ArticleAesthetic plastic surgery2025
Extended Superior Pedicle Autoaugmentation (ESPA) Mastopexy: A Review of 20 Consecutive Patients.
Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- The Octopus Mastopexy: A True "Implant-First" and On-Demand Approach Based on Parenchymal Reduction.Aesthetic plastic surgery · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPtotic breast deformity arises from decreased breast tissue volume and skin laxity, causing descent of breast tissue due to gravity. Mastopexy lifts and reshapes the breast and can be potentially associated with breast implants in case of need of volume increase. However, this option is not accepted by all the patients. The extended autoaugmentation mastopexy (ESPA) incorporates an abdominal flap to increase breast volume without implants, reducing surgical time and offering stable long-term outcomes.
objectivesThe authors propose modifying the superior pedicle vertical mammaplasty to include glandular tissue transposition and an abdominal flap. This aims to restore central mound projection, narrow the lower breast base, and raise the inframammary fold.
methodTwenty patients underwent superior pedicle extended autoaugmentation (ESPA) mammaplasty from 2020 to 2024. Patients, aged 25 to 45, with wide, low-lying breasts lacking central projection, were selected. Breast tissue was elevated on a superior dermal pedicle extended inferiorly to an abdominal flap and transposed into a prepectoral pocket. The inframammary fold was raised, and the dead space is closed using internal and external temporary sutures.
resultsPatients tolerated well the procedure, with one developing a seroma, successfully managed. All 20 patients expressed high satisfaction with postoperative breast shape and size, with no desire for subsequent augmentation.
conclusionsThe technique extends the superior pedicle to include abdominal tissue, restoring central mound projection and modifying the inframammary fold. It reliably recreates a more youthful breast shape in suitable patients without the need for implants. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Indexed as
Identifiers
39690200What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.