Background and objective.

Mastopexy combined with implants that we present with the denomination Regulated technique, aims to simultaneously treat the volume and position of the breast, using silicone gel implants, thus achieving the increase and lifting of the breast in a single surgical time, through a systematization of steps.

Methods.

We describe this systematization based on 5 main rules, and present an study in patients who consulted for hypotrophy, inconsistent breast tissue and breast ptosis with or without massive weight loss, carried out in patients who attended the Plastic and Postbariatric Surgery Unit (Caracas, Venezuela) during the period 2009-2019.

Results.

Mastopexy was performed by Regulated technique in 481 patients between 19 and 61 years old; 37.63% (n=181) had postbariatric condition, 23.91% (n=115) were primary surgeries, 56.13% (n=270) secondary surgeries; 84.62% (n=407) underwent mastopexy with the superior pedicle technique, being the most frequently used in patients without post-bariatric condition (54%), and mastopexy with the inferior pedicle technique was the least used, only in (2.49%) (n=12), and mostly in patients with post-bariatric condition (83.33%). Regarding the skin pattern, minimal scars were made in 84% (n=404) and inverted T in 16% (n=77). Round silicone implants with a volume range of 400 to 500 cc were used in 62.37% (n=300). Complications occurred with an incidence of 14.34% (n=69), the most frequent being: fat liquefaction (3.95%), cellulite (3.53%) and seroma (3.11%), only requiring revision surgery in 3 cases.

Conclusions.

The step by step of the Regulated technique offers the surgeon a practical guide to effectively perform the combination of mastopexy with the use of breast implants, with a low rate of complications demonstrated by our clinical series.

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