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Hidalgo, David A. M.D.; Spector, Jason A. M.D.

Plastic and Reconstructive Surgery: October 2013 - Volume 132 - Issue 4 - p 642e–656e
doi: 10.1097/PRS.0b013e31829fe4b4
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Learning Objectives: After reading this article, the participant should be able to: 1. Assess patient physical characteristics to determine candidacy for mastopexy and select the most appropriate technique. 2. Understand current methods, their relative effectiveness, and key technical elements. 3. Become conversant with methods to fixate, redistribute, and autoaugment the parenchyma. 4. Understand the benefits and pitfalls of combining augmentation and mastopexy, and how to best design and execute these procedures. 5. Become cognizant of mastopexy complications and how to both avoid and treat them.

Summary: Mastopexy includes multiple skin incision design and parenchymal manipulation options. Patient evaluation includes assessment of goals, degree of ptosis, tissue volume, skin quality, and breast position on the chest wall. There are critical technical details for each of the three incision options, the various methods of parenchymal manipulation, and implant placement. The potential for complications is greatest for combined augmentation and mastopexy. Although they are effective, mastopexy procedures have the greatest incidence of litigation among aesthetic breast procedures.

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New York, N.Y.

From the Division of Plastic Surgery, Weill Cornell Medical College.

Received for publication January 24, 2013; accepted March 27, 2013.

Disclosure:Neither author has a financial interest in any of the products or devices mentioned in this article.

Related Video content is available for this article. The videos can be found under the “Related Videos” section of the full-text article, or, for Ovid users, using the URL citations published in the article.

David A. Hidalgo, M.D., 655 Park Avenue, New York, N.Y. 10065,

©2013American Society of Plastic Surgeons