{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T09:29:09Z","timestamp":1782206949034,"version":"3.54.5"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Breast ptosis remains challenging, particularly when excess skin and parenchyma are pronounced. Inferior-pedicle techniques may be prone to recurrent ptosis with lower-pole elongation and loss of upper-pole projection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of the study was to describe and evaluate a mastopexy technique using an inferior-septal pedicle with dermal\u2013muscular fixation designed to enhance long-term stability in severe ptosis (Regnault grade III).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Single-surgeon, single-center consecutive case series (Level IV). One hundred and sixteen women with Grade III ptosis underwent surgery from January 2016 to June 2023. The technique uses an inferior-septal dermoglandular pedicle with dermal fixation to the pectoralis major. Outcomes were assessed through standardized examinations, photography, and the BREAST-Q Reduction\/Mastopexy module at 3, 6, and 12 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 116 patients were analyzed (median follow-up, 12 months). Mean suprasternal notch\u2013nipple distance decreased from 36.3 to 22.0\u2005cm, and nipple-inframammary fold from 14.5 to 8.0\u2005cm at 12 months. BREAST-Q scores at 12 months demonstrated high satisfaction (mean \u226580\/100). No NAC-related vascular events, infections, or hematomas occurred (0%). Wound-healing disturbances were noted in 16\/232 breasts (6.9%). Revisions occurred in 13\/116 patients (11.2%), mainly scar adjustments; secondary ptosis correction was required in 5\/116 (4.3%). No cases of persistent nipple sensory loss were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The proposed mastopexy technique with inferior-septal pedicle provides effective correction of severe ptosis with good upper-pole fullness and stable long-term breast shape, while preserving NAC perfusion, innervation, and potential lactational function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence: 4 (Therapeutic)<\/jats:title>\n                    <jats:p>For image description, please refer to the figure legend and surrounding text.<\/jats:p>\n                  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