CC BY-NC 4.0 · Arch Plast Surg 2014; 41(06): 728-733
DOI: 10.5999/aps.2014.41.6.728
Original Article

Periareolar Augmentation Mastopexy with Interlocking Gore-Tex Suture, Retrospective Review of 50 Consecutive Patients

Johnny Franco
Miami Plastic Surgery, Department of Surgery, Division of Plastic Surgery, Florida International University, Herbert Wertheim College of Medicine, Miami, FL, USA
,
Emma Kelly
Vanderbilt University, Nashville, TN, USA
,
Michael Kelly
Miami Plastic Surgery, Department of Surgery, Division of Plastic Surgery, Florida International University, Herbert Wertheim College of Medicine, Miami, FL, USA
› Author Affiliations

Background Periareolar Augmentation Mastopexy is one of the most challenging operations in plastic surgery. Problems with scar quality, areolar widening, and distortion are frequent problems that interfere with a predictable result.

Methods A retrospective review was performed on fifty consecutive patients who underwent a periareolar augmentation mastopexy with the interlocking approach. Of the 50 patients, 30 had both preoperative and postoperative photographs and were the basis of the study.

Results The age of the patients ranged from 19 to 56 years with the average age being 39 years. The postoperative follow-up averaged 9.5 months and the implants averaged 316 mL. There were no deaths, pulmonary embolism, deep vein thrombosis, or infected implants. Four patients had complications following surgery for an overall complication rate of 13%. Two patients developed an infected Gore-Tex suture. Two of these complications were treated with revision surgery. Five patients required reoperation for an overall reoperative rate of 16% (one patient was converted to a full mastopexy).

Conclusions As a result of this retrospective study, we have found the interlocking approach to periareolar augmentation/mastopexy to be a safe and reliable operation.

This article was presented as a poster at the Aesthetic Meeting April 13-15th, 2013 in New York, USA.




Publication History

Received: 12 June 2014

Accepted: 23 September 2014

Article published online:
05 May 2022

© 2014. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Gruber RP, Jones Jr HW. The "donut" mastopexy: indications and complications. Plast Reconstr Surg 1980; 65: 34-38
  • 2 Benelli L. A new periareolar mammaplasty: the "round block" technique. Aesthetic Plast Surg 1990; 14: 93-100
  • 3 Dinner MI, Artz JS, Foglietti MA. Application and modification of the circular skin excision and pursestring procedures. Aesthetic Plast Surg 1993; 17: 301-309
  • 4 Ersek RA, Ersek SL. Circular cinching stitch. Plast Reconstr Surg 1991; 88: 350-352
  • 5 Mottura AA. Periareolar mastopexy and augmentation. Aesthet Surg J 2007; 27: 450-458
  • 6 Erol OO, Spira M. A mastopexy technique for mild to moderate ptosis. Plast Reconstr Surg 1980; 65: 603-609
  • 7 Rohrich RJ, Thornton JF, Jakubietz RG. et al. The limited scar mastopexy: current concepts and approaches to correct breast ptosis. Plast Reconstr Surg 2004; 114: 1622-1630
  • 8 Hammond DC, Khuthaila DK, Kim J. The interlocking Gore-Tex suture for control of areolar diameter and shape. Plast Reconstr Surg 2007; 119: 804-809
  • 9 Baran CN, Peker F, Ortak T. et al. Unsatisfactory results of periareolar mastopexy with or without augmentation and reduction mammoplasty: enlarged areola with flattened nipple. Aesthetic Plast Surg 2001; 25: 286-289
  • 10 Spear SL, Low M, Ducic I. Revision augmentation mastopexy: indications, operations, and outcomes. Ann Plast Surg 2003; 51: 540-546
  • 11 Spear S. Augmentation/Mastopexy: "Surgeon, Beware". Plast Reconstr Surg 2003; 112: 905-906
  • 12 Elliott LF. Circumareolar mastopexy with augmentation. Clin Plast Surg 2002; 29: 337-347
  • 13 Puckett CL, Meyer VH, Reinisch JF. Crescent mastopexy and augmentation. Plast Reconstr Surg 1985; 75: 533-543
  • 14 Stevens WG, Freeman ME, Stoker DA. et al. One-stage mastopexy with breast augmentation: a review of 321 patients. Plast Reconstr Surg 2007; 120: 1674-1679
  • 15 Spear SL, Kassan M, Little JW. Guidelines in concentric mastopexy. Plast Reconstr Surg 1990; 85: 961-966
  • 16 Gonzalez R. The PAM method--periareolar augmentation mastopexy: a personal approach to treat hypoplastic breast with moderate ptosis. Aesthet Surg J 2012; 32: 175-185
  • 17 Hammond DC, Khuthaila DK, Kim J. The interlocking Gore-Tex suture for control of areolar diameter and shape. Plast Reconstr Surg 2007; 119: 804-809
  • 18 Calobrace MB, Herdt DR, Cothron KJ. Simultaneous augmentation/mastopexy: a retrospective 5-year review of 332 consecutive cases. Plast Reconstr Surg 2013; 131: 145-156
  • 19 Spear SL, Boehmler 4th JH, Clemens MW. Augmentation/mastopexy: a 3-year review of a single surgeon's practice. Plast Reconstr Surg 2006; 118: 136S-147S