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Mastopexy of small ptotic breasts presents one of the greatest challenges to the plastic surgeons. Different techniques were described for mastopexy as well as for mammary augmentation, recently combining the two procedures became achievable. This may be achieved through inserting an implant, fat lipofilling, or autoaugmantation. Different methods for autoaugmentation mastopexy were mentioned in the literature using the excessive tissue present in one part of the breast to fill the defective parts, mainly the upper pole and the medial cleavage. Objectives: The aim of this study is to evaluate the effectiveness of inferiorly-based pedicle flap, combined with Owl incision, in autoaugmentation mastopexy for patients with small to moderately sized ptotic breasts who desire repositioning of their breasts without insertion of a breast implant nor lipofilling. Methods: Objective and subjective assessment of 23 female patients undergoing mastopexy with autoaugmantation using the Owl pattern incision combined with the inferior dermoglandular flap. Results: The technique showed satisfactory results as demonstrates by statistical analysis of the objective and subjective results. Conclusion: While the autoaugmentation technique could allow the plastic surgeon to partially win the struggle with gravity, the inferiorly-based parenchymal flap that is fixed to the pectoralis major muscle improves the breast projection and upper pole cleavage. It represents a lightweight flap with good outcomes in the long-term follow-up. A circumvertical scar is well appreciated by the patients although has a high learning curve. Adding solid objective assessment tools (anthropometric measures taken before the surgery and at regular follow-up) to the subjective tools (patient's satisfaction) endorses the results and gives data for different statistics.

Mastopexy in GII Ptosis: Evaluation of Owl Technique Combined with Inferiorly Based Flap