Background: The central pedicle technique (CPT) is rarely used to perform a mastopexy or mastopexy with implant augmentation despite having robust perfusion and allowing for great exposure resulting in reproducible results. This study was conducted to review one surgeon's experience using a CPT for both mastopexy and mastopexy with implant augmentation.
Method: A retrospective review of consecutive patients who had a mastopexy or mastopexy with augmentation using a standardized CPT from 2017 to 2021 was performed.
Results: 201 patients were identified for inclusion. 120 patients had a bilateral central pedicle mastopexy, 75 patients had bilateral central pedicle mastopexy and implants, 6 patients had unilateral central pedicle mastopexy with implants due to asymmetry. Mean follow up was 11.2 months. The average age was 45.4 years. Average body mass index was 25.1 kg/m². Average implant size was 275 cc. Overall complication rate was 9.5%; 9.2% for CPT mastopexy and 9.9% for CPT mastopexy with implants. No revisional surgery was requested. None of the patients experienced nipple or skin necrosis.
Conclusion: This study demonstrates that the CPT mastopexy with and without an implant can be safely performed with a low complication rate. Additional benefits include standardized markings prior to surgery, visualization of the entire breast mound and reliable perfusion. The technique excels in correcting asymmetry. CPT mastopexy with and without an implant is a safe and effective option for the treatment of breast ptosis.
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