Classical mastopexy techniques have always been adopted to treat breast ptosis of all grades
however, they only lift the breast without addressing upper pole fullness and firmness. An increasing number of patients are seeking different aesthetic outcomes in terms of shape and pertness, comparable to those of augmentation mammaplasty without breast volume increase. To address this request, we propose an innovative surgical approach, iso-volumetric implant shape (IVIS) mastopexy. In this study, we report our experience with IVIS mastopexy performed on 11 female patients from January 2019 to February 2023. We describe our indications, exclusion criteria, surgical technique, and outcomes. Patient satisfaction was evaluated at 6 and 12 months post-operatively using a questionnaire that assessed various parameters on a scale from 1 to 4. We successfully achieved a high level of patient satisfaction and met their expectations. There were no major complications, with only one patient (9%) experiencing dehiscence at the inverted T mastopexy. We propose a new concept/technique that enriches the knowledge base as it introduces an additional procedure to the cosmetic surgeon's armamentarium, allowing them to satisfy an increasing number of patients.