A variety of surgical breast surgery techniques can be used for restoring the breasts to a more youthful position and shape. The goal is to both relocate the nipples to a higher position, and to restore breast projection (and to maintain projection for the long term).
Breast lift surgery works well for patients with enough existing breast tissue to build a projecting 'breast mound'. However, in some patients it is difficult to create sustainable fullness in the upper poles of the breasts by means of a mastopexy alone. This is particularly true in patients who have experienced significant deflation following pregnancy and lactation. For patients who indicate that they wish to achieve a fair amount of fullness in the cleavage area as a result of their breast lift surgery, I may recommend that they undergo augmentation mastopexy. This surgery combines a breast lift with the placement of a breast implant, usually of modest size, which produces the most youthful breast profile possible.
For several years I have been using a 'vertical scar' technique for for breast lift surgery, and have been extremely pleased with the results. This new technique often eliminates the horizontal incision, and creates more impressive breast projection and maintains it better over time. The breast lift procedure I perform not only removes breast skin but also moves some lower pole breast tissue to a higher position, increasing the projection of the nipple/areola area.
