Valente DS et al. Crescent mastopexy with silicone implants: a longitudinal prospective study Mastopexia crescente com implantes de silicone: um estudo longitudinal prospectivo ABSTRACT Background: The combination of crescent periareolar mastopexy with breast augmenta tion is a well-described technique for the cosmetic improvement of breast ptosis classified as grades I and II, according to the Regnault grade scale. The aim of this study is to discuss the results obtained by the authors using a combination technique where the center of the round implants was positioned below the nipple projection. Methods: Grade I ptosis was corrected in certain patients by a combination of crescent periareolar mastopexy with breast augmentation using round-shaped, high-profile silicone gel implants. Each patient comple ted a questionnaire and rated the results obtained as poor, satisfactory, or good. Results: Were studied 128 patients who received silicone implants (average volume, 308 mL). The observed reoperations and complications rates were 9.4% and 8.6%, respectively. Eigh tyone (63.3%) patients responded to the questionnaire, and 58% considered the result good, 35.8% considered it satisfactory, and 6.2% considered it poor. Conclusions: This study showed that this combination of techniques yields good results and low complication rates.