{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T07:47:42Z","timestamp":1782460062378,"version":"3.54.5"},"reference-count":20,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T00:00:00Z","timestamp":1772409600000},"content-version":"vor","delay-in-days":60,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The authors evaluated the feasibility, safety, and patient-reported outcomes of a standardized autologous protocol (\u201cBrazilian Breast Sculpting\u201d) that integrates liposuction, Liacyr flap creation, intramuscular and subcutaneous fat grafting, a muscular sling, and an internal bra. In this prospective case series, 38 patients (mean age 44 years; BMI \u226428) underwent the 6-step protocol between January 2023 and November 2024 and completed at least 12 months of follow-up. Patient-reported outcomes were assessed at 12 months using the Brazilian Portuguese version of the BREAST-Q reduction\/mastopexy module. All patients completed the standardized protocol. Postoperative morbidity was low; wound dehiscence occurred in 5 patients (13.2%) and suture extrusion in 7 (18.4%), with all cases managed conservatively. At 12 months, mean BREAST-Q scores (0-100) suggested high satisfaction, particularly for satisfaction with breasts and physical well-being (chest). These preliminary findings suggest that Brazilian Breast Sculpting is a feasible autologous approach to mastopexy without implants with favorable patient-reported outcomes and an acceptable safety profile.<\/jats:p>\n                  <jats:p>Level of Evidence: 4 (Therapeutic)<\/jats:p>","DOI":"10.1093\/asjof\/ojag040","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T12:44:08Z","timestamp":1772196248000},"source":"Crossref","is-referenced-by-count":0,"title":["Brazilian Breast Sculpting: A Standardized Approach to Mastopexy Without Implants"],"prefix":"10.1093","volume":"8","author":[{"given":"Jeimeson","family":"Costa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jediael Magalh\u00e3es","family":"Paiva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme","family":"Bastida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Luiza Chagas","family":"Maneira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Elisa","family":"Kadri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Wippich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,3,2]]},"reference":[{"key":"2026062603065891600_ojag040-B1","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1007\/s00266-002-0111-5","article-title":"Reduction mammaplasty and mastopexy using the vertical scar and thoracic wall flap 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inframam\u00e1rio","volume":"33","author":"Gasperin","year":"2018","journal-title":"Rev Bras Cir Pl\u00e1st"},{"key":"2026062603065891600_ojag040-B8","first-page":"223","volume-title":"Plastic and Reconstructive Surgery of the Breast","author":"Pitanguy","year":"1976"},{"key":"2026062603065891600_ojag040-B9","doi-asserted-by":"publisher","first-page":"108S","DOI":"10.1097\/01.prs.0000234610.81672.e7","article-title":"Structural fat grafting: more than a permanent filler","volume":"118","author":"Coleman","year":"2006","journal-title":"Plast Reconstr Surg"},{"key":"2026062603065891600_ojag040-B10","doi-asserted-by":"publisher","first-page":"360376","DOI":"10.1016\/j.asj.2009.08.010","article-title":"Fat injection to the breast: technique, results, and indications based on 880 procedures over 10 years","volume":"29","author":"Delay","year":"2009","journal-title":"Aesthet Surg 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