Call us at 469-467-0100


Plano TX Plastic Surgery - Flower Mound TX Plastic Surgery

Breast Augmentation and Lift: Incision Options

In an ideal world, breast augmentation alone would lift sagging breasts.  In the real world, it doesn’t.  For a discussion of whether you would be better off with implants alone versus implants with a lift, please see  our article.

 

Assuming that you are interested in mastopexy(breast lift) in conjunction with breast enlargement, there are four potential incision choices:

 

1.   Crescent mastopexy

 

 

Advantages: Small scar along the upper half of the areola(pigmented tissue surrounding the nipple).

Disadvantages: Minimal degree of lift, may stretch and distort the areola.

Bottom line: I rarely, if ever, recommend this technique.

 

2.   Periareolar (donut) mastopexy

 

Before                                             After

Periareolar mastopexy with breast implants

Advantages: Small scar around the entire areolar border, may reduce areolar size.

Disadvantages: Mild degree of lift, long-term risk of areolar stretching (especially if an aggressive degree of lifting is attempted).

Bottom line: Useful in carefully selected patients who are interested in lifting the nipple areolae while reducing areolar size.

 

3.   Vertical (lollipop) mastopexy

 

Before                                             After

Vertical mastopexy with Breast implants

Advantages: reliably lifts most breasts and nipple-areolae, helpful in lifting asymmetric breasts, reliably reduces areolar diameter

Disadvantages: Larger scar (vertical lower breast scar in addition to periareolar scar).

Bottom line: I use this technique for most augmentation mastopexies.  In most women, the advantage of improved breast contour outweighs the disadvantage of a vertical scar.

 

4.   Inverted-T (anchor) mastopexy

 

Before                                           After

 

Inverted-T mastopexy (without implants)

Advantages: reliably lifts even the saggiest breasts

Disadvantages: Largest scar (horizontal scar in breast crease, vertical lower breast scar, and periareolar scar).  Larger risk of delayed wound healing, which can endanger underlying implants.

Bottom line: I use this technique for some breast lifts (without implants) and most breast reductions.  Unlike many surgeons, I do not typically use the full anchor incision for simulataneous augmentation and mastopexy.

Here’s a brief summary of my usual recommendations:

 


Degree of sagging                                Recommendation

Minimal                                                   Breast implants alone

 

Mild                                                           Periareolar  (donut)mastopexy or breast implants alone

 

Moderate                                                Vertical (lollipop) mastopexy

 

Severe                                                      Inverted-T (anchor) mastopexy

 

 

There is no perfect technique that suits all women and all breasts. In carefully selected patients, however, the combination of breast augmentation and breast lift may lead to a far better result than either operation performed alone.

 

 

Leave a Reply

© 2018 Ronald M. Friedman, M.D., P.A.

Contact Us At 469-467-0100

Web design by Ciplex, development & marketing by Plastic Surgery Studios.