Augmentation mastopexy elevates the breast tissue and the nipple areola complex and removes excess skin associated with silicone implants, seeking to correct asymmetries and preserving the sensitivity and physiology of the breasts. Women suffering from severe breast ptosis require further removal due to excess skin and consequente extensive scarring in the shape of an inverted T.

Several authors have developed techniques with reduced scars, aiming to eliminate the horizontal medial scar, which can become hypertrophic. Chiari Jr. described mammoplasty technique with a short scar, initially described for breast reduction and refined overtime by the author.

The mastopexy with implants and L-shaped scarring aims to correct grades I to II breast ptosis using implants in retroglandular space and retromuscular dual plane space, at the same surgical time.