{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T06:13:36Z","timestamp":1789452816230,"version":"build-2803163510"},"reference-count":13,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"vor","delay-in-days":145,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/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:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Mastopexy aims to correct breast ptosis and restore contour and position, but existing techniques may compromise nipple\u2013areola complex (NAC) vascularity, sensitivity, or lactation potential. Reported limitations include recurrent ptosis, bottoming out, and perfusion-related complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this study was to evaluate the long-term safety, stability, and effectiveness of total pedicle preservation mastopexy (TPPM) in women undergoing mastopexy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective case series of 488 women (cup size A-D, grade I-II ptosis) underwent TPPM between 2012 and 2022, performed by a single surgeon. Patients were followed at 1, 6, 12, and 24 months. Primary outcomes included sternal notch-to-nipple (SN-N) distance, nipple-to-inframammary fold (N-IMF) distance, breast density (Shore O Durometer), and areolar diameter. Complications were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean SN-N distance decreased from 25.22\u2005cm preoperatively to 20.65\u2005cm at 24 months (P &amp;lt; .001). N-IMF distance increased modestly from 7.2\u2005cm postoperatively to 8.1\u2005cm at 24 months, corresponding to a 52.9% relapse of the initial correction with 47.1% of the initial correction maintained. Breast density increased from 7.6 to 8.8 Shore O units at 24 months (P &amp;lt; .001), remaining above baseline. Areolar diameter decreased from 64.2\u2005mm preoperatively to 42.0\u2005mm at 24 months. The overall complication rate was 2.5%. 12 events in 488 patients with no cases of NAC necrosis, hematoma, wound dehiscence, or infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>TPPM is a safe, reproducible mastopexy technique that achieves stable long-term results. It offers an effective alternative for patients seeking durable, natural outcomes without implants or major tissue excision.<\/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                  <\/jats:sec>","DOI":"10.1093\/asjof\/ojag057","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T11:58:05Z","timestamp":1775044685000},"source":"Crossref","is-referenced-by-count":1,"title":["Total Pedicle Preservation Mastopexy: Technique, Safety, and Long-term Results"],"prefix":"10.1093","volume":"8","author":[{"given":"Radu","family":"Ionescu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodor","family":"Mare\u0219","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Dima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u0103d\u0103lina Corina","family":"Totir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristian Radu","family":"Jecan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,26]]},"reference":[{"key":"2026052615420828000_ojag057-B1","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1055\/s-2007-1026471","article-title":"Die k\u00fcnstlerische Darstellung der weiblichen Brust als Attribut der Weiblichkeit und Fruchtbarkeit als auch der Spende der Lebenskraft und der Weisheit [Artistic representation of the female breast as an attribute of femininity and fertility and also the origin of life force and wisdom]","volume":"50","author":"Kirchhoff","year":"1990","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"2026052615420828000_ojag057-B2","doi-asserted-by":"publisher","first-page":"711","DOI":"10.1007\/s00266-010-9527-5","article-title":"Key points in mastopexy","volume":"34","author":"De Benito","year":"2010","journal-title":"Aesthetic Plast Surg"},{"key":"2026052615420828000_ojag057-B3","doi-asserted-by":"publisher","first-page":"1388","DOI":"10.1097\/PRS.0000000000002048","article-title":"The blood supply of the breast revisited","volume":"137","author":"van Deventer","year":"2016","journal-title":"Plast Reconstr 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