Mastopexy is performed to lift, reshape, and restore tone to the ptotic breast. Dermal autoaugmentation mastopexy maintains the maximal existing tissue volume because an average of only 11.3 g is removed per side. This potentially avoids the need for prosthetic implants in patients concerned about breast implant issues. The procedure uses flexible freehand shaping and is also an ideal mastopexy when prosthetic implants are removed because it requires minimal undermining and preserves blood flow to the tissues. Long-term results are extremely stable without revision, even in cases of dramatic laxity.Therapeutic, IV.