used mainly for correction of severe grade III ptosis.
longer horizontal inframammary scar will allow maximum correction of ptosis.
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.
marked versatility in augmentation and/or mastopexy applications.
Tradeoff is increased scar length.
Best for grade I and II ptosis, results may not be great for severe grade III ptosis.
Eliminates medial portion of an inverted-T scar and shortening the lateral limb.
Regnault - vertical limb of the L originates from the lateral margin of the areola and then extends down to the inframammary fold.
(left) Chiari and (right) Regnault.
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