Breast Augmentation and Mastopexy Using a Pectoral Muscle Loop

Augmentation mastopexy has historically challenged the creativity of plastic surgeons. Recurrent breast ptosis is the main cause for revision after such a primary operation. Avoiding the need for reoperation and achieving long-term projection and upper pole fullness have been the main focus for the work of many authors. In this study, a new approach for a stable and lasting breast shape based on the use of the pectoral muscle was conceived. Augmentation mastopexy was performed for patients with breast ptosis grades 2 and 3 according to Regnault's classification. With the proposed surgical technique, a loop of the pectoral muscle was used to keep the implant in a stable position. An inferior chest wall-based flap optimized coverage of the lower pole of the prosthesis. From 2008 to 2009, 22 patients underwent augmentation mastopexy using the described technique. Of these 22 patients, 12 were indicated for grade 2 and 10 for grade 3 ptosis. The mean follow-up period was 11.9 months. A high level of satisfaction was observed. No major complications occurred. Augmentation mastopexy using a loop of the pectoral muscle to hold the implant is a new and effective way to obtain long-lasting projection and upper pole fullness.