aim: Augmentation mammoplasty is a commonly performed procedure with a high satisfaction
rate. Multiplane pocket was described for simultaneous internal mastopexy and augmentation using
inframammary crease incision for selected primary and secondary mammoplasties. The use of the
technique is presented with a larger experience for correction of ptosis in a patient presenting for
revision surgery following subglandular augmentation mammoplasty. Methods: A retrospectively
collected data were analyzed using the Excel Spread Sheet. A total of 25 patients had multiplane
augmentation with the internal mastopexy following augmentation mammoplasty in subglandular
pocket. Data of 25 patients who had their revision surgery in multiplane were analyzed. Results: The
group included 25 patients with a mean age of 36.6 years (range: 25-54 years) with mean implant
duration of 6.4 years (range: 1.5-13 years). Twenty-three of the patients were nonsmokers, 1 smoker
and 1 patient’s smoking status was not mentioned. Eighteen patients presented with grade I capsular
contracture, 3 patients with grade II contracture and 4 patients had a combination of grade I and II
capsular contracture. Pseudoptosis was present in 6, class B ptosis in 6, A/B ptosis in 3, water-down
deformity in 5 and rippling in 5 patients. Average preoperative size of implant used initially was
334.4 mL (range: 250-340 mL) and the mean implant size selected for revision surgery was 416 mL
(range: 260-525 mL). Mean follow-up time was 18 months (range: 6-48 months). Of 25 patients, 21 had
a bilateral procedure whereas the technique was used unilaterally in 4 patients for the correction of
asymmetry. All patients had a single dose of intravenous antibiotics and followed by an oral course
for 5 days, there was no infection noted in the series. In the current series, no patient required revision
surgery following the multiplane internal mastopexy. Conclusion: Multiplane internal mastopexy can
be useful in selected cases of revisionary augmentation mammoplasty.

Key words:
Breast ptosis, internal mastopexy, mastopexy with augmentation, revision-augmentation mammoplasty

INTRODUCTION implant related mammoplasties for both primary and
revision mammoplasties is on the rise and is due to the
Primary and revision-augmentation mammoplasty is information available on the product, premarket surveys,
a commonly performed procedure. The incidence of enhanced implant safety, and regular quality checks.
[1]
It is not surprising that augmentation mammoplasty is
Access this article online one of the most commonly performed procedure and
Quick Response Code: in 2012 alone 330,631 implant related mammoplasties
[2]
Website: were performed in USA. However, the data represent
www.parjournal.net
implant-related surgeries performed both for primary and
secondary surgery making it difficult to obtain number of
DOI: secondary or revision mammoplasties performed during
10.4103/2347-9264.157104 the same period of time. Secondary procedures following
[3]
mammoplasties can be divided into early or late. Early
120 Plast Aesthet Res || Vol 2 || Issue 3 || May 15, 2015