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Khan. Plast Aesthet Res 2018;5:45 I http://dx.doi.org/10.20517/2347-9264.2018.58 Page 9 of 14

A B

C D

E F

Figure 9. Preoperative pictures of a 19-year-old nulliparous female who presented with asymmetry and Grade C ptosis of breast (A-
3
C); post-operative pictures taken eight months following surgery with 240 cm extra high profile, round textured cohesive gel silicone
implants (D-F)

[1,2]
procedure , single stage mastopexy with augmentation’s overall safety, outcome and complications are
[3-8]
compared when the augmentation mammoplasty or mastopexy is performed alone . Intrinsically single-
[9]
stage mastopexy with augmentation is a combination of two procedures , the augmentation, in which
an implant is placed in any pocket [9-14] and the mastopexy, where markings can be selected on the basis of
surgeon’s experience [5-7,16] . The challenging aspect of the surgery is the combination of the two procedures
where mastopexy is performed to reduce and tighten the breast skin envelope and breast implant is placed
[17]
to expand skin envelope and enhance breast cup size, both being diagonally opposite . As opposed
to patients requiring breast implants for augmentation or requesting mastopexy for ptosis correction,
the cohort of patient requiring single-stage mastopexy with augmentation is a totally different clinical
subgroup. In later cohort of patients, mastopexy alone will leave them with too small and disproportionate