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?

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15 answers to “Sub-Areolar vs Circumareolar vs...”

A: What type of Mastopexy is best for me?

Tracy M. Pfeifer, MD

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... more

A: See Your Surgeons Videos

Christopher L. Hess, MD

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... more

A: These are minor lifts and require an implant

Richard P. Rand, MD

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.

A: Technical differences in Breast Lift

Hisham Seify, MD, PhD

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... more

A: Seek the Advice of a Board Certified Plastic Surgeon

Shahram Salemy, MD

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... more

A: Sub-Areolar, Semi-areolar, and Circum-areolar Mastopexy

Otto Joseph Placik, MD

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... more

A: It is not fair to you to try to decide yourself which technique is best.

George J. Beraka, MD

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... more

A: One breast lift technique cannot treat all conditions

A. Peter Salas, MD

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... more

A: A rose by any name...

Kenneth R. Francis, MD

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. ... more

A: Don't skimp on the incision for fear of the scar

David Shafer, MD

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... more

Comments

Jen Jen
3 posts
14 Apr 2009

Several of the doctors that commented here didn't even try to answer the patient's question. She wasn't asking anyone to GUESS what is best for her, she just wanted to know about the different incisions. Thank you to the doctors that actually answered her question - especially Dr. Placik who gave a very thorough answer. I, too, am researching the different types of mastopexy procedures and although it will depend on what the doctor chooses is best for me, I would first like to familiarize myself with the breast lift procedure. I think its important that patients have some basic knowledge of the surgery they're interested in before they go in for a consultation. In this way, the doctor doesn't have to waste all of her/his time explaining the very basics of the procedure. Instead, the patient and the doctor could better utilize vital consultation time. Doctors, as smart as they may be, often fail to realize that this is usually what occurs: 1. The patient who has very little info goes in for a consult. The doctor "starts from scratch" explaining basics. She/he goes on and on while the patients tries to learn all of this. 2. The consultation is over. 3. Now that the patient has an understanding of this procedure she now has "real" questions which pertain to her own surgery specifically. And a lot of time in the first consultation was wasted educating the patient on what she ideally should have already known. Now said patient has more questions than ever and is confused. This is why plastic surgeons shouldn't be so quick to dismiss email questions. In the long run, it saves time for everyone and it helps the patient make a better informed decision regarding surgery.

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