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CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2025; 40: s00451810587
DOI: 10.1055/s-0045-1810587
Artigo Original

Mastopexy Associated with Silicone Implants: Implant Support Technique with a Half-Cup Bra-Type Inferior Fascial Flap

Article in several languages: português | English

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Financial Source The authors declare that they did not receive financial support from agencies in the public, private or non-profit sectors to conduct the present study. Clinical Trials None.
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Abstract

Introduction

Mastopexy with silicone implants is one of the most common cosmetic breast surgeries. Implant stabilization is a fundamental factor in avoiding early recurrence of ptosis. This study describes an implant–support technique in which a fascial flap of the pectoralis major muscle is extended inferiorly with the rectus abdominis and external oblique fascia, and laterally with serratus fascia, to simulate a half–cup bra. It also outlines the indications and outcomes for this method.

Materials and Methods

This prospective study included 37 patients with breast ptosis who underwent the described technique from March 2021 to March 2023.

Results

We used three implant surfaces: microtextured, textured, and polyurethane. The outcomes were very good and excellent in 92.5% of the cases. Epidermolysis was the most frequent complication and occurred in 12.5% of the patients, or 9.4% of the operated breasts.

Conclusion

The distal flap of the deep mammary fascia, including its inferior and lateral continuation with the fasciae of the adjacent muscles, covering the lower half of the implant, proved to be an effective support. We indicate this flap for patients who want less “artificial” outcomes, with a defined breast but moderate cleavage projection. The technique presented a low incidence of complications.

Keywords

breast implantation - breast implants - mammaplasty - surgery, plastic - surgical flaps - surgical procedures, elective - surgical procedures, operative

Study performed at Clínica Spani Vendramin, Belém, PA, Brazil.




Publication History

Received: 29 September 2024

Accepted: 20 May 2025

Article published online:
14 September 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Fabiel Spani Vendramin, Ailin Castelo Branco, Lucas de Matos Pereira Dias, Gustavo Soares de Marchi, Luana Vendramin Domingos. Mastopexia associada a implantes de silicone: Técnica de sustentação dos implantes com retalho fascial inferior tipo “sutiã meia-taça”. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2025; 40: s00451810587.
DOI: 10.1055/s-0045-1810587
 

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