Mastopexy : Plastic and Reconstructive Surgery

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

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Plastic and Reconstructive Surgery 132(4):p 642e-656e, October 2013. | DOI: 10.1097/PRS.0b013e31829fe4b4

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.


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.

©2013American Society of Plastic Surgeons

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