Email This SiteDr. Eisenberg’s Journal Articles
Augmentation Mastopexy for Moderately to Severely Ptotic Breasts: Previsualizing Breast Shape and Symmetry With the Innovative and Versatile Staple-First Technique
Dr. Eisenberg has created a revolutionary breast augmentation/lift procedure that produces better results for his patients with quicker recuperation. Click here to read the article.
Silicone Gel Implants Are Back - So What?
Dr. Eisenberg shares his opinion on this controversial topic. Click here to read the article.
Breast Augmentation: Minimizing Postoperative Nausea and Vomiting (PONV), Maximizing Patient Satisfaction
Most of Dr. Eisenberg’s patients report no nausea and vomiting from the day of surgery on. Click here to read the article.
Augmentation Mastopexy for Moderately to Severely Ptotic Breasts: Previsualizing Breast Shape and Symmetry With the Innovative and Versatile Staple-First Technique
Dr. Ted Eisenberg’s new technique maximizes the lift and minimizes the scarring.
by Ted S. Eisenberg, D.O.Published in the American Journal of Cosmetic Surgery, Vol. 26, No. 3, September 2009
Introduction
Even the most skilled and experienced surgeon is faced with an intimidating challenge when performing a simultaneous augmentation and mastopexy (enlarging and lifting the breasts): how to tackle the opposing tissue forces necessary to make hypotrophic and moderately to severely ptotic breasts fuller (by stretching the skin with augmentation), yet firmer (by tightening the skin with mastopexy).
To solve this puzzle and quell their concern, surgeons have created various complex surgical markings for the past 50 years. Each evolution attempted to minimize scarring and the compromise of tissue vascularity while maximizing the aesthetic results, including breast symmetry.
In the next stage of this evolution, I have simplified the process with the Staple-First Technique. After I place the implants, I tighten and tailor the breasts with skin staples, which provides maximum tightening of the redundant breast tissue. It also allows me to see the final breast shape and symmetry—before I start surgery.
This is in contrast to the usual method of drawing a pattern, resecting the marked skin, and then tailor tacking the tissues together.
With my technique, there is no guessing about the amount of skin to be removed or the degree of tension on the tissues. This eliminates the need for multiple skin trimming and shortens the operative time, which helps to speed recuperation.
Materials and Methods
A total of 41 patients with moderate to severe ptosis and hypotrophy were reviewed for this article. All had bilateral submuscular saline breast augmentation with bilateral mastopexy with this stapling technique. Surgeries were performed over a 5-year period.
Results
Patients reported great satisfaction with their results. This versatile stapling technique allowed for the use of a wide variety of implant sizes and enabled me to correct asymmetries. Subjectively, this technique allowed me to achieve consistent, reproducible symmetry with single en bloc tissue resection and with confidence.
Conclusions
With the adage of measure twice, cut once, it is very comforting to be able to preview the surgery results before having to cut skin. I am very excited to share this technique with the surgical community because it has significantly simplified what was for me a challenging operation, allowing me to consistently have predictable and great results regardless of the implant size used or the amount of skin to be resected.
For more information or a copy of the entire article, contact Dr. Eisenberg.
