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Page 8 of 14 Khan. Plast Aesthet Res 2018;5:45 I http://dx.doi.org/10.20517/2347-9264.2018.58

A B

C D

E F

Figure 8. Preoperative pictures of a 36-year female following weight loss, presenting with pseudo-ptosis with empty skin envelope (A-C);
3
six months postoperative pictures showing periareolar layered mastopexy using 345 cm high profile round textured cohesive gel silicone
implants (D-F)

± 15.28 g (range 124.50) on the right and left side respectively. The mean implant size used was 287.00 ±
3
55.08 cm [Table 1 and Figure 10A-F].

In the series, there was no haematoma, wound breakdown or nipple loss. There was one implant related
complication in which patient developed a Grade III to IV Capsular contracture without pain or loss of
shape. There were two revisions performed/planned related to mastopexy. One patient developed bottoming
out following a vertical scar mastopexy where preoperative NAC to IMC measurements on the right larger
breast was 9 cm. The other was a patient who presented with a breast hypertrophy and severe ptosis, lost the
shape of the breast postoperatively following further weight loss. She is waiting for her scars to settle down
before a skin envelope readjustment is performed.

DISCUSSION
One-stage mastopexy and augmentation mammoplasty remains a challenging procedure for all Plastic
Surgeons especially for those who are at the beginning of their career. Since the introduction of the