title: Simultaneous augmentation and periareolar mastopexy: selecting the correct implant.
abstract: BACKGROUND
  Periareolar mastopexy is a well-described technique for cosmetic improvement of breasts classified as Regnault ptosis grades 1 and 2. However, this technique is used less frequently for cases of grade 3 ptosis.
  
  
  METHODS
  Grades 2 and 3 ptosis were corrected for selected patients using a combination of augmentation with Style 410 shaped, form-stable, highly cohesive, silicone gel implants and periareolar mastopexy.
  
  
  RESULTS
  In this study, 17 patients were treated. The Style 410 implants used included four different devices: FX (full height, extra-full projection, n = 4), MX (medium height, extra-full projection, n = 1), MF (medium height, full projection, n = 8), and FF (full height, full projection, n = 4). No complications occurred immediately after surgery, and only two cases of capsular contracture Baker grade 2 cases with implant palpability occurred during a mean follow-up period of 18 months. All 17 women were very satisfied with the improvement in their clothed appearance, and 16 were very satisfied overall with their surgery and body image improvements.
  
  
  CONCLUSIONS
  With proper selection of patients and Style 410 breast implants, cases of grade 3 breast ptosis can be managed successfully by the periareolar approach, thus extending the range of cases suitable for this technique. The different shapes of the Style 410 form-stable, silicone gel implants help to recreate the desired natural-looking breast, achieving stable results with minimal complications.
authors.affiliation: Plastic Surgery Instituto Quirurgico Callao, University of Buenos Aires, Universidad Catolica Argentina, Avenue Callao 1046 PB A (1046), Buenos Aires, Argentina. rancati@gmail.com
authors.forename: Alberto
authors.initials: A
authors.lastname: Rancati
authors.forename: Maurizio
authors.initials: M
authors.lastname: Nava
authors.forename: Luciano
authors.initials: L
authors.lastname: Tessari
mesh_terms: D000328:Adult; D018427:Breast Implants / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D009558:Nipples / Q000601:surgery*; D017060:Patient Satisfaction; D020034:Silicone Gels; D016896:Treatment Outcome
chemical_list: D020034:Silicone Gels