| Breast Augmentation in the presence of breast
ptosis or skin droop requires correction of the
excess of skin and the breast disproportion, in
addition to enlargement of the breast volume.
True ptosis of the breast is seen when the level
of the nipple falls to a point at, or below, the
level of the fold beneath the breast. There is
usually too much breast skin and too little breast
tissue volume in this situation, leading to the
appearance of elongated and flattened breasts.
A variant is seen where there is adequate breast
volume, but a high positioning of the lower breast
folds, and the resultant appearance of low - positioned
nipple areolae. In either instance, upward relocation
of the nipples, and tightening of the skin is
needed, along with adjustment of the position
of the lower and lateral breast folds.
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Our doctors always prefer placement of implants
beneath the pectoral chest muscles, to prevent
mammogram interference, and to prevent surface
wrinkling of the breasts that is often seen with
implants above the muscle (directly behind the
breast gland tissues). By approaching breast implant
placement via the Trans-Axillary technique (via
the armpit), our doctors are also able to prevent
potential contamination of the breast implants
with germs that are known to reside in the breast
tissue ducts, and are probably responsible for
the frequent finding of firm scar formation around
implants that are placed above the muscle. Also,
the axillary route to the submuscular plane will
preserve the intact muscular fascial envelope
from the chest muscles to the abdominal muscles,
maintaining "internal bra - like" support.
Breast Lift in concert with Breast Augmentation
Mammaplasty is a more complex procedure than breast
enlargement alone, and thus will require a longer
period of skin adjustment until the absolute final
result is apparent. Mastopexy or Breast Lift at
the time of Breast Augmentation always requires
some type of incision, or incisions, in the breast
skin, and thus there is a trade-off in achieving
improved breast shape and breast size, in exchange
for some scars. Depending upon the degree of sag
present, several different mastopexy approaches
may be used to tailor the skin, while placing
the least number of scars on the surface of the
breast. Mastopexy seldom leads to loss of nipple
sensation by the techniques that our doctors favor.
Fortunately, breast scars, if necessary, will
fade and flatten out with the passage of time.
Mastopexy Type
|
Considerations |
| Degree of Ptosis to be Corrected |
Synonyms and similar procedures |
| Crescent Mastopexy |
Mild apex sag Grade - I |
Nipple lift |
| Benelli Mastopexy |
Mild to moderate sag - Grade I-II |
Donut mastopexy; apex lift |
| Vertical Mastopexy |
Moderate sag - Grade II |
Modified Benelli, LeJour, Lollipop |
| Full Anchor Mastopexy |
Severe sag - Grade III |
Inverted-T, Weis Lift, Full Mastopexy |
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