I have decided to remove my implants after 15 years without replacement. I have opted not to have any further surgeries and know I will have smaller breasts. I have textured saline 330cc implants over the muscle with a capsular contracture on right breast. Knowing that I will need to take care of the excess skin and larger areola, what type of breast lift would you recommend in my case?
Hi Breastconfused. I recommend a superior pedicle mastopexy with a lollipop scar. You might need a very short horizontal scar in the inframammary fold/crease. I also suggest some internal work on the breast mound, using sutures to lift and shape the breast itself. This will help improve the longevity of the lift. In addition, I favor using Quill sutures to produce a pretty scar, especially around the areola. Hope this helps.
Tracy M. Pfeifer, MD, MS
Hi!
Removing the breast implants and doing the breast lift can all be done together.
The vertical breast lift gives you the best long term result because it shapes the breasts INTERNALLY, without relying on tightening the skin. Skin stretches, after all. And nobody needs the old fashioned "anchor" scar.
There are two types of surgical procedures:
Circumareolar lift (incision around the areola alone) -- with lifting and reshaping of the breast tissue.
Vertical scar mastopexy (lollipop incision) -- with lifting and reshaping of the breast tissue.
The Circumareolar lift can be done for those ith the sternal notch to nipple distance of less than 25cm after removal of the implants So the ability to use this procedure will be decided at the time of implant removal. The vertical scar mastopexy does not have this limitation.
Without examining you, it would be difficult to suggest a specific lift operation. If you do not have a lot of breast tissue after removal of the implants, you may not have much if anything to pexy.
Contact the doctor
