Letter A incision periareolar mastopexy with breast implant augmentation

20 cases of the females with mild to moderate drooping of breasts, undergone mastopexy and augmentation of breast at the same time, through letter A (upper half of areola) periareolar incision, after pointing the position of new areola towards the narrow part of letter A. We excised the excess skin, insert the breast implant (silicon, saline filled) according to the size that the patients selected, closed the skin in layers. High satisfaction rate about 80% was achieved with very small post operative scars and few complications. The aim of this paper is to report our surgical experience in performing one-stage mastopexy with breast augmentation, with small periarolar scar, in 20 patients with mild to moderate drooping of the breasts.