Skip to main content
SpringerLink
Log in

The Use of High-Profile and Extra-High-Profile Implants in Ptotic Breasts as an Alternative to Staged Augmentation/Mastopexy

  • Chapter
  • First Online:
Aesthetic Surgery of the Breast

Abstract

The final decision on how aesthetically attractive a breast appears is the subjective opinion of the patient, not the surgeon. A certain subset of patients with ptotic breasts are willing to accept the trade-off of placing larger or higher projecting implants with breast augmentation if this will reduce or eliminate the need for mastopexy and its associated extensive visible scarring. The author discusses classification of breast ptosis, surgical correction of breast ptosis, breast implant characteristics and choices, pocket plane/implant position, and the use of Allergan high-profile saline (Style 68HP) and extra-high-profile silicone (Style 45) in breast augmentation surgery including potential risks and potential benefits.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. 2011 Cosmetic Plastic Surgery Statistics. Cosmetic procedure trends. 2011 Plastic Surgery Statistics Report. American Society of Plastic Surgeons. http://www.plasticsurgery.org/News-and-Resources/2011-Statistics-.html. Accessed 10 Nov 2012

  2. Tebbetts JB, Teitelbaum S. High- and extra-high projection breast implants: potential consequences for patients. Plast Reconstr Surg. 2010;126(6):2150–9.

    Article  CAS  PubMed  Google Scholar 

  3. Novoa J. Tumescent anesthetic breast surgery (TABS): primary and secondary breast surgery in an office based surgical center. Am J Cosmet Surg. 2012;29(3):233–42.

    Article  Google Scholar 

  4. The American heritage dictionary of the English language. 5th ed. Boston: Houghton Mifflin Harcourt (HMH); 2011.

    Google Scholar 

  5. Regnault P. The hypoplastic and ptotic breast: a combined operation with prosthetic augmentation. Plast Reconstr Surg. 1966;37(1):31–7.

    Article  CAS  PubMed  Google Scholar 

  6. Davison S, Spear S. Simultaneous breast augmentation with periareolar mastopexy. Semin Plast Surg. 2004;18(3):189–201.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Auersvald A, Auersvald L. Crescent mastopexy with augmentation. In: Shiffman MA, editor. Breast augmentation: principles and practice. Berlin: Springer; 2009. p. 277.

    Chapter  Google Scholar 

  8. Parsa A, Parsa N, Parsa F. Combined mastopexy/augmentation. In: Shiffman MA, editor. Mastopexy and breast reduction, principles and practice. Berlin: Springer; 2009. p. 153.

    Google Scholar 

  9. Parsa AA, Jackowe DJ, Parsa FD. A new algorithm for breast mastopexy/augmentation. Plast Reconstr Surg. 2010;122(6):75e–7.

    Article  Google Scholar 

  10. Kirwan L. A classification and algorithm for treatment of breast ptosis. Aesthet Surg J. 2002;22(4):355–63.

    Article  PubMed  Google Scholar 

  11. Cronin TD, Gerow FJ. Augmentation mammaplasty: a new “natural feel” prosthesis. Excerpta Medica international congress series, Amsterdam, vol 66. 1963. pp. 41–49.

    Google Scholar 

  12. Brown MH, Shenker R, Silver SA. Cohesive silicone gel breast implants aesthetic and reconstructive breast surgery. Plast Reconstr Surg. 2005;116(3):768–79.

    Article  CAS  PubMed  Google Scholar 

  13. Fruhstorfer BH, Hodgson EL, Malata CM. Early experience with anatomical soft cohesive silicone gel prosthesis in cosmetic and reconstructive breast implant Surgery. Aesthetic Plast Surg. 2004;53(6):536–42.

    Google Scholar 

  14. Heden P, Jernbeck J, Hober M. Breast augmentation with anatomical cohesive gel implants: the world’s largest current experience. Clin Plast Surg. 2001;28(3):531–52.

