Avoiding and Solving Problems with Augmentation Mastopexy: The Impact of Blood Supply on Decisions for Mastopexy and Pocket Selection

The treatment of the ptotic breast can be complex with the technique and the result dependent on a variety of factors. When a mastopexy is necessary, if performed alone, it is often inadequate to achieve the aesthetic goals of the patients, both in terms of volume and fullness in the upper pole. The addition of an implant can ameliorate these aesthetic issues. The success of augmentation mastopexy is multifactorial, but implementing the optimal surgical technique based on patient factors can significantly contribute to the long-term success of the procedure. Much attention is often given to the mastopexy approach, whether it be periareolar, vertical, or inverted-T. However, potentially even more impactful in the results is consideration for the type of implant to be placed and the pocket selected to optimize long-term success.