# “A systematic review of mesh support of the breast in aesthetic breast surgery”

## TL;DR

This review examines the use of mesh in breast surgeries to improve long-term results, finding mostly positive outcomes but insufficient evidence for routine use.

## Contribution

The paper provides a systematic review of mesh use in aesthetic breast surgery, highlighting current evidence and gaps.

## Key findings

- Mesh use showed improved breast shape and high patient satisfaction in most studies.
- Complication rates were low, with common issues like seroma and infection.
- Evidence is insufficient to recommend routine mesh use in aesthetic breast surgery.

## Abstract

Aesthetic breast surgeries, including reduction mammoplasty, mastopexy, and breast augmentation, aim to enhance patient satisfaction by improving breast aesthetics. The use of mesh in these surgeries has been proposed to provide improved long-term structural support, addressing conditions such as recurrent ptosis and implant displacement. This narrative systematic review analysed 31 studies involving 2,425 patients to evaluate the effectiveness and safety of mesh in aesthetic breast surgeries. The studies, comprising mostly retrospective case series and a few prospective observational studies, generally reported favourable outcomes with improved breast shape and high patient satisfaction. Reported complication rates were low, with issues such as seroma, haematoma, and infection. However, the evidence is insufficient to recommend the routine use of mesh in aesthetic breast surgery. Future research should focus on high-quality, unbiased studies with standardised outcome measures.