Reverse Mastopexy: A Novel Contouring Technique in Previously Reconstructed Breasts:

Reverse mastopexy is a novel secondary surgical technique applied to patients who have previously undergone skin-sparing mastectomies with reconstruction. Benefits of this procedure include a natural contour to the reconstructed breast with greater breast mound projection, enhanced superior medial fullness, and reduced contour irregularities. Aesthetic improvement to the breast is appreciated with scar relocation to the inframammary fold. Nipple areolar reconstruction can then be performed in surgically undisturbed tissue. Eleven patients from January 2015 through January 2016 who underwent reverse mastopexy were included in our retrospective cohort review. A total of 22 reverse mastopexies were performed at a single institution by a single surgeon. Demographics included age (25-65 years), body mass index (25.5-41.4), and previous breast radiation (3 of 11). All the reverse mastopexies were performed secondarily to mastectomy with reconstruction to improve cosmesis. One patient had undergone unilateral au...