Our Summary

This research paper is about a new method for breast lift surgery with implants (called periareolar augmentation mastopexy) that aims to improve the results of the operation. The researchers developed a mathematical approach to help surgeons decide when to perform the surgery and how to mark the breast for best results. This method involves measuring different aspects of the breast and implant in 3D and ensuring that the outer circle of the nipple area is no more than twice the size of the inner circle. To mark the breast for surgery, a ‘crown’ shape was drawn on it.

The researchers tested this method on 14 patients (28 breasts) between 2015 and 2019. They collected data on the patients’ satisfaction with their breasts, their psychological and sexual well-being, the size of their nipple area, the distance from the base of the neck to the nipple, and the change in nipple position after surgery. They also recorded any complications and whether any revisions were needed.

The results showed that one year after surgery, the patients were significantly more satisfied with their breasts and had improved psychological and sexual well-being. The size of the nipple area and the distance from the base of the neck to the nipple were both significantly smaller after surgery, and the nipple was lifted by an average of 3.2 cm. There were only two complications (both cases of the nipple area spreading) and no revisions were needed. The researchers concluded that their method is safe and effective in reducing complications and the need for revisions.

FAQs

  1. What is the new method for breast lift surgery with implants called in this research paper?
  2. What were the main findings of the research on the new method for breast lift surgery with implants?
  3. What is the purpose of using a mathematical approach in deciding when to perform a periareolar augmentation mastopexy?

Doctor’s Tip

One helpful tip a doctor might tell a patient about breast augmentation is to carefully follow post-operative instructions, including proper wound care, avoiding strenuous activities, and attending follow-up appointments. It is also important to communicate any concerns or changes in the breast to the surgeon promptly.

Suitable For

Patients who are typically recommended for breast augmentation include those who are unhappy with the size, shape, or symmetry of their breasts, those who have lost breast volume due to weight loss, pregnancy, or aging, and those who have undergone mastectomy or lumpectomy for breast cancer. Additionally, patients who have a congenital breast deformity or asymmetry may also be recommended for breast augmentation. It is important for patients to have realistic expectations and be in good overall health before undergoing breast augmentation surgery.

Timeline

Before breast augmentation:

  • Patient consults with a plastic surgeon to discuss goals and options for breast augmentation
  • Patient undergoes a physical exam and medical history review to determine if they are a good candidate for surgery
  • Patient chooses the size and type of implants they want for their augmentation
  • Patient may undergo pre-operative tests and screenings to ensure they are healthy enough for surgery
  • Patient may be advised to stop smoking and avoid certain medications in the weeks leading up to surgery

After breast augmentation:

  • Patient undergoes breast augmentation surgery, which typically takes a few hours under general anesthesia
  • Recovery time varies, but most patients can return to work within a week and resume normal activities after a few weeks
  • Patient may experience swelling, bruising, and discomfort in the days and weeks following surgery
  • Patient will have follow-up appointments with their surgeon to monitor healing and address any concerns
  • Over time, the breasts will settle into their final position and the patient will see the full results of their augmentation
  • Patient will need to continue regular breast exams and mammograms to monitor the health of their implants and breast tissue.

What to Ask Your Doctor

Some questions a patient should ask their doctor about breast augmentation using the periareolar augmentation mastopexy method include:

  1. How experienced are you with this specific method of breast lift surgery with implants?
  2. What are the potential risks and complications associated with this procedure?
  3. How will you determine if I am a good candidate for periareolar augmentation mastopexy?
  4. Can you explain the 3D measurements and marking process that will be used during surgery?
  5. What results can I expect in terms of breast shape, nipple position, and overall satisfaction with my breasts?
  6. How long is the recovery period, and what steps can I take to ensure a smooth recovery?
  7. Will I need any follow-up appointments or additional procedures after the surgery?
  8. Are there any restrictions or limitations on physical activity or lifestyle choices following the procedure?
  9. Can you provide before and after photos of patients who have undergone this specific method of breast lift surgery?
  10. What is the success rate of this procedure, and what steps will be taken if any complications arise during or after surgery?

Reference

Authors: Ma X, Xu B, Ouyang Y, Du X, Liu C. Journal: Plast Reconstr Surg. 2022 Aug 1;150(2):310-315. doi: 10.1097/PRS.0000000000009356. Epub 2022 Jun 6. PMID: 35666159