ABSTRACT

SELECTION OF BREAST REJUVENATION PROCEDURES 2. A patient presents after two pregnancies, because she is considering augmentation-

mastopexy. On examination she has ptotic, underfilled symmetrical breasts. The distance from her sternal notch-to-nipple-areola complex (NAC) measures 30 cm on both sides. Her anterior skin stretch measurement is 5 cm at the NAC, with an IMF-to-NAC distance of 12 cm on stretch. You anticipate an excision of 7 cm of skin to adequately uplift her breasts. Which one of the following is the best option for this patient? A. Breast augmentation alone B. Staged augmentation-mastopexy C. Mastopexy alone

D. Single-stage augmentation-mastopexy E. Staged autoaugmentation-mastopexy

CONTRAINDICATIONS TO SINGLE-STAGE AUGMENTATION-MASTOPEXY 3. A patient is referred for a second opinion regarding a single-stage augmentation-

mastopexy. Which one of the following may represent a contraindication to this surgery? A. Tuberous breast deformity B. Significant breast asymmetry C. A large vertical skin excess D. Less than 2 cm of breast tissue below the IMF E. All of the above

See Essentials of Plastic Surgery, second edition, pp. 552-557.