Flower Mastopexy: Video Guide to 1-Stage Tailored Augmentation Mastopexy with Polyhydroxybutyrate Scaffold for Safe and Reliable Outcomes

SUMMARY: Augmentation mastopexy is one of the most complex operations in aesthetic surgery, with revision rates as high as 40%. When native breast volume is insufficient, an implant is often needed to achieve long-term upper-pole fullness, which results in additional stress on the compromised soft tissue. Studies have suggested improved long-term outcomes for lower-pole support with a polyhydroxybutyrate scaffold. The authors report on their 6-year experience, with more than 190 cases, of 1-stage subfascial augmentation mastopexy with poly-4-hydroxybutyrate scaffold support for primary and secondary cases of augmentation mastopexy. This article provides a detailed, step-by-step guide to the authors' customized technique.