Comparative analysis of lower Island Flap Transposition (LIFT) in wise-pattern mastopexy: Does it improve upper pole fullness and breast harmony?
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Tarih
2024
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background Utilization of autologous parenchymal flaps
aims to attain enduringly favourable outcomes and uphold
volume in the upper breast pole after mastopexy procedures. The objective of this study was to juxtapose and
scrutinize postoperative upper pole fullness, upper/lower
pole ratios, occurrences of bottoming-out deformity, and
complication rates between two patient cohorts: those who
underwent the wise-pattern superior pedicle mastopexy
with the LIFT technique and those who underwent the
conventional wise-pattern superior pedicle mastopexy.
Materials and Methods All the patients in this study were
appropriately categorized as primary patients, signifying
their lack of any prior breast surgery history. These individuals presented with grades II and III breast ptosis on
both breasts, ranging from moderate to severe deformities
per the Regnault classification. Importantly, all patients
uniformly expressed their desire to achieve a firmer breast
appearance without recourse to using breast implants. The
patients’ ages and preoperative breast measurements were
recorded for analysis. Measurements, including the distance from the NAC to the inframammary fold and from
the sternal notch to the NAC, were systematically measured both before the surgery and at the 1-year postoperative mark.
Results The upper and lower pole ratios, defined by Mallucci and Branford, were found to be 45.22% ± 2.20% and
54.88% ± 2.20%, respectively, within the LIFT group. In
13 instances, a lower pole distance exceeding 55% indicated a potential bottoming-out deformity (value lower
than 45%/55% ratio or 0.818). Conversely, within the
control group, the upper and lower pole ratios were
determined as 43.22% ± 2.80% and 56.88% ± 2.80%,
respectively. These findings demonstrated statistical significance. Notably, in 39 cases within the superior pedicle
wise-pattern mastopexy group, a lower pole distance surpassing 55% (value lower than 45%/55% ratio or 0.818)
suggested a leaning towards a bottoming-out deformity (p:
0.003). A postoperative period of at least 12 months was
essential to discern the emergence of upper pole fullness
and the potential development of bottoming-out deformities. Among the cases within the LIFT group, 93%
exhibited successful attainment of upper pole fullness,
while in the control group, this outcome was achieved in
82% of cases (p[0.05).
Conclusion Implementing the LIFT technique alongside
the wise-pattern superior pedicle mastopexy decreases the
occurrence of bottoming-out deformity after 1 year.
Although there is no statistically significant difference, the
LIFT flap technique has contributed to some extent to
upper pole fullness.
Level of Evidence V This journal requires that authors
assign a level of evidence to each article. For a full
description of these Evidence-Based Medicine ratings,
please refer to the Table of Contents or the online
Instructions to Authors www.springer.com/00266.
Açıklama
Anahtar Kelimeler
Mastopexy, Autoaugmentation, Autoprosthesis, Wise-pattern, Upper pole
Kaynak
Aesthetic Plastic Surgery
WoS Q Değeri
Q2
Scopus Q Değeri
Q1
Cilt
48
Sayı
17
Künye
Duran, A., Eroğlu, N. S. (2024). Comparative analysis of lower Island Flap Transposition (LIFT) in wise-pattern mastopexy: Does it improve upper pole fullness and breast harmony?. Aesthetic Plastic Surgery, 48(17), 3331-3339.
