Explantation with Lateral Pedicle Mastopexy

Macmillan, R. Douglas; Bell, Kara; Wilson, Emma; Asgeirsson, Kristjan S.

Abstract

Background: While breast explantation combined with mastopexy is an increasingly common procedure, it does present certain technical difficulties. We present a technique of explantation mastopexy with the use of an extended lateral pedicle for auto-augmentation. Methods: A consecutive series of 40 cases was retrospectively reviewed, with patient reported outcome questionnaire and photography at 3 and 12 months. Results: The mean age was 57 years (range 40 – 70 years), and mean duration of implantation was 20.4 years (range 7 – 42 years). 12 women had undergone previous mastopexy (30%). Minor wound complications requiring simple dressings were seen in 7 cases (17.5%). Major infected wound problems occurred in 1 case, who was a smoker and had other co-morbidities. All except 1 case reported being satisfied or very satisfied with the outcome, with a mean patient reported satisfaction score of 4.9/5. When the photographs were independently assessed by a cosmetic practitioner, all cases were rated as average, good or very good, with a mean score of 4.1/5. Conclusions: The procedure is associated with low risk of post-operative complications, good cosmetic outcomes, and a high degree of patient satisfaction. We feel this technique provides a logical, reproducible method for combined explantation and mastopexy.

Citation

Macmillan, R. D., Bell, K., Wilson, E., & Asgeirsson, K. S. (2025). Explantation with Lateral Pedicle Mastopexy. Plastic and Reconstructive Surgery, 155(2), 269-278. https://doi.org/10.1097/prs.0000000000011645

• Journal Article Type: Article
• Acceptance Date: Jul 10, 2024
• Online Publication Date: Jul 19, 2024
• Publication Date: 2025-02
• Deposit Date: Aug 15, 2024
• Publicly Available Date: Aug 15, 2024
• Journal: Plastic and Reconstructive Surgery
• Print ISSN: 0032-1052
• Electronic ISSN: 1529-4242
• Publisher: Lippincott, Williams & Wilkins
• Peer Reviewed: Peer Reviewed
• Volume: 155
• Issue: 2
• Pages: 269-278
• DOI: https://doi.org/10.1097/prs.0000000000011645
• Public URL: https://nottingham-repository.worktribe.com/output/37859109
• Publisher URL: https://journals.lww.com/plasreconsurg/abstract/9900/explantation_with_lateral_pedicle_mastopexy.2380.aspx