Original technique described by Mr Khan and presented in diffrent meetings around the world. The technique, accepted for publication in a peer-reviewed journal, allows internal mastpexy in early ptosis with out...
Original technique described by Mr Khan and presented in diffrent meetings around the world. The technique, accepted for publication in a peer-reviewed journal, allows internal mastpexy in early ptosis with out obvious external breat scarring. The technique has to be used in selected cases and is not a replacement of skin envelope reducing mastopexies.
Abstract
Background:
Augmentation in ptotic breast is challenging and often requires mastopexy. Extended biplaner or multiplane pocket is an extension of Muscle Splitting Augmentation1 and involves simultaneous prepectoral skin envelope draping and submuscular implant placement for augmentation in selected Grade A and early Grade B ptosis. Procedure is performed using inframammary incision and can also be used unilaterally for improving minor vertical nipple areolar complex positional asymmetries. Same philosophy is used in the past but external tapin and dressing was used instead of internal draping.2 In selected cases it can avoid obvious areolar,3 vertical4 or Wise Pattern scarring.5
Methods:
The procedure is performed in 45 patients (12 unilateral, 33 bilateral) for subpectoral augmentation and prepectoral skin envelope draping for the correction of minor ptosis. Average age of the patient was 33.5 years (range 19-50) with an average size implant of 340cc (range200-605). Infra mammary incision is used and submuscular biplane pocket is dissected for augmentation and prepectoral/subglandular plane is used for draping of breast parenchyma at a higher level on pectoralis. Procedure is performed under general anaesthetic as a day case.
Results: All patients had acceptable results, one patient required bilateral vertical scar mastopexy for correction of residual ptosis.
Results: In selected cases, majority of the patients had acceptable results. One patient had a revision and required vertical scar mastopexy as a revision./nConclusion:
The procedure is an option in an early ptosis especially in patients who are not keen on conventional mastopexy scarring.
References.
1) Khan U.D. Muscle Splitting Biplane Breast Augmentation. A New Pocket in a Different Plane: Aesth Plast Surg 31:353-358,2007
2) Becker H, Storm van Leeuwen JB. The correction of Breast Ptosis with Expander Mammary Prosthesis. Ann of Plast Surg 24:489-497,1990
3) Binelli L: A New Peroareolar Mammoplasty, The Round Block Technique. Aesth Plast Surg 14: 93, 1990
4) Lejour M, Vertical Mammoplasty and Liposuction of the Breast. Plast. Reconst.
Surg. 94: 100-114, 1994
5) Wise RL: Preliminary Report on a Method of Planning the Mammoplasty. Plast Reconstr Surg 17: 367, 1956