    CAS  PubMed  Google Scholar 

  15. Allergan Natrelle breast implants. http://www.natrelle.com/. Accessed 10 Nov 2012.

  16. Mentor breast implants. http://www.mentorwwllc.com/global-us/Breast.aspx. Accessed 10 Nov 2012

  17. Elliott LF. Breast augmentation with round, smooth saline or gel implants. Clin Plast Surg. 2001;28(3):523–9.

    CAS  PubMed  Google Scholar 

  18. Allergan Natrelle Style 68 HP saline implant direction for use. http://www.allergan.com/assets/pdf/ca_natrelle_saline_dfu_en.pdf Accessed 10 Nov 2012.

  19. Allergan Natrelle Style 45 Silicone implants direction for use. http://www.allergan.com/assets/pdf/L034-03_Silicone_DFU.pdf Accessed 10 Nov 2012.

  20. Handel N. Secondary mastopexy in the augmented patient: a recipe for disaster. Plast Reconstr Surg. 2006;118:152S–63.

    Article  CAS  PubMed  Google Scholar 

  21. Ceydeli A, Freund RM. Tear-drop augmentation mastopexy: a technique to augment superior pole hollow. Aesthetic Plast Surg. 2003;27(3):425–32.

    PubMed  Google Scholar 

  22. Hammond DC. Atlas of aesthetic breast surgery. Michigan: Saunders Elsevier/Grand Rapids; 2009. p. 44–50.

    Google Scholar 

  23. Tebbetts J. Dual plane breast augmentation: optimizing implant-soft-tissue relationships in a wide range of breast types. Plast Reconstr Surg. 2001;107(5):1255–72.

    Article  CAS  PubMed  Google Scholar 

  24. Khan U. Muscle-splitting breast augmentation: a new pocket in a different plane. Aesthetic Plast Surg. 2007;31(5):553–8.

    Article  PubMed  Google Scholar 

  25. Peroff MM. Mastopexy with expansion augmentation. Aesthetic Plast Surg. 2003;27(1):13–9.

    Article  Google Scholar 

  26. Morestin H. Bilateral mammary hypertrophy corrected by discoid resection. Bull Mem Soc Chir Paris. 1907;33:201.

    Google Scholar 

  27. Lexer E. Correction de los pechos pendulous (mastoptose) por medio del la implantacion de grasa. Guipuzcoa Med. 1921;63:213.

    Google Scholar 

  28. Hinderer UT, del Rio JL. Erich Lexer’s mammaplasty. Aesthetic Plast Surg. 1992;16(2):101–7.

    Article  CAS  PubMed  Google Scholar 

  29. Schwarzmann E. Avoidance of nipple necrosis by preservation of corium in one-stage plastic surgery of the breast. Rev Chir Struct. 1937;10:206–9.

    Google Scholar 

  30. Wise RJ. A preliminary report on a method of planning the mammaplasty. Plast Reconstr Surg. 1956;17(5):367–75.

    Article  CAS  Google Scholar 

  31. Johnson GW. Central core reduction mammoplasties and Marlex suspension of breast tissue. Aesthetic Plast Surg. 1981;5(1):77–84.

    Article  CAS  PubMed  Google Scholar 

  32. Benelli L. A new periareolar mammaplasty: the “round block” technique. Aesthetic Plast Surg. 1990;14(2):93–100.

    Article  CAS  PubMed  Google Scholar 

  33. Lejour M. Vertical mammaplasty and liposuction of the breast. Plast Reconstr Surg. 1994;94(1):100–14.

    Article  CAS  PubMed  Google Scholar 

  34. Hall-Findlay EJ. A simplified vertical reduction mammaplasty: shortening the learning curve. Plast Reconstr Surg. 1999;104(3):748–59.

    Article  CAS  PubMed  Google Scholar 

  35. Lassus C. Breast reduction: evolution of a technique-A single vertical scar. Aesthetic Plast Surg. 1987;11(2):107–12.

    Article  CAS  PubMed  Google Scholar 

  36. Graf R, Biggs TM. In search of better shape in mastopexy and reduction mammoplasty. Plast Reconstr Surg. 2002;110(1):309–17.

    Article  PubMed  Google Scholar 

  37. Erol OO, Spira M. Mastopexy technique for mild to moderate ptosis. Plast Reconstr Surg. 1980;65(5):603–9.

    Article  CAS  PubMed  Google Scholar 

  38. Gonzales-Ulloa M. Correction of hypotrophy of the breast by means of exogenous material. Plast Reconstr Surg. 1960;25:15–26.

