Retrospective Multicenter Review of Mastopexy Using the “Mushroom” Auto-augmentation Flap Technique

Background:
Numerous procedures have been described to lift breast tissue and to improve aesthetic appearance of the upper pole through auto-augmentation mastopexy procedures, with a wide range of techniques. This study introduces a novel mastopexy procedure designed to optimize volume in the central and upper breast pole using a mushroom-shaped flap.

Methods:
This article presents a modified approach to fill the breast’s upper pole using a median, deep-based pedicle flap. This is a retrospective, multicentered study, based on a series of cases conducted by the author. The perioperative management and the surgical technique are described. A systematic approach was used to identify acute and subacute complications during the postoperative follow-up period.

Results:
From January 2018 to December 2023, 198 women were included in the study and underwent mushroom mastopexy with or without implant and/or lipofilling. The mean age was 44.3 years (range, 18–74 y). The general complication rate was 13%, and we observed 1 hematoma that required reintervention. In 17 patients, local surgical revision was necessary due to hypertrophic scarring and nipple asymmetry. No nipple–areola complex necrosis was observed.

Conclusions:
Mushroom mastopexy lifts the breast while restoring maximum volume to the upper pole and can be combined with breast augmentation using implants or lipofilling. This technique is simple, reliable, and produces excellent aesthetic results with a low complication rate.