Mastopexy is a common aesthetic surgical procedure used to address nipple malpositioning at or below the inframammary fold, known as breast ptosis. Mastopexy is typically an outpatient procedure performed on patients with ptotic breasts who wish to reposition the nipple-areolar complex (NAC) to a higher and more youthful position while preserving breast volume. Several mastopexy techniques have been described in the literature, and a detailed discussion between the patient and surgeon is paramount when selecting the best surgical option. This decision should be based on the patient's anatomy and degree of ptosis, as well as the amount of breast scarring that the patient is willing to accept. Furthermore, mastopexy can be performed in combination with breast augmentation to address nipple position and increase breast volume. Therefore, each case is tailored to the patient's anatomy and desired outcome.
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