Split Mammary Gland Retromuscular Technique Mammoplasty: Solution to Avoid Waterfall and Improve Breast Reduction Outcome Longevity.

Authors

Nuberto Hopfgartner Teixeira, Daniel de Almeida Rocha Valente, Fabio de Freitas Busnardo

Published in

Plastic and reconstructive surgery. Global open. Volume 14. Issue 7. Pages e7944. Epub Jul 27, 2026.

Abstract

Maintaining optimal mammoplasty outcomes remains a significant challenge for surgeons. Complaints such as early ptosis, waterfall, and double-bubble deformities can compromise the longevity of aesthetic outcomes. This surgical report describes the split mammary gland retromuscular technique (SMART) mammoplasty, a novel approach aimed at preventing early glandular descent and waterfall deformity and ensuring long-term aesthetic results. This technique involves splitting the mammary gland pillars into deep and superficial layers along the coronal plane in a superior pedicle mammoplasty, transposing the deep layer of the gland into a submuscular pectoralis major strip, and using the superficial layers for breast closure.

PMID:
42517061
Bibliographic data and abstract were imported from PubMed on 28 Jul 2026.

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