Abstract

Circumareolar, periareolar, and donut mastopexy are different names for a common approach to patients with a ptotic breast. The crescent mastopexy was conceived as a modification of this approach in which the skin resection (in a crescent shape) is restricted to the segment adjacent to the upper half of the areola. Both crescent and circumareolar mastopexy with augmentation are best indicated in patients with a nipple–areolar complex diameter greater than 35–40 mm. Thicker and pigmented skins tend to have worse healing when crescent and circumareolar mastopexy with augmentation are performed. Crescent mastopexy with augmentation is a technique used for patients with low-grade ptosis in which the desired lift of the nipple–areolar complex does not exceed 3 cm.

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