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Internal Breast Lift: A New Method for Performing Internal Mastopexy
Getulio Duarte1,2, Fabio Coelho Duarte2, Eduardo Federerigh Baisi Chagas1
1From the Univesidade de Marília, São Paulo, Brazil.
Plastic and Reconstructive Surgery. Global Open
|January 30, 2025
Summary
This study shows an internal breast lift is a safe cosmetic surgery for correcting mild breast ptosis and asymmetry. It offers aesthetic improvement without the need for an inverted T scar.
Area of Science:
- Plastic Surgery
- Cosmetic Surgery
- Breast Augmentation & Reconstruction
Background:
- Mastopexy with implant placement is a complex cosmetic procedure.
- Various mammoplasty techniques and implant types increase surgical intricacy.
- This study addresses pseudoptosis, grade 1 breast ptosis, and asymmetries.
Purpose of the Study:
- Evaluate the effectiveness of an internal breast lift for correcting pseudoptosis, grade 1 breast ptosis, and asymmetries.
- Offer a safer alternative with reduced morbidity compared to traditional methods.
- Avoid the creation of an inverted T scar.
Main Methods:
- 20 female patients with pseudoptosis or grade I breast ptosis (Regnault classification) were selected.
- Procedures included internal mastopexy and polyurethane implant insertion via mammary fold or periareolar approach.
- Internal tissue resection was performed for hypertrophy, maintaining minimum thickness.
Main Results:
- Significant elevations in areola and breast tissue were observed in patients with pseudoptosis and grade I ptosis (P ≤ 0.050).
- Improved positioning of areolar and breast tissue was noted in asymmetrical cases.
- High patient satisfaction and positive 1-year follow-up results were reported.
Conclusions:
- Internal breast lift is a safe and aesthetically effective option for pseudoptosis and grade I breast ptosis.
- The procedure successfully corrects asymmetries and improves breast appearance.
- It avoids the need for an inverted T scar, enhancing patient outcomes.

