Use of the multiplane internal mastopexy for ptosis correction revision-augmentation mammoplasty

Abstract

Aim: Augmentation mammoplasty is a commonly performed procedure with a high satisfaction rate. Multiplane pocket was described for simultaneous internal mastopexy and augmentation using inframammary crease incision for selected primary and secondary mammoplasties. The use of the technique is presented with a larger experience for correction of ptosis in a patient presenting for revision surgery following subglandular augmentation mammoplasty. Methods: A retrospectively collected data were analyzed using the Excel Spread Sheet. A total of 25 patients had multiplane augmentation with the internal mastopexy following augmentation mammoplasty in subglandular pocket. Data of 25 patients who had their revision surgery in multiplane were analyzed. Results: The group included 25 patients with a mean age of 36.6 years (range: 25-54 years) with mean implant duration of 6.4 years (range: 1.5-13 years). Twenty-three of the patients were nonsmokers, 1 smoker and 1 patient's smoking status was not mentioned. Eighteen patients presented with grade I capsular contracture, 3 patients with grade II contracture and 4 patients had a combination of grade I and II capsular contracture. Pseudoptosis was present in 6, class B ptosis in 6, A/B ptosis in 3, water-down deformity in 5 and rippling in 5 patients. Average preoperative size of implant used initially was 334.4 mL (range: 250-340 mL) and the mean implant size selected for revision surgery was 416 mL (range: 260-525 mL). Mean follow-up time was 18 months (range: 6-48 months). Of 25 patients, 21 had a bilateral procedure whereas the technique was used unilaterally in 4 patients for the correction of asymmetry. All patients had a single dose of intravenous antibiotics and followed by an oral course for 5 days, there was no infection noted in the series. In the current series, no patient required revision surgery following the multiplane internal mastopexy. Conclusion: Multiplane internal mastopexy can be useful in selected cases of revisionary augmentation mammoplasty.