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Updated: Dec 2, 2025

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Double Space Augmentation Mastopexy-A Reflection After 15 Years.

Lincoln Graça Neto¹, Milton Daniel²

¹Division of Surgery, IPEM, Faculdade Evangélica Mackenzie do Paraná, Curitiba, PR, Brazil. lgracaneto@hotmail.com.

Aesthetic Plastic Surgery

|November 5, 2020

Summary

This 15-year study shows mastopexy with silicone implants in the double space offers good long-term results for breast ptosis, maintaining upper pole projection and reducing recurrence with a low complication rate.

Keywords:

Aesthetic Breast prothesis Mammoplasty Mastopexy Silicone prosthesis

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Area of Science:

Plastic Surgery
Aesthetic Surgery
Breast Reconstruction

Background:

Breast ptosis treatment with mastopexy and silicone implants is surgically challenging.
A 15-year experience is analyzed to evaluate outcomes.

Purpose of the Study:

To describe the 15-year surgical experience with silicone breast implants in the double, subfascial, and submuscular space for breast ptosis.
To analyze the aesthetic results and complications of these procedures.

Main Methods:

640 mastopexies with silicone implants (135-435 ml) were performed between 2005 and 2020 for grade 2 and 3 breast ptosis.
Implants were placed in a double space (subfascial and submuscular).
Patient ages ranged from 18-55 years, with an 18-month follow-up.

Main Results:

The study included 640 patients (62.5% grade II, 37.5% grade III ptosis).
Main complications included residual sagging skin (3%), unsightly scars (3%), and partial areola necrosis (2%). No infections or seromas occurred.
52% of surgeries were primary and 48% were secondary.

Conclusions:

Mastopexy with prosthesis in the double space is a mature technique with good long-term results for breast ptosis.
The procedure effectively maintains upper pole breast projection and shows low recurrence of ptosis.
The technique demonstrates a low complication rate, making it a reliable option for breast ptosis correction.