![](../../../imagens/v29n3a11-fig01.jpg)
Figure 1. (A) Patient marked as described in text. (B) Resection of the circumareolar epidermis. (C) Semicircular infra-areolar incision up to the pectoral fascia. (D) Digital detachment in the subglandular plane. (E) Ample pocket prepared to receive the implant. (F) Placement of the conical prosthesis.
![](../../../imagens/v29n3a11-fig02.jpg)
Figure 2. (A) Breasts with implants placed. (B) Approximation of glandular breast tissue with monocryl 3.0. (C) Round-block circular suture with mononylon 2.0 (before approaching the surrounding skin). (D) Right breast already with approximation of the surrounding skin with the round-block suture, up to the diameter of the 4-cm areolotome. (E) Both breasts after the round-block suture. (F) Result after the intradermal suture with monocryl 3.0 in the areolar perimeter.
![](../../../imagens/v29n3a11-fig07.jpg)
Figure 7. (A, C, E) Preoperative aspect of a 55-year-old patient with grade I ptosis who desired breast augmentation and breast pexy. (B, D, F) Postoperative aspect at 8 months after periareolar mastopexy with a conical prosthesis (300 mL, extra-high profile).
![](../../../imagens/v29n3a11-fig08.jpg)
Figure 8. (A, C, E) Preoperative aspect of a 29-year-old patient with grade II ptosis, asymmetry, and sharp lateralization of the nipple-areola complex. (B, D, F) Postoperative aspect at 18 months after periareolar mastopexy with a conical prosthesis (280 mL, high profile).
![](../../../imagens/v29n3a11-fig09.jpg)
Figure 9. (A, C, E) Preoperative aspect of a 46-year-old patient with asymmetry and grade I ptosis, who already had a 220-mL breast prosthesis placed 10 years ago and wanted breast augmentation and pexy. (B, D, F) Postoperative aspect at 12 months after periareolar mastopexy and replacement with a conical prosthesis (380 mL, extra-high profile).
![](../../../imagens/v29n3a11-fig10.jpg)
Figure 10. (A, C, E) Preoperative aspect of a 33-year-old patient with hypoplasia and grade I mammary ptosis. (B, D, F) Postoperative aspect at 18 months after periareolar mastopexy with a conical prosthesis (380 mL, extra-high profile).
![](../../../imagens/v29n3a11-fig11.jpg)
Figure 11. (A, C, E) Preoperative aspect of a 34-year-old patient with grade III ptosis, mammary asymmetry, and large and lateralized areolas. (B, D, F) Postoperative aspect at 6 months after periareolar mastopexy with conical prostheses (extra-high profile, 300 mL in the right breast and 345 mL in the left breast).