Table 2.
| Approach | Indicated Population | Conducive to Combined Mastopexy Augmentation? | Goals | Complications (immediate/delayed) | Long-term Expectations |
|---|---|---|---|---|---|
| Periareolar “Crescent Mastopexy” | Grade I/II ptosis | Yes | Address minor NAC asymmetries | Areolar herniation Purse-string breakage Palpable ring | Flattening and deprojection of the breast over time; scar hypertrophy |
| SPAIR | Grade I–III ptosis | Yes* | Ptosis correction; removal of glandular tissue (SPAIR), restoration of projection | Periareolar widening, pleating | Bottoming out; delayed and persistent asymmetries |
| Hall-Findlay | I–III ptosis | Yes | Ptosis correction, improved breast projection | Scarring | Final appearance takes time |
| Inverted-T | Grade III ptosis | Yes | Breast mound and lower pole elevation to restore youthful contour | Skin necrosis at the T-junction; hypertrophic scarring | Bottoming out over time |
| Y-Scar | Normal NAC diameter and ideal nipple position. Minimal to no ptosis | Yes | Improved projection with minimal scarring | Inferior areolar fullness; seroma formation | Bottoming out over time |
*Yes, although not traditionally performed.8