Mastopexy is the 7th most performed cosmetic surgery in the US according to the latest American Society for Aesthetic Plastic Surgery (ASAPS) statistics (1). Extensive data in the literature show numerous studies in which a wide array of operative techniques are described. These range from a simple dermal manipulation, with or without glandular reshaping, to the use of dermal flaps fixed to the pectoral fascia, to the use of synthetic mesh or sheets. The use of an autologous (usually glandular) flap to increase the upper pole fullness can replace the use of an implant (2). Unlike, dermal reshape, the use of a glandular reshape offers a more durable result with less tension on scars. This concept is often referred to as “auto-augmentation”. The most common type of autoaugmentation is the advancement of an inferior based flap into a space created under the NAC superiorly based pedicle (3-7). The advantage here is that this mobilized gland, responsible for breast projection, does not interfere with NAC lift and vascularization which is still maintained on an independent superior pedicle.

Source: Gland Surgery