Breast Lift: Q&A

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Breast Lift Type for Excess Skin and Large Areolas?

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?

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areola breasts skin capsular contracture female 300-349cc saline implants excess smaller textured implants

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18 Doctor Answers | Asked by breastconfused in Florida

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Breast Lift After Implant Removal

Removal of breast implants leaves sagging breasts with significant amounts of excess skin. Your enlarged areolas are likely the result of the implants. The surgery entails resizing the areolas to the normal size of 38-45mm. This incision is then used to access the breast pocket. The implant and capsule are removed. Once this is done the excess skin is removed from around the the areola. The scars are going to end up around the areola, then a vertical scar down to the crease then... more

What kind of lift after removing implants?

Thank you for your question and for your photographs. As you know when the implants are removed the breast will deflate and it will be more drooping. You certainly have a few options here. You could remove them and wait for a while. When the implants are removed some of the sagging will tighten up a bit and you may find yourself in a position where you are comfortable without a lift. You have certainly burned no bridges with this option. For option number two you... more

Breast lift and removal of breast implants

The decision to remove your breast implants and have a breast lift is a difficult one, because you trade your implant problems for scars on your breasts. Looking at your photos it appears you will need a lift and the type depends on how much extra skin you have after implant removal. This is based on measurements before hand and during the operation, as well areolar reduction should be part of this procedure. I have a tendency not to push the verticle technique as it can leave bunching of... more

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Breast lift for excess skin and large areolas depends

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... more

Best type of breast lift-removing implants.

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

You need a vertical breast lift with a lollipop scar.

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.

Post-explantation lift

I believe you will probably do well with a vertical ift or lollipop incision. I don't think you wil need anything fancy since most of your issues will be related to volume loss not excess skin. I don't think you will have enough tissue to move around to make a significant difference and each extra manuveur adds certain risks. You don't want to make a mountain out of a mole hill. Scars are permanent and will your black skin I would want to minimize scars initially. You can always add scars... more

Robin T.W. Yuan, MD

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Beverly Hills Plastic Surgeon

Mastopexy Breast lift with implant removal

SEE VIDEO BELOW FOR MASTOPEXY WITHOUT IMPLANTS BY CLICKING "MORE": I would recommend implant removal with a superior pedicle and transposition of redundant lower pole parenchymal tissues to the evacuated capsule using a vertical mastopexy approach or LeJour Modification. see video

Breast lift choices

You will need a full lift to reduce the areolas and tighten the lax skin. You will see controversy about using a lollipop incision with no crease component or using a modified anchor incision with some crease element. Personally, I have not seen results from other surgeon's versions of the lollipop that in my opinion I like better than the results I get with the freehand central pedicle lift which has some scar in the crease.

Breast lift and removal of implants

Hi, It is not an easy decision to remove your implants because you have lived with a fullness above the braline that you will now lose. In the immediate breast lift period, there will be a fullness that will decrease over time. In looking at your pictures, you need an agressive asymetric mastopexy to compress your remaining tissue and with this, the areolas are decreased. The tighter the better in the immediate period because you will loosen up... more

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