Atlas of Contemporary Aesthetic Breast Surgery

Mastopexy—Inverted T Approach

Introduction Breast ptosis is one of the most common issues seen for evaluation in a plastic surgeon’s office. It can be developmental or more commonly acquired, secondary to weight loss, hormonal changes, pregnancy, and aging. A mastopexy is reserved for…

Mastopexy—Vertical Approach

Introduction Commonly, mastopexy is understood to be synonymous with “breast lift.” Among plastic surgeons, a mastopexy has been traditionally understood to mean a skin tightening procedure, certainly for a skin-only mastopexy. However, the goal of a mastopexy is improvement in…

Mastopexy—Periareolar Approach

Introduction Mastopexy is the surgical technique mostly employed for modification of volume, compaction, and repositioning of the breast mound. The harmonious combination of proportion, position, and projection requires a dermoglandular resection or, sometimes, exclusively skin resections, resulting in extensive scarring.…

Revision Breast Augmentation—Capsular Contracture

Introduction Capsular contracture has for decades been the most common complication associated with aesthetic and reconstructive breast surgery. Although the exact mechanism or cause is still unclear, many causes have been implicated, the most feasible include hypertrophic scarring, the infectious…

Composite Breast Augmentation

Introduction Breast augmentation with fat has evolved over the past 12 years. According to the American Society of Aesthetic Plastic Surgery, fat transfer to the breast dramatically increased 41% over 2016, and this trend does not appear to be diminishing.…

Breast Augmentation With Primary Fat Grafting

Introduction Breast augmentation with primary fat grafting has gained increasing popularity in the past decade. It has several advantages over implant-based breast augmentation, including avoidance of foreign body implantation and related capsular contracture, which are appealing to people who want…