The Three-Flap Technique: A Modification of Autoaugmentation Mastopexy in a Single-Surgeon Case Series

Clicks: 9
ID: 332372
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Emerging

Ranked #110 of 125 articles by views in Aesthetic Surgery Journal Open Forum

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 125 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Background Implant-free mastopexy remains challenging in patients seeking breast reshaping without implants. Autoaugmentation techniques using autologous parenchymal flaps may improve breast projection and upper-pole contour. Objectives To describe the Three-Flap Technique as a modification of implant-free, caudally based parenchymal autoaugmentation mastopexy and to report clinical, anthropometric, and patient-reported outcomes in a selected single-surgeon case series. Methods This retrospective, single-center, single-surgeon consecutive case series included women with glandular, Grade I, or selected mild-to-moderate Grade II ptosis who underwent the Three-Flap Technique between January 2019 and December 2024. Outcomes included standardized photographic assessment, suprasternal notch–to–nipple and nipple–to–inframammary fold distances, complications, and BREAST-Q scores. Results In-person follow-up was available for 284 patients (97.0%) at 3 months, 235 (80.2%) at 6 months, 188 (64.1%) at 12 months, and 100 (34.1%) at 24 months. Breast contour instability, defined clinically as loss of upper-pole contour with lower-pole descent, was observed in 9 patients (3.1%). Delayed T-junction wound healing occurred in 31 patients (10.6%). No total nipple–areola complex necrosis occurred. In the paired BREAST-Q cohort (n = 109), Satisfaction with Breasts increased from 41.2 ± 12.5 to 86.7 ± 9.3, and Psychosocial Well-being increased from 54.5 ± 11.7 to 89.4 ± 7.8. Conclusions The Three-Flap Technique may represent an additional implant-free autoaugmentation mastopexy option for selected patients. Further comparative studies are required.
Reference Key
openalex_W7221822825 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors M.A. Barsakov
Are you one of these authors? Claim your profile
Journal Aesthetic Surgery Journal Open Forum
Year 2026
DOI
10.1093/asjof/ojag204
URL
https://doi.org/10.1093/asjof/ojag204
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.