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Sub-Areolar Vs Circumareolar Vs SemiAreolar Mastopexy
I am considering a Breast Lift and I am researching my options and I'm not sure if understand the difference or the benefits/downsides of these different procedures. Are there sugury videos available for me to veiw these procedures?
Asked 35 months ago by
tjra23 in Springfield, IL, USA
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Sub-Areolar, Semi-areolar, and Circum-areolar Mastopexy
I understand your confusion and it occurs because these terms are often used improperly.
I have tried to clarify these terms for you:
Sub-Areolar = Dermal Mastopexy
This incision goes all the way around the border of the areola and is essentially a modified circumareolar mastopexy popularized by Dr. Becker. I have tried this with moderate success.
Circum-Areolar=Donut = Benelli=Round Block Masotpexy
This incision goes all the way around the areola. Its benefits are the limited scar. The...
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Subareolar vs. Circumareolar Mastopexy
There are technical differences in procedures done with an incision around the areola only.
The technical variations are relatively minor, and just that: technical. Each uses an incision around the areola. The placement of the sutures and the manner that the tissue is tucked varies slightly.
These techniques are suitable for minor changes in nipple position, but often result in flattening of the breast (less projection), and can result in stretching of the scar and of the...
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What type of Mastopexy is best for me?
Dr. Placik explains the differences beautifully. Each procedure is useful, depending on the distance the nipple needs to be elevated. In some cases, a vertical scar is added when the distance is greater than that which is easily accomodated by a peri-areoar or crescent skin excision. Many patients do not want a vertical scar. However, if the nipple has to be elevated more than about 1.5cm, and if no vertical incision is used, the peri-areolar scar can end up looking like a...
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See Your Surgeons Videos
This is a tough question without seeing you. If you're young with good breast tissue than a circumareolar mastopexy will probably be fine. If you're young and have had several children than you may need this plus implants. If you have significant skin that needs resection then you'll need the periareolar plus a vertical and possibly horizontal incisions.
Do you see where I'm going? It's a complex question with many answers depending on your exam. So go see several surgeons then ask...
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These are minor lifts and require an implant
What you are describing are minor forms of breast lifting and each needs an implant to drape the extra skin laxity since this extra skin is not excised as it is in a full lift. Make sure you go to an excellent plastic surgeon who can help you sort out what is best for your anatomy and desires.
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Seek the Advice of a Board Certified Plastic Surgeon
I think it would be very difficult for anyone to make an informed decision about which type of breast lift to have without the advice of a Board Certified Plastic Surgeon. I would recommend one or more consults by well-trained surgeons in your area who will give you their best advice and recommendations after a thorough discussion and evaluation. This will be, in my opinion, the best way for you to make an informed decision.
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Breast lift
The terms u you mention are not all ones in common use, so I suspect they all mean the same thing, which is a periareolar mastopexy, also called a Benelli or donut mastopexy.
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Approaches to mastopexy
There are a number of different techniques available for mastopexy, and each has advantages and limitations. An in depth consultation with a plastic surgeon should provide you with the best options for you.
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Breast lift surgery with areaolar incisions
Today there are many techniques available for a breast lift surgery using areolar incisions. If you need just a very small lift and do not need to change the shape or size of the areola, you may be a good candidate for a crescent lift. This will limit the amount of scarring around your areola. Keep in mind that this works well only for patients that require just a small lift of tissue. The majority of patients require a larger lift and so need an incision that goes all the way...
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Mastopexy procedures
There are many variations of mastopexy procedures from simple areola lifts especially with implants to variations of vertical reductions using "lollipop" incisions to more involved procedures using an "anchor" or an inverted "T" incision.
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Technical differences in Breast Lift
If you have a minimal degree of breast ptosis, a smaller lift will be needed to fix it. The circumaerolar is an effective technique specially when an implant is added. The crescent or semi-areolar is less effective and works in minor cases. This is very technical, so I would not worry about it and let your board certified plastic surgeon advise you based on his clinical exam.
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It is not fair to you to try to decide yourself which technique is best.
Hi! I hope these thoughts help you:
1) There is no sub areolar lift.
2) A semi areolar lift gives you very little correction and I usually use it only for tiny problems.
3) Implants alone will correct slight sagging.
4) A circumareolar lift (scar all around the nipple) is good for medium sagging, and I often use this, with or without implants.
5) For serious sagging, you may need a good internal lift with a "lollypop" scar.
6) Those are the options. See a board certified...
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One breast lift technique cannot treat all conditions
There are many different types and degrees of droopy breasts.
For this reason, one technique cannot treat all the different conditions. Different approaches may be required depending on the position of the nipple, the amount of extra skin, the amount of breast tissue, and the degree of droopiness.
The procedures can be summarized as follows:
Very small degree of droopiness can be treated with an implant alone
Small to moderate droopiness may require only an incision around the...
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Manhattan Plastic Surgeon
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A rose by any name...
Tjra,
I suspect that all of the terms that your question involves are interchangeable. Although, only one is recognizeable to me as such, circumareolar. This term is synonymous with periareolar. Subareolar and semiareolar are not recognized names for breast lift or mastopexy procedures. At any rate, don't get caught up in terminology. Make sure that you are dealing with a board certified plastic surgeon. He/she will know what procedure is best for your needs, no matter what the...
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Don't skimp on the incision for fear of the scar
The most important thing is not to skimp on the incision for fear of the scar. Why have a shorter scar, but a misshapen breast. If the nipple-areolar complex needs to be moved, then it is best to do a full peri-areolar or circum-areolar incision with a vertical and, most likely, a transverse incision as well. Good luck with your surgery.
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It depends on the position of the nipple and skin laxity
It should be noted up front that each surgeon with a depth of experience knows which procedure gives him/her the best result. Speaking in generalities can be instructive but also must then be tailored to the individual's needs and desires and the physical exam.
The most important measurement in a breast lift is the position of the nipple. The first thing is to decide where we want the nipples to be. Then we decide how to gather the excess skin around that. It is always a trade off to...
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Each type of mastopexy has its pluses and minuses
The issue that most women face when considering a breast lift is the scar. Obviously, now one in an ideal world would choose a scar.
Each type of mastopexy has its pluses and minuses. Each one has indications and contraindications. Each one has certain situations that would favor it over another type. You can not just choose what you want like ordering off a menue. You really must be examined, you must discuss your wishes, and you must understand all of the technical minutae involved in...
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Chosen technique should really depend on your current breast shape, not on desired scar...
Hi there-
I think too many people view breast lift techniques as totally interchangeable and that they should choose the technique based on the type of scar you want... The reality is that each technique tends to produce a characteristic change in the breast shape, that depending on your current breast shape, may or may not be a favorable change for you.
These are very subtle considerations... It is very important that you find a Board Certified Plastic Surgeon with a lot of experience in...
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Consult with a couple of board-certified plastic surgeons
While there are a large number of websites, including this one, that discusses various procedures and show videos or photos, nothing is better than a face-to-face consultation with an experienced surgeon. Many terms are used interchangeably and loosely and many procedures have varied indications that are not necessarily immutable. Instead of trying to decide what technique will produce what result by photos, a surgeon will try to determine what needs to be done to give you what you want. In...
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