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METHODS: Between January of 2012 and December of 2015, 31 women (62 breasts) underwent consecutive bilateral primary mammaplasty performed by a single surgeon for the treatment of breast ptosis (grade 2 or 3) or breast hypertrophy. The assessments considered the degree of satisfaction of patients and the evaluation of the 62 breasts by two referees in a scale from 1 (poor) to 3 (good) with preoperative and postoperative photographs. Each patient could be scored from 2 (poor) to 6 (excellent). The agreement between the referees was measured by Cohen’s Kappa statistics. Patient’s age, Body Mass Index (BMI), number of pregnancies, resected breast volume, and complications were also analyzed. The technique used was performed under general anesthesia. The aesthetic breast reduction/mastopexy, with skin markings designed in a Pitanguy/Wise inverted “T” pattern, proposes a parenchymocutaneous flap tethered to the thoracic wall (simulating a breast implant) supported by a bipedicled pectoralis major muscle flap.

Abstract: One-Stage Augmentation Mastopexy: A Retrospective Ten-Year Review of 1,131 Consecutive Cases