Abstract
BackgroundComplex breast ptosis may be caused by moderate and severe degrees of skin and glandular sagging associated with breast' and nipple-areola complex (NAC) asymmetries and deformity. The use of traditional peri-areolar mastopexy (t-PM) with or without implants is limited only for mild or moderate breast ptosis. ObjectivesThis article aims to report the safety and efficacy of the modified peri-areolar mastopexy (m-PM) characterized by a vertical shift of the classical pattern with implants and fat grafting (FG) in complex breast ptosis also evaluating the influence of breast and NAC asymmetries, breast, and chest deformities in the aesthetics outcomes. MethodsAn open label randomized controlled trial was performed. 40 women (study group - SG) affected by breast ptosis (moderate, and severe), asymmetries, and deformities were treated with m-PM, implants, and FG, comparing outcomes with those of a control group (CG) (n = 35) treated with t-PM and implants. Aesthetic outcomes were evaluated through the patient’s satisfaction grade, the physician's assessment score, and the visual Analog Scale (VAS). Results75% (n = 30) of SG patients reported excellent results on breast lift, shape, volume, NAC position, and scar quality after 12 months, while the CG reported the same outcomes in 60% (n = 21) of cases. SG patients showed a vertical NAC shift and a satisfaction degree higher than in the CG (p < 0.001 vs. CG). ConclusionsThe m-PM with implants and FG was safe and effective in this trial.
Published Version
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