ArticlePlastic and reconstructive surgery. Global open2026
PRISMA (Pectoralis-Rib Implant Support and Muscle Adjustment): An Innovative Technique for Secondary Mastopexy.
Article in Plastic and reconstructive surgery. Global open, 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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6 authors.
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Abstract
Background: Secondary mastopexy following breast augmentation is technically challenging due to altered anatomy, compromised soft tissues, and increased complication risk. This study aims to describe a novel technique (PRISMA [pectoralis-rib implant support and muscle adjustment]) incorporating dual-plane implant placement with muscular support and to evaluate its safety and aesthetic outcomes in revisionary cases. Methods: A prospective observational cohort study was conducted on 74 female patients undergoing secondary mastopexy between January 2023 and January 2026. All patients had prior breast augmentation and underwent surgery using a modified dual-plane technique with muscular fixation. Standardized anthropometric breast measurements were obtained preoperatively, immediately postoperatively, and at 12 months. Descriptive statistics and paired Results: Mean age was 44 years, and all patients underwent dual-plane implant placement. Correction of ptosis was achieved in all cases. Improvements were observed in anthropometric parameters, including clavicle-to-nipple distance (mean reduction of ~ 5.3 cm bilaterally; Conclusions: The PRISMA technique demonstrated effective and durable correction of ptosis with stable anatomical repositioning and low complication rates. Objective anthropometric analysis supports its reproducibility and structural reliability in secondary mastopexy. Despite limitations, this approach represents a safe and effective option for complex revision breast surgery.
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