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Khan. Plast Aesthet Res 2018;5:45 Plastic and
DOI: 10.20517/2347-9264.2018.58 Aesthetic Research

Original Article Open Access

One-stage mastopexy and augmentation
mammoplasty in layers: outcome analysis of first 50

consecutive cases

Umar Daraz Khan

Reshape Clinic, Reshape House, West Malling, Kent ME19 6QR, UK.
Correspondence to: Dr. Umar Daraz Khan, Reshape Clinic, Reshape House, 2-4 High Street, West Malling, Kent ME19 6QR, UK.
E-mail: mrumarkhan@aol.com

How to cite this article: Khan UD. One-stage mastopexy and augmentation mammoplasty in layers: outcome analysis of first 50 consecutive
cases. Plast Aesthet Res 2018;5:45. http://dx.doi.org/10.20517/2347-9264.2018.58

Received: 9 Aug 2018 First Decision: 23 Oct 2018 Revised: 27 Oct 2018 Accepted: 6 Nov 2018 Published: 28 Nov 2018

Science Editor: Raúl González-García Copy Editor: Cai-Hong Wang Production Editor: Huan-Liang Wu

Abstract
Aim: The single-stage procedure is a challenging procedure for Plastic Surgeons. The single-stage layered mastopexy
with augmentation is a new technique that is aiming to add safety, preserving breast function and to restore normal
parameters of breast.

Methods: A retrospective chart review of 50 consecutive cases of layered mastopexy with augmentation mammoplasties
was performed. All patients had their implants placed in muscle splitting pocket. Incisions for mastopexy were selected
on the basis of nipple areolar complex to inframammary crease. Mastopexy is performed using a medially based pedicle,
leaving a sufficient tissue covering the implant. Patients were divided into three groups. Group “A” who had periareolar
mastopexy, Group “B” had vertical scar mastopexy and Group “C” patients had mastopexy with Wise pattern markings.

Results: Group A comprised 11 patients. The mean age was 28.82 ± 7.01 years, mean preoperative and postoperative
nipple areolar complex (NAC) to IMC measurement was recorded in 10 patients with the mean of 7.15 ± 1.98 cm and
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8.35 ± 1.18 cm respectively. Mean size of the implant used was 379.55 ± 77.18 cm . Group B comprised 29 patients. Mean
age was 35.17 ± 12.37 years and the mean preoperative and postoperative NAC to IMC crease was 8.53 ± 1.48 cm and
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9.72 ± 1.51 cm respectively. The mean implant size used was 289.48 ± 109 cm . Group C had 10 patients. Mean age was
39.60 ± 12.15 years and the mean preoperative and postoperative NAC to IMC crease of 10.11 ± 1.24 cm and 8.75 ± 0.98 cm
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respectively. The mean implant size used was 287.00 ± 55.08 cm .
Conclusion: The procedure allows better arterial supply, wider area for venous and lymphatic drainage, better sensory
innervation to NAC and maximises lactation potential of the breast.

© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

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