ArticleAesthetic surgery journal. Open forum2026
Total Pedicle Preservation Mastopexy: Technique, Safety, and Long-term Results.
Article in Aesthetic surgery journal. Open forum, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
5 authors.
Funding
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Abstract
Background: Mastopexy aims to correct breast ptosis and restore contour and position, but existing techniques may compromise nipple-areola complex (NAC) vascularity, sensitivity, or lactation potential. Reported limitations include recurrent ptosis, bottoming out, and perfusion-related complications. Objectives: The aim of this study was to evaluate the long-term safety, stability, and effectiveness of total pedicle preservation mastopexy (TPPM) in women undergoing mastopexy. Methods: A prospective case series of 488 women (cup size A-D, grade I-II ptosis) underwent TPPM between 2012 and 2022, performed by a single surgeon. Patients were followed at 1, 6, 12, and 24 months. Primary outcomes included sternal notch-to-nipple (SN-N) distance, nipple-to-inframammary fold (N-IMF) distance, breast density (Shore O Durometer), and areolar diameter. Complications were recorded. Results: Mean SN-N distance decreased from 25.22 cm preoperatively to 20.65 cm at 24 months ( Conclusions: TPPM is a safe, reproducible mastopexy technique that achieves stable long-term results. It offers an effective alternative for patients seeking durable, natural outcomes without implants or major tissue excision. Level of Evidence 4 Therapeutic: For image description, please refer to the figure legend and surrounding text.
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