It’s not unusual for
patients with breast sag to request breast lift surgery. A variety of surgical
options exist for managing this condition. Your pictures suggest that you would
benefit from one of these procedures. The exact procedure would depend on your
aesthetic goals and physical examination. Depending upon the severity of breast
sag, several treatment options exist.
In cases of mild
breast sag, the excess skin and sag can be treated with a donut mastopexy. This
procedure removes and tightens the excess skin around the areola. This leaves a
scar at the junction between the areola and surrounding tissue.
In more severe cases
of sag, a lollipop incision can be utilized to deal with excess skin. This
leaves a circular incision around the areola with a vertical extension that
extends to the infra-mammary fold. When extreme sag is present, excision of
excess skin requires not only a vertical incision, but an incision transversely
in the infra-mammary fold as well. This results in a circular incision, and a
transverse incision hidden in the fold beneath the breast.
Each of these
procedures can be performed in combination with breast augmentation when
patients want larger breasts. This results in increased upper pole breast
fullness with increased breast projection.
It’s important to
remember that every woman with breast sag is unique. Their anatomic starting
points and aesthetic goals are always different. Any patient considering breast
lift surgery should consult a board certified plastic surgeon. After careful
evaluation, an appropriate treatment plan can be formulated.