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Objectives: Objectives: The goal of this short report was to analyse outcomes in cases undergoing the LPMA to determine its application and limitat

Introduction: Background: Breast augmentation in primary or secondary patients with long lower pole lengths but appropriately sited nipples is at high risk of “bottoming out” following surgery. The Lower Pole Mastopexy-Augmentation (LPMA) was developed to correct long lower pole lengths or pre-empt bottoming out in breasts deemed at risk, avoiding the requirement for peri-areolar and vertical breast scar, as well as minimising the requirement for the use of synthetic mesh.

Materials / method: Methods: A superiorly-based de-epithelialised transverse elliptical dermal flap is created from the lower pole of the breast to act as a hammock for a breast implant, secured to the deep chest wall. Around 6cm of lower pole skin between the caudal margin of the areola and inframammary crease is maintained – the difference between the lower margin of this distance and the breast crease serves to determine the height of the flap. The flap width extends from the medial to the lateral border of the breast crease when the patient is standing. The flap serves to both reduce the areola-infra-mammary

Results: Results: All cases provided good outcomes, with improvements in both the position of the nipple in relation to the point of maximal breast projection, and with respect to the upper:lower pole breast ratios.

Conclusion: Conclusion: Lower Pole Mastopexy Augmentation is a useful addition to the armamentarium in dealing with complex situations in breast augmentation.

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