Breast augmentation and mastopexy using a pectoral muscle loop.

[BACKGROUND] 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.

[METHOD] 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.

[RESULTS] 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.

[CONCLUSIONS] 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.