ArticlePlastic and reconstructive surgery. Global open2026
Split Mammary Gland Retromuscular Technique Mammoplasty: Solution to Avoid Waterfall and Improve Breast Reduction Outcome Longevity.
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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Authors and funding
3 authors.
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Abstract
Maintaining optimal mammoplasty outcomes remains a significant challenge for surgeons. Complaints such as early ptosis, waterfall, and double-bubble deformities can compromise the longevity of aesthetic outcomes. This surgical report describes the split mammary gland retromuscular technique (SMART) mammoplasty, a novel approach aimed at preventing early glandular descent and waterfall deformity and ensuring long-term aesthetic results. This technique involves splitting the mammary gland pillars into deep and superficial layers along the coronal plane in a superior pedicle mammoplasty, transposing the deep layer of the gland into a submuscular pectoralis major strip, and using the superficial layers for breast closure.
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Registered trials
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