Breast Mastopexy Workup

  • Author: Jorge I de la Torre, MD, FACS; Chief Editor: James Neal Long, MD, FACS   more...
 
Updated: Feb 1, 2012
 

Laboratory Studies

Only routine preoperative laboratory studies are required as mandated by the age and health of the patient.

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Imaging Studies

Mammograms are the main imaging studies required, especially in middle-aged patients. As a general guideline, all patients aged 40 years or older should undergo baseline mammograms prior to surgery, a postoperative new baseline mammogram, and yearly postoperative mammograms.

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Contributor Information and Disclosures
Author

Jorge I de la Torre, MD, FACS  Professor of Surgery and Physical Medicine and Rehabilitation, Chief, Division of Plastic Surgery, Residency Program Director, University of Alabama at Birmingham School of Medicine; Director, Center for Advanced Surgical Aesthetics

Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama

Disclosure: Nothing to disclose.

Coauthor(s)

Franziska Huettner, MD, PhD  Resident Physician, Department of Surgery, University of Illinois College of Medicine at Peoria

Franziska Huettner, MD, PhD is a member of the following medical societies: American College of Surgeons and Society of American Gastrointestinal and Endoscopic Surgeons

Disclosure: Nothing to disclose.

Luis O Vasconez, MD, FACS  Chief, Professor, Division of Plastic Surgery, University of Alabama at Birmingham

Luis O Vasconez, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society for Head and Neck Surgery, American Society for Reconstructive Microsurgery, American Society for Surgery of the Hand, American Society of Maxillofacial Surgeons, and American Surgical Association

Disclosure: Nothing to disclose.

Specialty Editor Board

Pankaj Tiwari, MD  Assistant Professor, Division of Plastic Surgery, Ohio State University College of Medicine

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Saleh M Shenaq, MD†  Former Director and Founder, The International Brachial Plexus Institute; Former Chief, Section of Plastic Surgery, Methodist Hospital, Houston

Saleh M Shenaq, MD† is a member of the following medical societies: American Academy of Anti-Aging Medicine, American Academy of Pediatrics, American Association for Hand Surgery, American Association for the Advancement of Science, American Association of Plastic Surgeons, American Burn Association, American College of Physician Executives, American College of Surgeons, American Congress of Rehabilitation Medicine, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society for Reconstructive Microsurgery, American Society for Surgery of the Hand, American Society of Gene Therapy, American Society of Law, Medicine & Ethics, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, American Trauma Society, Association for Academic Surgery, International College of Surgeons, Lipoplasty Society of North America, Plastic Surgery Research Council, Society for Neuroscience, Society of Surgical Oncology, Southern Medical Association, Texas Medical Association, and Texas Society of Plastic Surgeons

Disclosure: Nothing to disclose.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery Center

Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society

Disclosure: Nothing to disclose.

Chief Editor

James Neal Long, MD, FACS  Associate Professor of Plastic and Reconstructive Surgery, Division of Plastic Surgery, Children's Hospital and Kirklin Clinics, University of Alabama at Birmingham School of Medicine; Chief of Plastic, Reconstructive, Hand, and Microsurgery, Birmingham Veterans Affairs Medical Center

James Neal Long, MD, FACS is a member of the following medical societies: Alpha Omega Alpha, American College of Surgeons, American Medical Association, American Society of Plastic Surgeons, Plastic Surgery Research Council, Sigma Xi, Southeastern Society of Plastic and Reconstructive Surgeons, and Southeastern Surgical Congress

Disclosure: Nothing to disclose.

References

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Breast mastopexy. Preoperative anterior view of a 38-year-old woman with ptosis and postpartum involutional changes who is seeking augmentation in addition to elevation of the breast.
Breast mastopexy. Preoperative lateral view of a 38-year-old woman with ptosis and postpartum involutional changes who is seeking augmentation in addition to elevation of the breast.
Breast mastopexy. Postoperative anterior view 3 months following circumareolar mastopexy and placement of 330-mL smooth round implants in a subpectoral pocket in a 38-year-old woman who had ptosis and postpartum involutional changes and sought augmentation in addition to elevation of the breast.
Breast mastopexy. Postoperative lateral view 3 months following circumareolar mastopexy and placement of 330-mL smooth round implants in a subpectoral pocket in a 38-year-old woman who had ptosis and postpartum involutional changes and sought augmentation in addition to elevation of the breast.
Breast mastopexy. Preoperative anterior view of 29-year-old woman seeking elevation and minimal reduction of breast.
Breast mastopexy. Preoperative lateral view of 29-year-old woman seeking elevation and minimal reduction of breast.
Breast mastopexy. Postoperative anterior view 3 months following reduction mastopexy in a 29-year-old woman who sought elevation and minimal reduction of breast. A medial pedicle was used via the vertical scar technique.
Breast mastopexy. Postoperative lateral view 3 months following reduction mastopexy in a 29-year-old woman who sought elevation and minimal reduction of breast. A medial pedicle was used via the vertical scar technique.
Breast mastopexy. Skin excision amount is determined by the looseness of the skin. It may be either concentric or biased to reposition the nipple.
Breast mastopexy. The skin edge is undermined. Here the scalpel is undermining the skin edge.
Breast mastopexy. Purse string permanent sutures are placed to prevent skin stretching. Goes and Benelli also use a type of suture or mesh to suspend the gland, although efficacy of this technique is unknown.
Breast mastopexy. Regnault B-type excision showing new nipple position and skin excision.
Breast mastopexy. Regnault B-type excision, continued.
Breast mastopexy. This shows the new nipple position at the inframammary fold after the skin excision.
Breast mastopexy. The skin edges usually may be approximated without undermining. Excess inferior pole skin is bunched together. This bunching smooths out over time.
Breast mastopexy. This inverted T (Wise pattern) shows the new nipple position at the inframammary fold and the skin excision.
Breast mastopexy. AA' to BB' should be no longer than 4.5 cm. This usually creates tension at suture point BB', leading to skin necrosis. Wide undermining also may contribute to this complication.
 
 
 
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