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. 2007 Summer;15(2):73-6.
doi: 10.1177/229255030701500201.

Breast autoaugmentation

Laurence Kirwan  1
Affiliations

Breast autoaugmentation

Laurence Kirwan. Can J Plast Surg. 2007 Summer.

Abstract
in English, French

A technique using a posteriorly based dermoglandular flap as an augmentation of the superior hemisphere of the breast combined with a periareolar mastopexy and vertical mastopexy is presented. The advantages of combining a periareolar mastopexy, in terms of reducing the length of the vertical scar and preventing areolar distortion, are explained.

On présente ici une technique qui repose sur l’utilisation d’un lambeau dermoglandulaire postérieur pour l’augmentation de l’hémisphère supérieur du sein, combinée à une mastopexie périaréolaire et à une mastopexie verticale. On explique les avantages de combiner une mastopexie périaérolaire, qui permet de réduire la longueur de la cicatrice verticale et de prévenir la distorsion de l’aréole.

Keywords: Augmentation; Mastopexy; Periareolar; Ptosis; Vertical.

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Figures

Figure 1)
Figure 1)
Diagrammatic representation of vertical mastopexy combined with periareolar skin excision
Figure 2)
Figure 2)
Patterns for marking periareolar skin excision
Figure 3)
Figure 3)
The amount of skin excision of the lower breast is evaluated, and vertical lines that meet in the midline about 2 cm above the infra-mammary crease are marked. This is performed with the patient’s hands on top the head
Figure 4)
Figure 4)
Elevation of apex of vertical closure
Figure 5)
Figure 5)
Removal of implant and breast autoaugmentation using residual inferior glandular flap: frontal view (top) and oblique view (bottom)
Figure 6)
Figure 6)
Patient who underwent revision of autoaugmentation due to inadequate lift: A oblique view, before first surgery; B oblique view, before second surgery; C frontal view, before first surgery; D frontal view, before first surgery (with marking); E frontal view, before second surgery (with marking). The same patient at six-week (F, G) and one-year (H, I) follow-up visits
Figure 7)
Figure 7)
Autoaugmentation. Frontal and oblique views of the patient before surgery (left) and at the six-month follow-up visit (right)
Figure 8)
Figure 8)
Autoaugmentation. Frontal and oblique views of the patient before surgery (left), immediately postoperatively (middle) and at the six month follow-up visit (right)
See this image and copyright information in PMC

References

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    1. Botti G. Vertical scar mammaplasty: Stable padding of the superior pole by means of posteriorly based pedicle autoprosthesis. Aesthetic Surg J. 1999;19:116–23.
    1. Lejour M. Vertical mammaplasty: Early complications after 250 personal consecutive cases. Plast Reconstr Surg. 1999;104:764–70. - PubMed
    1. Lassus C. A 30-year experience with vertical mammaplasty. Plast Reconstr Surg. 1996;97:373–80. - PubMed

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