[Internal breast support grids in the surgery for breast hypertrophy and ptosis. Technique and indications]

In breast surgery, the use of a Grade for Internal Support of the Mamma (GISM) is an elegant way to reduce the length of the scars as it becomes possible to conserve only the peri-areolar incision. The technique has been imagine by Bustos in 1985. Its principles are: the reshaping of the gland with a posterior pedicle; the use of a silicone sheet that supports the gland; the spontaneous adaptation of the skin over the reshaped breast. A new sheet (GISM) is presented allowing a modification of the Bustos's technique that becomes easier and shorter. Technique and indications are described, and results are analysed.