Abstract
One-stage augmentation mastopexy was first described more than 50 years ago, although many plastic surgeons prefer a two-stage approach to the ptotic and deflated breast. Simultaneous breast augmentation and mastopexy is, however, gaining traction but is often considered to be one of the most difficult cosmetic breast surgeries. The challenge is in the fact that the surgery has multiple opposing goals – to increase the volume of a breast, change the shape, and simultaneously decrease the skin envelope. Successful outcomes in augmentation mastopexy, one- or two-stage, can be expected with proper planning, technique, and patient education. This chapter focuses on common indications and patient selection for one- or two-stage augmentation mastopexy, techniques for safe and effective procedures, challenges of the combined procedure, postoperative care, as well as potential complications, outcomes, and secondary procedures.
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