Combined Breast Reduction Augmentation.
BACKGROUND
Numerous methods have been designed to reduce breasts size and weight. The goal today is to not only to reduce size but also to create a pleasing shape. Breast reduction techniques do not obtain the desired upper pole fullness, and commonly recurrent ptosis develops. To improve and maintain breast shape in the late postoperative period, we combine breast reduction with implants.


METHODS
Three hundred and sixty-six patients who underwent combined breast reduction or mastopexy with implants from January 2014 to November 2017 at IM Clinic were retrospectively reviewed. We present the indications, surgical technique, and outcomes of these patients to determine the safety and efficacy of our technique.


RESULTS
No major complications were noted in an average of 2 years of follow-up (range 2 months to 4 years). Minor complications occurred in 61 patients, of whom 46 required revision surgery (12.6%). The most common tissue-related complications were dog ears (7.6%) and poor scarring (4.9%). The most common implant-related complication was capsular contracture (0.8%).


CONCLUSIONS
Breast reduction with implants is a reliable option to provide additional volume to the upper pole of the breast to improve long-term breast shape and avoid ptosis recurrence. Our study indicates that the procedure is safe and has complication and revision rates comparable to traditional breast reduction or augmentation mastopexy techniques.


LEVEL OF EVIDENCE IV
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 .
['Manero|Ivan|I|', 'Rodriguez-Vega|Ana|A|', 'Labanca|Trinidad|T|']
D000293:Adolescent D000328:Adult D000368:Aged D019928:Breast Implantation D005260:Female D006801:Humans D016462:Mammaplasty D008875:Middle Aged D011183:Postoperative Complications D012086:Reoperation D012189:Retrospective Studies D055815:Young Adult
Breast reduction Augmentation mastopexy Breast augmentation