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Getting the Most Out of Augmentation-Mastopexy

Sarosiek, Konrad, M.D.; Maxwell, G. Patrick, M.D.; Unger, Jacob G., M.D.

Plastic and Reconstructive Surgery: November 2018 - Volume 142 - Issue 5 - p 742e-759e
doi: 10.1097/PRS.0000000000004961
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Learning Objectives: After reviewing the article, the participant should be able to: 1. Understand the tenets of proper patient selection. 2. Be familiar with the assessment of patients for augmentation-mastopexy. 3. Be able to plan an operative approach and execute the critical steps. 4. Be able to recognize common complications and have a basic understanding of their management. 5. Be aware of emerging adjunctive techniques and technologies with respect to augmentation-mastopexy.

Summary: Despite being a multivariable and complex procedure, augmentation-mastopexy remains a central and pivotal component of the treatment algorithm for ptotic and deflated breasts among plastic surgeons. Careful preoperative planning, combined with proper selection of approach and implant, can lead to success. Physicians need to understand that there is a high frequency of reoperation cited in the literature with regard to this procedure, and discussions before the initial operation can help alleviate common misunderstandings and challenges inherent in this operation.

Related Video Content is Available Online.

Nashville, Tenn.

From the Department of Plastic Surgery, Vanderbilt University Medical Center; and Maxwell Aesthetics.

Received for publication March 7, 2018; accepted June 19, 2018.

Disclosure:Dr. Sarosiek has no financial interests to disclose. Dr. Maxwell is a paid consultant to Allergan. Dr. Unger is a member of the Allergan speakers bureau. No funding was received for 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.

Jacob G. Unger, M.D., Vanderbilt University Medical Center, Maxwell Aesthetics, 2020 21st Avenue South, Nashville, Tenn. 37212,

Copyright © 2018 by the American Society of Plastic Surgeons