    Article  Google Scholar 

  39. Baran CN, Peker F, Ortak T, Sensoz O, Baran NK. Unsatisfactory results of periareolar mastopexy with or without augmentation and reduction mammaplasty: enlarged areola flattened nipple. Aesthetic Plast Surg. 2001;25(4):286–9.

    Article  CAS  PubMed  Google Scholar 

  40. Spear SL. Augmentation/mastopexy: “surgeon, beware.”. Plast Reconstr Surg. 2003;112(3):905–6.

    Article  PubMed  Google Scholar 

  41. Stevens GW, Stoker DA, Freeman ME, Quardt SM, Hirsch EM, Cohen R. Is one-stage breast augmentation with mastopexy safe and effective? A review of 186 primary cases. Aesthet Surg J. 2006;26(60):674–81.

    Article  CAS  PubMed  Google Scholar 

  42. Hoffman S. Some thoughts on augmentation/mastopexy and medical malpractice. Plast Reconstr Surg. 2004;113(6):1892–3.

    Article  PubMed  Google Scholar 

  43. Nahai F, Fisher J, Maxwell PG, Mills 2nd DC. Augmentation mastopexy: to stage or not. Aesthet Surg J. 2007;27(3):298.

    Article  Google Scholar 

  44. Don Parsa F, Brickman M, Parsa AA. Augmentation/mastopexy. Plast Reconstr Surg. 2005;115(5):1428–9.

    Article  PubMed  Google Scholar 

  45. Teitelbaum S. The dual plane approach to breast augmentation. Aesthetic Plast Surg. 2009;54:683.

    Google Scholar 

  46. Elliott LF. Circumareolar mastopexy with augmentation. Clin Plast Surg. 2002;29(3):337–47.

    Article  PubMed  Google Scholar 

  47. Hammond DC. Atlas of aesthetic breast surgery. Michigan: Saunders Elsevier/Grand Rapids; 2009. p. 62.

    Google Scholar 

  48. Hammond DC. Atlas of aesthetic breast surgery. Michigan: Saunders Elsevier/Grand Rapids; 2009. p. 51.

    Google Scholar 

  49. Creasman CN, Mordaunt DD, Liolios TT, Chiu C, Gabriel A, Maxwell GP. Four-dimensional breast imaging, part I. Introduction of a technology-driven, evidence-based approach to breast augmentation planning. Aesthet Surg J. 2011;31(8):914–24.

    Article  PubMed  Google Scholar 

  50. Tebbetts JB, Adams WP. Five critical decisions in breast augmentation using five measurements in 5 minutes: the high five decision support process. Plast Reconstr Surg. 2005;116(7):35S–45.

    Google Scholar 

  51. Allergan Inc. Directions for use of Natrelle® saline-filled breast implants. Available at: http://www.allergan.com/assets/pdf/ca_natrelle_saline_dfu_en.pdf. Accessed 10 Nov 2012.

  52. Allergan Inc. Directions for use of NATRELLE® silicone-filled breast implants, smooth & BIOCELL® texture. Available at: http://www.fda.gov/downloads/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/BreastImplants/UCM245627.pdf. Accessed 10 Nov 2012.

Download references

Author information

Authors and Affiliations

  1. Perfect Image Cosmetic Surgery P.A., 310 North Mesa, Suite 520, El Paso, TX, 79901, USA

    Julio Cesar Novoa M.D. (Medical Director)

Authors
  1. Julio Cesar Novoa M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Julio Cesar Novoa M.D. .

Editor information

Editors and Affiliations

  1. Medestet Clinic, Cluj-Napoca, Romania

    Toma T. Mugea

  2. Department of Surgery, Newport Specialty Hospital, Tustin, CA, USA

    Melvin A. Shiffman

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Novoa, J.C. (2015). The Use of High-Profile and Extra-High-Profile Implants in Ptotic Breasts as an Alternative to Staged Augmentation/Mastopexy. In: Mugea, T.T., Shiffman, M.A. (eds) Aesthetic Surgery of the Breast. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43407-9_41

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-43407-9_41

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-43406-2

  • Online ISBN: 978-3-662-43407-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation