Improving aesthetic outcomes in mastopexy with the "autoprosthesis" technique

Background: Many techniques have been described for mastopexy, with several types of skin incisions and parenchymal rearrangements. We present a parenchymal rearrangement technique allowing better upper pole fullness and nipple-areola-complex (NAC) projection when performing a mastopexy, with a combination of a superior pedicle for the NAC and an inferiorly-based parenchymal flap, the so-called "autoprosthesis". Methods: From January 2008 to June 2015, 184 patients underwent "autoprosthesis" mastopexy. Patients' mean ages was 42 years. The mean follow-up period was 39 months. Results: We reported no major complications. All the patients were satisfied with their post-operative unclothed and clothed appearance and overall body image as reported by our questionnaire. Conclusions: The autoprosthesis technique for mastopexy is a simple and safe, technique, allowing long-lasting results for breast projection and upper pole fullness.