Breast lift or mastopexy is a surgical procedure to raise and reshape sagging breasts. Factors such as pregnancy, nursing, weight change, aging and gravity produce changes in the appearance of a woman’s breasts. As the skin loses its elasticity, the breasts often lose their shape and begin to sag. Breast lift or mastopexy is a surgery performed by plastic surgeons to raise and reshape sagging breasts. This operation can also reduce the size of the areola, the darker skin around the nipple. If your breasts are small or have lost volume after pregnancy, breast implants inserted in conjunction with mastopexy can increase both firmness and size. The best candidates for mastopexy are healthy, emotionally stable women who have realistic expectations about what this type of surgery can accomplish. Breasts of any size can be lifted, but the results may not last as long in women with heavy, large breasts. Mastopexy does leave permanent, noticeable scars on the breasts, and the breasts will be smaller than your current size.
TECHNIQUES FOR BREAST UPLIFT OPERATION
1- Crescent Breast Lift
2- Peri-Areolar Lift
3- Lollipop Lift
4- Full Mastopexy (Anchor)
The Crescent Lift:
This technique involves removing a crescent-shaped piece of tissue above the areola and resuturing the tissue higher. This creates a minor lift for patients who have slight breast ptosis.
This technique is considered less invasive and was designed with scars around the areolae. A doughnut-shaped piece of tissue around the areola border is removed and the surrounding tissue sutured to the areola. The incisions are normally closed with purse string sutures. Sometimes a little more tissue is removed above the areola (as with the crescent lift) to compensate for a lifting effect when it is sutured. It results in a flatter, rounder breast shape post-operatively.
Lollipop Lift :
This lift is the same as the above but with straight incisions from under the areolae to the mammary folds (crease). This is for those who have medium ptosis.
Full Mastopexy (Anchor):
The most commonly used mastopexy technique involves an anchor-shaped incision that starts at the base of the areola, vertically to the where the breast meets the rib cage. The incision then cuts out a crescent shape piece of skin right above where the breast meets the rib cage. Nipple repositioning is necessary with this technique as the nipple must be removed (see below). This is considered one of the major scarring techniques, but it is sometimes necessary with severely sagging breasts. With the standard Mastopexy, the incisions are made in the shape of an anchor at the natural crease of the breast up to the areola (darker skinned area) and nipple area.
The best candidates for breast uplift operation are the ones who lost the firmess of their skin due to breastfeeding, pregnancies, weight-loss or aging. Depending on the extent of the sagginess and the excess skin tissue, the right incision pattern is utilized to retrieve the firmness and perkiness of the breasts. Namely, there are two incision methods being utilized (Inverted "T' incision and "Periolar" incision). The inverted "T" incision involves placing the incision around the circumference of the areola which is connected with the verticular incision that lies on the frotal facade of the breasts. The other incision placed on the breast crease is joined with this verticular incision. The excess skin that remains within the territory of the incision is reduced and the nipple is pointed positioned upwards to achieve a perkier look. With patients who have small degree of sagginess, periolar incision could be a viable option as opposed to the "inverted "T" shaped incision". Periolar incision stands as a limited incision that involves removing excess skin around the areola only. The decision to choose the right technique of operation rests on the anatomy of the patient and the degree of sagginess.