A NOVEL TECHNIQUE IN MASTOPEXY: FILLING THE UPPER POLE

Dr. Oudae Mohamad Yousof*, Mustafa Chikhmous Barakat, Hiveen Mohammad Hannan and Bebars Saleh Asran

ABSTRACT

Mastopexy is a surgical procedure its main objective is to comprehensively reduce breast size while maintaining the aesthetic appearance of the areola-nipple complex, while prioritizing patient satisfaction. Numerous aesthetic criteria have been established to maintain ideal breast shape post-reduction, and in addition to the potential complications that can arise during the surgical procedure, there is some aesthetic complications that can significantly impact the final outcome. Therefore, the primary purpose of this article is to introduce a novel technique that aims to minimize aesthetic complications and achieve optimal aesthetic results filling the upper pole without implants and nipple-areola complex pointing forwards. A total of 63 mastopexy procedures were performed, with all patients being females. The average age of patients was 38.6 ± 5 years. Their Body Mass Index ranged between 23-33 kg/m2, the average volume of drainage was 60.5 ± 22.4 ml. Duration of drain removal ranged from 24-72 hours. Postoperatively some patients experienced wound dehiscence, fat necrosis, asymmetry, nipple recessing. In terms of aesthetic outcomes, 60 patients achieved the approved aesthetic criteria. The upper to lower pole ratio was 45:55. Only 3 patients did not fully meet these criteria. In conclusion the new technique (Yo employed in mastopexy procedures provides exceptional aesthetic results, along with a remarkably low complication rate that can be prevented during surgery. However, it is important to note that this method is still in its early stages of use, and practitioners should possess extensive experience in order to successfully perform this type of surgery.

Keywords: Mastopexy, Sagging, filling-upper pole.