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

By Otto Joseph Placik, MD - Chicago Plastic Surgeon

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: One breast lift technique cannot treat all conditions

By A. Peter Salas, MD - Manhattan Plastic Surgeon

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: breast lift

By Richard Baxter, MD - Seattle Plastic Surgeon

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.

A: See Your Surgeons Videos

By Christopher L. Hess, MD - Fairfax Plastic Surgeon

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: What type of Mastopexy is best for me?

By Tracy M. Pfeifer, MD - Manhattan Plastic Surgeon

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: It depends on the position of the nipple and skin laxity

By Talmage J. Raine, MD - Chicago Plastic Surgeon

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... more

A: Seek the Advice of a Board Certified Plastic Surgeon

By Shahram Salemy, MD - Seattle 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... more

A: Consult with a couple of board-certified plastic surgeons

By Robin T.W. Yuan, MD - Beverly Hills Plastic Surgeon

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... more

A: Each type of mastopexy has its pluses and minuses

By Scott E. Kasden, MD - Dallas Plastic Surgeon

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... more

A: Technical differences in Breast Lift

By Hisham Seify, MD, PhD - Orange County Plastic Surgeon

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

More answers to Sub-Areolar vs Circumareolar vs SemiAreolar Mastopexy
New York City - A rose by any name...
Orlando - Chosen technique should really depend on your current breast...
Seattle - These are minor lifts and require an implant

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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