The L-shaped mastopexy

• Published in: Revista Brasileira de cirurgia plástica 2023, Vol.38 (2), p.01-06
• Main Authors: Sodré, Roberto Luiz, Calil, José Augusto, Ferreira, Renato de Azevedo, Santo, Paulo Rogério Quieregatto do Espírito, Ruiz, Camila Trigo, Piotrowsky, Marllus Fernando, Cover, Sheila, Barbosa, Maycon Lucas
• Format: Article
• Language: English
• Subjects: breast; breast implantation; breast implants; mammaplasty; reconstructive surgical procedures
• ISSN: 2177-1235; 1983-5175; 2177-1235
• DOI: 10.5935/2177-1235.2023RBCP0684-EN

Introduction: The mastopexy with implants and L-shaped scarring aims to correct grades I to II breast ptosis using implants in retroglandular space and retromuscular dual plane space, at the same surgical time. The objective is to describe the experience with the L-augmentation mastopexy technique, analyzing complications and reoperations. Methods: Retrospective study of 123 patients with mild to moderate breast ptosis, operated using the L-augmentation mastopexy technique from January 2011 to November 2021 Results: The mean age of patients was 35.6 years. The average volume of implants used was 315ml (range 175 to 600ml). The placement of the prosthesis was in retroglandular (46.5%) and dual plane retromuscular space (53.5%). The average operative time was two hours and fifty-four minutes. The main complications presented were superficial dehiscence (7.3%), recurrence of ptosis (7.3%) and unsightly scars (5.7%). Surgical reviews took place in 13 patients (10.5%). Conclusion: Safe and effective mastopexy technique with implant in the treatment of mild to moderate breast ptosis, providing well designed breasts with reduced L-shaped scars.