Mastopexy introduction

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  used mainly for correction of severe grade III ptosis.
  
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  longer horizontal inframammary scar will allow maximum correction of ptosis.
  
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  Wise pattern tends to produce a long horizontal scar. Another option is a modified Strombeck pattern, which uses an oblique instead of a vertical scar so that the scar is rotated laterally
  

Inverted-T scar technique: (above, left) Strombeck, (above, center) Flowers, (above, right) Nicolle, (below, left) Peixoto, (below, second from left) Pitanguy, (below, third from left) Wise, and (below, right) Marchac.

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  marked versatility in augmentation and/or mastopexy applications.
  
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  Tradeoff is increased scar length.
  

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  Best for grade I and II ptosis, results may not be great for severe grade III ptosis.
  
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  Eliminates medial portion of an inverted-T scar and shortening the lateral limb.
  
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  Regnault - vertical limb of the L originates from the lateral margin of the areola and then extends down to the inframammary fold.