See VIDEO below:
1) Ptosis: Although this can easily be performed with any breast, there are certain features which make some patients better candidates for various techniques. Probably the single most important factor in determining if you are a good candidate is the degree of ptosis (sagging).This is classified according to the nipple position in relation to the crease beneath the breast (where the underwire sits). Some people use the pencil test; standing in the upright position, place a pencil horizontally beneath the breast crease and let the breast fall on to the pencil thereby holding it against you chest, if the nipple rests at or above this horizontal line, then you are a good candidate for the augmentation procedure alone. If it rests at slightly below the breast crease, then you a may be a candidate for minimal incision lift procedures (crescent or donut lift) with or without an implant. If it rests more significantly below this horizontal line, a more extensive type of lift (vertical or vertical/horizontal incision) is likely required with/without an implant in order to achieve a more optimal result. Obviously I am enclosing the information you are requesting about a breast lift (mastopexy) or enlargement (augmentation mammoplasty) .
Please see our web site for a description of the procedure. http://www.bodysculptor.com
It is important to understand that a breast lift will lift the nipple to give it a more firm appearance. However, it does not make your breast feel more firm (usually achieved with an implant).
BREAST LIFT (MASTOPEXY)
An office visit/consultation is mandatory prior to scheduling the procedure. The following information is based on a breast lift procedure only. During the consultation we may determine that other procedures are better suited for your optimal outcome. Please contact our office at 847-398-1660 to schedule a complimentary consultation.
Two of the most important issues are: 1) the amount of sagging (called ptosis) and 2) the amount of natural breast tissue. These two anatomical features must be taken into account in order to advise the amount of lift and whether implants could be placed above/under the muscle.
, it is very difficult to describe over Email and more easily performed during a consultation (complimentary).The correct procedure for you depends on several factors.
2) Tissue: The amount of breast tissue you have may help determine whether an implant can be positioned above or under the muscle. If you perform a skin pinch on the breast tissue and this is less than an inch in thickness, you may be better off putting the implant below the muscle in order to avoid the "bubble look". If put above the the muscle in a thin, small breasted individual the implant will be obvious. Think of a baseball under a silk sheet. If your breast pinch is more than an inch thick then you can choose to put it either under or over the muscle. Think of a baseball under a thick comforter. In either situation, changes can occure with advanced aging which will effect the long term appearance of the breast and may require additional surgery in the distant future. These looks have been termed the "double bubble" look for under the muscle or "rock in the sock" for over the muscle.
Surgery is about 2-4 hours and is usually performed on an outpatient basis.
The choice of incisions vary tremendously and depend on the extent of the drooping (called ptosis). Incisions may be limited to or around the areola (the pigmented part of the nipple/areola complex), may extend straight down from the nipple, and/or may require and incision under the breast as well. If implants are required, I generally prefer smooth implants placed under the muscle using an incision under the breast.
