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Plastic & Reconstructive Surgery:
doi: 10.1097/01.prs.0000248397.83578.aa
Cosmetic: Special Topic

Mastopexy Preferences: A Survey of Board-Certified Plastic Surgeons

Rohrich, Rod J. M.D.; Gosman, Amanda A. M.D.; Brown, Spencer A. Ph.D.; Reisch, Joan Ph.D.

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Abstract

Background: The purpose of this survey was to assess the current trends in mastopexy techniques and to compare satisfaction rates and complications associated with different techniques.

Methods: In September of 2002, a mastopexy survey was sent to 1500 members of the American Society for Aesthetic Plastic Surgery; 487 complete responses were received, for a response rate of 32.5 percent. Questions elicited categorical answers, and the data were evaluated using the chi-square test and the comparison of two proportions.

Results: The inverted-T incision technique is the most popular. Satisfaction was reported to be highest with the short scar periareolar inferior pedicle reduction (or SPAIR) and Hall-Findlay techniques. Physician satisfaction was lowest with the periareolar technique. The three most common complications for all techniques were suture spitting, excess scarring, and bottoming out. The periareolar group had a greater frequency of revision (p = 0.002). The inverted-T group had a greater frequency of bottoming out (p = 0.043). The short scar group had a greater frequency of asymmetry (p = 0.008).

Conclusions: The traditional inverted-T technique is the most popular, but the newer short scar techniques have become more popular in the last 5 years. The inverted-T incision continues to be associated with bottoming out and excess scarring. The periareolar technique has the greatest need for revision and the lowest physician satisfaction, despite its application to a greater volume of mastopexies per year.

©2006American Society of Plastic Surgeons

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