Improving the longevity and results of mastopexy and breast reduction procedures : reconstructing an internal breast support system with biocompatible mesh to replace the supporting function of the ligamentous suspension

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dc.contributor.author Van Deventer, Petrus V.
dc.contributor.author Graewe, Frank R.
dc.contributor.author Wuringer, Elisabeth
dc.date.accessioned 2012-04-25T14:06:21Z
dc.date.available 2012-04-25T14:06:21Z
dc.date.issued 2011-10
dc.identifier.citation Van Deventer, P. V. & Graewe, F. R. 2011. Improving the longevity and results of mastopexy and breast reduction procedures : reconstructing an internal breast support system with biocompatible mesh to replace the supporting function of the ligamentous suspension. Aesthetic Plasic Surgery, 1-12, doi:10.1007/s00266-011-9845-2. en_ZA
dc.identifier.issn 1432-5241 (online)
dc.identifier.issn 0364-216X (print)
dc.identifier.other doi:10.1007/s00266-011-9845-2
dc.identifier.uri http://hdl.handle.net/10019.1/20870
dc.description The original publication is available at http://www.springerlink.com/ en_ZA
dc.description Publication of this article was funded by the Stellenbosch University Open Access Fund.
dc.description.abstract The reasons for recurrent ptosis in mastopexy and breast reduction procedures are twofold. First, available surgical techniques do not reconstruct the normal breast anatomy responsible for maintaining breast shape. Second, in many instances the techniques rely on atrophied tissue to provide long-term support. The discovery in 1997 of the ligamentous suspension (the supporting system of the breast) gave rise to the concept that reconstruction of this anatomical structure was needed to ensure a sustained postoperative result. Applying the latest knowledge regarding the structural and vascular anatomy of the breast in the surgical technique and utilizing material other than atrophied breast tissue enabled us to prevent the recurrence of breast ptosis. Methods A surgical technique was developed to replace the supportive function of a failed ligamentous suspension in 112 patients with ptotic breasts. This was done by reconstructing an internal breast-supporting system (IBSS) with biocompatible mesh. Results Satisfactory breast shape, nipple projection, and upper breast fullness was obtained with this technique in mastopexy patients with moderate-sized ptotic breasts. In patients with larger breasts good results were obtained with a simultaneous breast reduction. The longest follow-up is 6 years 3 months. Conclusions With this technique recurrent breast ptosis can be prevented in mastopexy and breast reduction procedures. The results are such that it eliminates the need for silicone prostheses to obtain satisfactory upper-breast fullness. The surgical technique is especially indicated in patients with skin of poor quality or patients with high expectations. en_ZA
dc.description.sponsorship Stellenbosch University Open Access Fund en_ZA
dc.format.extent 12 p. : ill.
dc.language.iso en_ZA en_ZA
dc.publisher Springer Open en_ZA
dc.subject Breast ptosis en_ZA
dc.subject Mastopexy en_ZA
dc.subject Breast reduction en_ZA
dc.subject Ligamentous suspension en_ZA
dc.subject Internal breast support system (IBSS) en_ZA
dc.subject Internal bra en_ZA
dc.title Improving the longevity and results of mastopexy and breast reduction procedures : reconstructing an internal breast support system with biocompatible mesh to replace the supporting function of the ligamentous suspension en_ZA
dc.type Article en_ZA
dc.description.version Publishers' Version en_ZA
dc.rights.holder Author retain the copyright en_ZA


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