Plastic and reconstructive surgery
October 15, 2026 · via Europe PMC
Modified Liacyr-Ribeiro Breast Reduction and Mastopexy: Long-Term Outcomes with More Than 10 Years of Follow-up.
Matias M, Igreja R, Insua I, Teixeira S, Carvalho F, Marques M, Barros AS, Costa-Ferreira A.
AI summary — for doctors, generated from the abstract only
The Modified Liacyr-Ribeiro breast reduction technique showed durable shape and high patient satisfaction after more than ten years.
What was studied
Single-center retrospective cohort with prospective follow-up of 86 patients who had bilateral reduction mammaplasty (2010-2015) using an inferior lipo-glandular flap fixed to the chest wall, mean follow-up 14 years, assessed by patient-reported, anthropometric, surgeon and blinded photographic evaluation.
Key findings
- Mean satisfaction was 4.48/5, with 86.0% reporting high satisfaction.
- Adequate upper pole projection in 95.7% and correct nipple position in 97.8%; no clinical pseudoptosis and 1% on blinded photos.
- Age, menopause, pregnancy and weight changes did not negatively impact outcomes.
Clinical relevance
Supports the autologous prosthesis concept as a way to maintain shape long term.
Who should care
Limitations
Single-center, single-surgeon-technique series with no comparison group and possible loss to follow-up or selection bias.
Encouraging long-term durability, without a comparator.
This is an AI-generated summary of the published abstract, not a clinical recommendation. It may not reflect the full text or subsequent updates — verify against the original source before acting on it.
Abstract
Background
Long-term maintenance of breast shape after reduction mammaplasty remains challenging, with inferior pole descent and pseudoptosis as possible late complications. The Modified Liacyr-Ribeiro Technique incorporates an inferior lipo-glandular flap fixed to the chest wall, functioning as an autologous prosthesis to improve internal support. Objective data beyond a decade remain scarce. This study evaluates long-term (>10 years) patient-reported and structural outcomes after the Modified Liacyr-Ribeiro Technique.
Methods
A single-center retrospective cohort with prospective follow-up assessment was conducted. Eighty-six patients undergoing bilateral reduction mammaplasty with our technique between 2010 and 2015 were included (mean follow-up of 14 years). Outcomes included patient-reported satisfaction and symptom relief, objective anthropometric measurements, surgeon clinical assessment, and blinded panel-based photographic evaluation. Multivariable regression analysis were used to identify predictors of long-term satisfaction.
Results
Overall, long-term satisfaction was high (mean score 4.48/5), with 86.0% of patients reporting high satisfaction. Objective clinical evaluation demonstrated stable breast shape, with adequate upper pole projection in 95.7% and correct nipple position in 97.8%. No cases of pseudoptosis were reported clinically. Blinded photographic assessment confirmed a very low prevalence of pseudoptosis (1%). Age, menopausal status, pregnancy, and postoperative weight variations - including extreme changes requiring bariatric surgery - did not negatively impact long-term satisfaction or structural outcomes.
Conclusions
The Modified Liacyr-Ribeiro Technique provides durable structural support and sustained patient satisfaction over more than a decade of follow-up, supporting the autologous prosthesis concept as an effective strategy to preserve breast shape and prevent inferior pole descent, largely independent of major physiological stressors.
DOI
10.1097/prs.0000000000013539
PMID
42879138
Research metadata (titles, abstracts, authors, publication dates) is sourced from Europe PMC, which aggregates content from PubMed/MEDLINE, PubMed Central, and other providers under the U.S. National Library of Medicine (NLM/NCBI). NLM does not claim copyright on abstracts; the original journal publishers or authors may hold rights to the full articles. AI-generated summaries are derived only from the abstract, never the full text, and are always labeled as AI-generated.
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