Secondary Augmentation Mastopexy to Correct Malpositioned Nipple Areola Complex (NAC) and Baker's Grade III Capsular Contracture 15 Years Later

Augmentation mastopexy is a complex procedure that combines two surgical procedures in a single operation. Augmentation mastopexy attempts to correct both mammary volume loss or depletion and ptosis.

Some surgeons have suggested performing both procedures in a separate setting- performing the mastopexy first if the primary problem is one of ptosis and performing augmentation mammaplasty as a second procedure. If the primary problem is of volume loss or deflation, augmentation mammaplasty is carried out first followed by mastopexy in another setting.

Splitting the surgery into two stages have both economical and social drawbacks to the patient and surgeon. The patient now has to pay for and undergo two separate surgeries as well as be subjected to two separate postoperative recovery periods.Augmentation mastopexy does have its advantages that it allows the surgeon to pick an appropriate implant volume for the breast while accurately determining how much skin or tissue needs to be resected thereafter.

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