Advanced techniques for mastopexy in patients with ptotic breasts requiring nipple-sparing mastectomy: a narrative review

Achieving aesthetically pleasing results in patients with ptotic breasts who require nipple-sparing mastectomy (NSM) is crucial for an enhanced quality of life, however, preservation of the nipple-areola complex (NAC) introduces significant technical challenges. To address this, various surgical approaches and reconstructive timelines have been developed to expand NSM eligibility in patients with breast ptosis. This narrative review aims to synthesize current evidence on these approaches to guide surgical decision-making and patient counseling.