Mastopexy includes multiple skin incision design and parenchymal manipulation options. Patient evaluation includes assessment of goals, degree of ptosis, tissue volume, skin quality, and breast position on the chest wall. There are critical technical details for each of the three incision options, the various methods of parenchymal manipulation, and implant placement. The potential for complications is greatest for combined augmentation and mastopexy. Although they are effective, mastopexy procedures have the greatest incidence of litigation among aesthetic breast procedures.
