Breast reduction and internal breast support with mesh
A 38 year old patient (BMI=23) with severe breast ptosis and poor quality skin who had a mastopexy and reconstruction of an internal breast support system (IBSS) with biocompatible, non-absorbable mesh to replace the supportive function of the ligamentous suspension and a post operative result at 5 months and follow up 3 years 8 months later with adequate upper breast fullness, good nipple projection and inconspicuous well located, short scars. Although the patient gained weight after the surgery the result is still satisfactory without recurrent ptosis.
A 32 year old patient (BMI=21) who had a breast reduction and reconstruction of an IBSS with mesh. A mass of 160 g was excised from the right breast and 180 g from the left. The post operative result at 10 months and follow up at 3 year 4 months.
A 55 year old patient (BMI=23) who had a mastopexy and reconstruction of an IBSS with mesh and a 2 month post operative result and a follow up at 3 year 6 months. Note the skin creases in the lower pole of the breasts in the early post operative stage and improvement as result of skin shrinkage with time.
A 48 year old patient (BMI=20) who had a conventional inferior pedicle reduction with unhappiness due to loss of upper breast fullness and slight pseudo ptosis. A re-operation with reconstruction of an IBSS with mesh was done to solve the problem and a 3 year post operative result shown.
Pre- and post operative photos of a 39 year old patient who had a mastopexy and reconstruction of a IBSS. Bending fore wards illustrate the supportive function of the mesh to counteract the effect of gravity.
Long term follow up of a 33 year old patient (BMI=27) who had a breast reduction, excising 300 g from each breast, and reconstruction of an IBSS with mesh to replace the supportive function of the ligamentous suspension. Note a decrease in the areola diameter from 1 year onwards.
A 39 year old patient (BMI=21) with breast ptosis who had a mastopexy and IBSS reconstructed with mesh and a 6 months post operative result. She subsequently lost 10 kg body mass over a period of 1 year 3 months and despite reduction in breast volume did not develop recurrent breast ptosis as can be seen on the photo on the right.
For surgical technique of the different procedures contact dr. van Deventer at firstname.lastname@example.org or using the form here.