Background and objective.

Multiple mastopexy techniques have been described, however, reports of long-term results in different techniques are scarce. The inverted-T and periaerolar techniques continue to be the most used, reason why we describe our experience with the long-term comparison of the two techniques.

Methods.

A longitudinal, comparative, observational, retrospective study comparing aesthetic satisfaction, speed of recovery and the probability of long-term associated complications was carried out in 97 mastopexy cases: 48 operated with the inverted-T technique and 49 with the periareolar technique. The homogenization of the data was analyzed with the x2 and Fisher tests and the odds ratio (OR, 95% CI) was used as a measure of association between the surgical technique used and the probability of presenting complications.

Results.

At 5 years, of 48 patients who declared satisfaction of 100-80% all were operated with the inverted-T technique (p <0.001). For both the inverted T technique and the periareolar technique, the p-value according to the Friedman test for related samples was <0.000.

Conclusions.

In our experience, the periareolar mastopexy pattern has less satisfaction and more long-term complications than the inverted-T technique, from which we conclude that the periareolar mastopexy pattern is recommended in patients with grade I mammary ptosis and/or with small volume breast implants; mastopexy with the inverted-T technique has more satisfaction and fewer long-term complications like widening of the nipple-areola complex and breast asymmetry.

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