ArticleAesthetic plastic surgery2026
Enhancing Breast Volume and Contour: Integration of the Anterior Intercostal Perforator-Based Flap with Central Pedicle Mastopexy.
Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundOptimizing aesthetic outcomes in mastopexy frequently requires simultaneous volume enhancement. While silicone implants are the standard solution, they carry risks of long-term complications that some patients wish to avoid. Autologous tissue rearrangement offers a valuable alternative for these individuals. In this study, we evaluate the safety and effectiveness of integrating an anterior intercostal artery perforator-based adipofascial flap with central pedicle mastopexy for autologous volume augmentation and symmetry correction.
methodsA retrospective analysis was performed on patients treated for breast asymmetry or volume deficits between 2018 and 2024. The technique involved elevating an anterior intercostal artery perforator-based adipofascial flap to augment the central mound. Outcomes were assessed via clinical data and six-month postoperative BREAST-Q scores.
resultsThe anterior intercostal artery perforator-based adipofascial flap combined with central pedicle mastopexy procedure was performed on the study group (Group 1) of 18 patients (33 breasts), and outcomes were compared against the control group (Group 2) of 33 patients who underwent standard central pedicle mastopexy. Over a mean follow-up of 11 months, the technique effectively corrected volume deficits and breast asymmetry. Complications were minor, limited to three cases of wound dehiscence requiring revision. At six months, the mean nipple-inframammary fold distance was 7.2 cm, showing no signs of bottom-out.
conclusionsIntegrating anterior intercostal artery perforator-based adipofascial flap with central pedicle mastopexy offers a safe and reliable autologous solution for mild-to-moderate volume deficiency. This approach provides stable volume augmentation and satisfactory aesthetic outcomes, eliminating the risks associated with prosthetic implants. LEVEL OF EVIDENCE IV: 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 .
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