Customized Internal Mastopexy: How to Stabilize the Parenchyma in the Multiplane Mastopexy.

Abstract

Augmentation mastopexy has undergone significant evolution over time. Despite advancements, traditional techniques often encounter challenges related to the durability of results and the maintenance of breast parenchymal stability. The multiplane L-scar augmentation mastopexy, incorporating a customized internal mastopexy, addresses these limitations by offering a targeted and reliable method to stabilize the parenchyma. This retrospective observational study analyzes a series of cases performed by the author between January of 2021 and December of 2023. A total of 874 women underwent multiplane L-scar mastopexy, with a mean age of 37 years (range, 1 to 71 years). Follow-up durations ranged from 6 to 72 months. Complications related directly to the customized internal mastopexy were observed in 11.08% of cases, with the need for reoperation in 6% of patients. The customized internal mastopexy is a versatile and adaptable technique that enhances parenchymal stabilization and extends the durability of results in augmentation mastopexy. It can be seamlessly integrated into other mastopexy methods, offering a reliable solution to a critical challenge in breast surgery. Further studies comparing this technique with traditional methods are warranted to solidify its broader clinical utility.