One-stage mastopexy with breast augmentation: a review of 321 patients.

One-stage mastopexy with breast augmentation: a review of 321 patients. Research Abstract Details 

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One-stage mastopexy with breast augmentation: a review of 321 patients. Abstract Text:

W Grant Stevens,Mark E Freeman,David A Stoker,Suzanne M Quardt,Robert Cohen,Elliot M Hirsch,W Grant Stevens,Mark E Freeman,David A Stoker,Suzanne M Quardt,Robert Cohen,Elliot M Hirsch,

BACKGROUND: One-stage mastopexy with breast augmentation is an increasingly popular procedure among patients. In the past 9 years, there has been a 506 percent increase in mastopexy procedures alone. Although some recommend a staged mastopexy and breast augmentation, there are currently no large studies evaluating the safety and efficacy of a one-stage procedure. METHODS: A retrospective chart review was conducted of 321 consecutive patients who underwent one-stage mastopexy and breast augmentation. Data collected included the following: patient characteristics, implant information, operative technique, and postoperative results. Complication and revision rates were calculated to evaluate the safety and efficacy of the one-stage procedure. RESULTS: No severe complications were recorded over an average of 40 months' follow-up. The most common complication was deflation of a saline implant (3.7 percent), followed by poor scarring (2.5 percent), recurrent ptosis (2.2 percent), and areola asymmetry (2.2 percent). Forty-seven patients (14.6 percent) underwent some form of revision surgery following the one-stage procedure. Thirty-five (10.9 percent) of these were for an implant-related issue, whereas 12 patients (3.7 percent) underwent a tissue-related revision. This 10.9 percent implant-related revision rate is less than a previously documented 13.2 percent 3-year reoperation rate for breast augmentation alone. The authors' 3.7 percent tissue-related revision rate also compares favorably to an 8.6 percent revision surgery rate in patients who underwent mastopexy alone. CONCLUSIONS: Although it has been stated that the risks of a one-stage procedure are more than additive, the results of our review suggest otherwise. Although a revision rate of 14.6 percent is significant, it is far from the 100 percent reoperation rate required for a staged procedure.

One-stage mastopexy with breast augmentation: a review of 321 patients. Publishing Authors By Initials

WG Stevens,ME Freeman,DA Stoker,SM Quardt,R Cohen,EM Hirsch,WG Stevens,ME Freeman,DA Stoker,SM Quardt,R Cohen,EM Hirsch,

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One-stage mastopexy with breast augmentation: a review of 321 patients. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Plastic and reconstructive surgery

VOLUME: 120

Page Numbers: 1674-9

Journal Abbreviation: Plast. Reconstr. Surg.

ISSN: 1529-4242

DAY: 27

MONTH: Nov

YEAR: 2007

One-stage mastopexy with breast augmentation: a review of 321 patients. Information

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LANGUAGE: eng

NlmUniqueID: 1306050

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AFFILIATION: Marina Plastic Surgery Associates, Marina del Rey, CA, USA. drstevens@hotmail.com

Country: United States

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MEDLINETA: Plast Reconstr Surg

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