Emerging Approaches to Augmentation Mastopexy in the Nontraditional Weight-Loss Patient

Abstract

An aesthetic result of the breast for a body contouring patient is approached from a reconstructive standpoint rather than a cosmetic one. Attenuation of the supportive ligaments, a damaged soft tissue envelope, and generalized laxity of the torso, all contribute to one of the most complex problems in body contouring. The marriage of the reconstructive approach to the breast, advanced soft tissue maneuvers, and new technologies allow for unprecedented results. This chapter presents emerging approaches for supported volumization of the breast through techniques such as breast cerclage suspension, subfascial augmentation, composite augmentation with fat grafting, and additive mesh support.

Keywords: Breast mesh; Breast reconstruction; Composite augmentation; Fat grafting; Subfascial breast augmentation; Suspension mastopexy.