One-Stage Augmentation Mastopexy: A Review of 1192 Simultaneous Breast Augmentation and Mastopexy Procedures in 615 Consecutive Patients

Aesthet Surg J. 2014 Jul;34(5):723-32. doi: 10.1177/1090820X14531434. Epub 2014 Jul 1.


Background: Despite the increasing popularity of the combined augmentation mastopexy procedure among patients, the safety and efficacy of this surgery have been questioned by many surgeons.

Objective: The authors investigated the safety and efficacy of the combined augmentation mastopexy procedure.

Methods: The authors retrospectively reviewed the medical records of 615 consecutive patients who underwent combined augmentation mastopexy procedures at a single outpatient surgery center from 1992 through 2011. Patient demographics, operative and implant details, and long-term outcomes were analyzed. Rates of complications and revisions were calculated.

Results: The most common complications were poor scarring (5.7%), wound-healing problems (2.9%), and deflation of saline implants (2.4%). Of the 615 patients evaluated, 104 (16.9%) elected to undergo revision surgery: 54 revision procedures were secondary to implant-related complications, and 50 were secondary to tissue-related complications. Our data compare favorably with previously reported revision rates for breast augmentation alone and mastopexy alone.

Conclusions: With a skilled surgeon and proper patient selection, the combined augmentation mastopexy procedure can be safe and effective.

Level of evidence: 4.

Keywords: breast augmentation; breast lift; implants; mastopexy; revision surgery; secondary surgery; simultaneous augmentation mastopexy.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Breast Implantation / adverse effects
  • Breast Implantation / instrumentation
  • Breast Implantation / methods*
  • Breast Implants
  • California
  • Clinical Competence
  • Female
  • Humans
  • Middle Aged
  • Patient Selection
  • Photography
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery
  • Prosthesis Design
  • Retrospective Studies
  • Time Factors
  • Treatment Outcome
  • Young Adult