Recurrent Ptosis of the Breast
Conditions
Keywords
Recurrent, Ptosis, Reduction, Mammoplasty, Mastopexy
Brief summary
Will the use of an FDA approved highly purified silk scaffold; Seri Surgical Scaffold help shape and hold the breast up on the chest preventing re-stretching and bottoming out of the breast in breast reduction or augmentation-mastopexy patients? The amount of stretch will be measured manually as well as percent of breast tissue measured with the Canfield Vectra 3-D Imaging system reporting the amount of breast tissue above and below the nipple level.
Detailed description
Patients having augmentation mastopexy or breast reduction will be informed about Seri Scaffold and allowed to have Seri support included in their surgery or not. If the choose the scaffold will be placed under the skin in the lower pole of the breast as an internal hammock to help take weight off of the breast and potentially help prevent future stretch of the lower pole.
Interventions
An FDA approved Bioabsorbable mesh Seri Surgical Scaffold will be utilized in the study as an internal hammock mesh support of the breast.
Sponsors
Study design
Eligibility
Inclusion criteria
Age =\>18 years * requesting procedure * No active cancer or infection
Exclusion criteria
* Known allergy to silk * Pregnant or lactating
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Nipple to Fold Measurement on Stretch | 1 year post op | The Nipple to fold will be measured manually over time to 1 year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percent Breast Tissue Above Nipple | 1 year post op | The percentage of breast tissue above and below the horizontal plane of the nipple over time |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Reduction, Mastopexy No Implant, No Seri Patients undergoing reduction or mastopexy but no implant is used and no Seri support
Seri Surgical Scaffold: An FDA approved Bioabsorbable mesh Seri Surgical Scaffold will be utilized in the study as an internal hammock mesh support of the breast. | 25 |
| Mastopexy, Implant no Seri Scaffold Mastopexy with implant, No Seri support is used
Seri Surgical Scaffold: An FDA approved Bioabsorbable mesh Seri Surgical Scaffold will be utilized in the study as an internal hammock mesh support of the breast. | 25 |
| Breast Reduction With Seri Support Patients undergoing breast reduction with the use of Seri support
Seri Surgical Scaffold: An FDA approved Bioabsorbable mesh Seri Surgical Scaffold will be utilized in the study as an internal hammock mesh support of the breast. | 26 |
| Augmentation Mastopexy, Implant and Seri Augmentation Mastopexy patients where Seri Scaffold is placed
Seri Surgical Scaffold: An FDA approved Bioabsorbable mesh Seri Surgical Scaffold will be utilized in the study as an internal hammock mesh support of the breast. | 61 |
| Total | 137 |
Baseline characteristics
| Characteristic | Mastopexy, Implant no Seri Scaffold | Breast Reduction With Seri Support | Augmentation Mastopexy, Implant and Seri | Reduction, Mastopexy No Implant, No Seri | Total |
|---|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 25 Participants | 26 Participants | 61 Participants | 25 Participants | 137 Participants |
| Age, Continuous | 38 years | 48 years | 37 years | 47 years | 42 years |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 2 Participants | 1 Participants | 0 Participants | 1 Participants | 4 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 3 Participants | 0 Participants | 2 Participants | 5 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 23 Participants | 22 Participants | 61 Participants | 22 Participants | 128 Participants |
| Region of Enrollment United States | 25 Participants | 26 Participants | 61 Participants | 25 Participants | 137 Participants |
| Sex: Female, Male Female | 25 Participants | 26 Participants | 61 Participants | 25 Participants | 137 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 3 / 25 | 2 / 25 | 3 / 26 | 2 / 61 |
| serious Total, serious adverse events | 0 / 25 | 0 / 25 | 3 / 26 | 2 / 61 |
Outcome results
Nipple to Fold Measurement on Stretch
The Nipple to fold will be measured manually over time to 1 year
Time frame: 1 year post op
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Reduction, Mastopexy No Implant, No Seri | Nipple to Fold Measurement on Stretch | 2.3 centimeters |
| Mastopexy, Implant no Seri Scaffold | Nipple to Fold Measurement on Stretch | 2.5 centimeters |
| Breast Reduction With Seri Support | Nipple to Fold Measurement on Stretch | 1.4 centimeters |
| Augmentation Mastopexy, Implant and Seri | Nipple to Fold Measurement on Stretch | 1.4 centimeters |
Percent Breast Tissue Above Nipple
The percentage of breast tissue above and below the horizontal plane of the nipple over time
Time frame: 1 year post op
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Reduction, Mastopexy No Implant, No Seri | Percent Breast Tissue Above Nipple | 35 percentage of volume |
| Mastopexy, Implant no Seri Scaffold | Percent Breast Tissue Above Nipple | 30 percentage of volume |
| Breast Reduction With Seri Support | Percent Breast Tissue Above Nipple | 15 percentage of volume |
| Augmentation Mastopexy, Implant and Seri | Percent Breast Tissue Above Nipple | 18 percentage of volume |