I was considering a breast lift and was wanting to know what type of lift would be best and what problems would need to be addressed.
What Type of Breast Lift Do I Need?
Doctor Answers 19
Breast lift for breast asymmetry and drooping
I do not believe a vertical lift will give you optimal results with the degree of lift necessary, particularly in your left breast. Rather, an anchor type of incision will give you the best appearing scars around the nipple and on the vertical incision and not give the tendency toward a flat appearing breast that many vertical-only techniques can produce.
Dr. Rand is spot on to look at pictures carefully of patients with your type of breast and see how they did with the various doctors.
As always, you are best choosing a surgeon, rather than choosing a technique.
What Type of Breast Lift? Maybe an auto-augmnetation Mastopexy
I strongly prefer to perform mastopexy surgeries primarily using a vertical mastopexy technique, which includes removal of excess lower pole tissue below the nipple-areola complex.
If your surgeon is recommending a ‘circumareolar’ or ‘donut’ or ‘Benelli’ mastopexy, insist on seeing as many postoperative photographs as possible. I can almost guarantee that you will not like what you see, and that you will not be inclined to have that surgery - which is not truly a breast lift surgery - performed on your breasts.
The driving force behind the "cresent lift" and the "doughnut lift" is a desire to eliminate the vertical scar between the areola and the inframammary fold. However, if the nature of the surgery by definition results in a less favorable and much more noticeable scar around the areolar border, and the surgery simultaneously tends to flatten and reduce the projection at the top of the breast mound, these consequences are not a reasonable trade-off for the elimination of the vertical scar. Especially since the vertical scar, in most patient, fades to a faint and minimally noticeable line with attentive postoperative scar management and the passage of enough time
This need for increasing upper pole fullness can be accomplished in one of two ways: by using the patient’s own lower pole breast tissue (‘auto-augmentation mastopexy’), or by placing a breast implant. Auto-augmentation mastopexy is a surgery in which some of the patient’s own lower pole breast tissue (from the area of the breast below the nipple/areola complex) is moved into the upper pole of the breast. A pocket is created behind the upper pole of the breast and the lower pole tissue is advanced, with its blood supply intact, into the upper pole pocket. This truly remarkable procedure can create a mastopexy appearance that previously has only been possible by means of breast implant placement. Not all patients are good candidates for this procedure, as there must be an adequate volume of lower pole tissue available to produce significant upper pole (cleavage area) breast fullness. Most patients undergoing auto-augmentation mastopexy in this practice have a full B cup to D cup breast volume preoperatively.
For patients who do not have enough lower pole tissue available to allow an aesthetically ideal auto-augmentation mastopexy, or for patients who desire a larger breast volume than can be achieved by use of their own tissues, I recommend that they undergo augmentation mastopexy. This surgery combines a breast lift with the subpectoral placement of a breast implant usually of a moderate size, which produces lasting upper pole fullness. This procedure is often the ideal choice for patients with an A cup or small B cup breast volume preoperatively, who are interested in having a C to D cup breast profile postoperatively.
Breast lift approach depends on degree of sagginess/ptosis and your goals
Breast lift or mastopexy is by far one of the most challenging operations plastic surgeons perform. The type of lift depends upon the degree of ptosis or sagginess of the breast, the surgeons experience and preferred approach and patient goals.
If you place a mark at your fold where the breast attaches to the chest and connect those lines below your breast bone between your breasts and look in the mirror, if your nipples are below the line, you need a mastopexy or breast lift. For me the more ptosis or sagginess you have the more of a lift you will require versus just doing the same lift for everyone.
In general if your nipples are less than an inch below your fold, we can just perform a around the nipple-periareolar approach. If your nipples are between 1-2 inches below the transposed fold, I recommend a circum-vertical, or around the nipple and vertical scar. If greater than 2 inches, I recommend a full mastopexy or anchor approach. Most patients are worried about the vertical scar but it is the scar that always looks the best.
In reviewing your photos, your breasts are quite asymmetric or different from side to side and you have greater than 2 inches of ptosis or sagginess. I believe you will have the best shape and longterm contour with a full mastopexy approach. You should be a nonsmoker and healthy to have this procedure and be willing to accept some mild asymmetry as well as a possible fold scar revision in the future after a year of healing. All of the surgical options, risks and complications, and preferred approach should be discussed with your plastic surgeon.
All my Best!
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Correction of breast sagging
Clearly, you have marked asymmetry but, im my opinion, it appears that you coudl be well suited to get a full breast redution and lift with a vertical technique.
Best Type of Breast Lift for YOU
You have both significant breast sagging and asymmetry. The most attractive and longest lasting results would be obtained with a MODIFIED Lejour, more accurately a Hall-Findlay Breast lift procedure.
This operation will cone the breasts and lift them resulting in perkier, higher breasts. It allows for a breast reduction on one side and correction in the size of the areolae thereby greatly improving the breast asymmetry while giving long lasting results WITHOUT the under the breast, transverse scar (anchor component).
It looks as though you are a good candidate for a vertical incision breast lift (same as the circumvertical incision which one of my colleagues previously described). You will probably need to have a small reduction on the left to match your right breast, which can be done through the same incisions. I suggest seeing 1-2 surgeons in your area who can examine you and show you photographs of this procedure. Good luck, /nsn.
A breast lift can involve several different types of incisions
Hello - It appears as though your a great candidate for a circumvertical breast lift. This type places the incisions around the areola with a small incision below it. It provides a lift to the nipple/areola as well as improving the shape of the breast. Potential problems scarring, altered nipple sensation, and recurrence of the sagginess. A breast lift can be done entirely as an outpatient with minimal pain and downtime. Good luck!
Types of breast lifts
You have significant ptosis and asymmetry of the breasts. A full lift will elevate the nipple, reshape the breasts and correct the asymmetry. Make sure to go to a surgeon whose photos looks excellent because no 2 surgeons are alike and neither are their results.
Type of breast lift procedure
You would be a good candidate for a vertical mastopexy . There are several different types of breast lifts including a peri-areolar crescent lift, a doughnut or Benelli lift, a Vertical Mastopexy and a Key hole or anchor type mastopexy. All have specific parameters. Based on your appearance and the degree of breast tissue below the inframammary crease you would get the best result with a vertical mastopexy. It is possible that you would need a anchor type on the breast that has more sagging.
Breast Lift Technique?
Thank you for the question and picture.
Your breasts demonstrate significant breast ptosis and asymmetry of size and position. You will benefit from breast lifting/reduction using vertical or anchor type incisions. You will find that in order to improve symmetry, different incisions may be necessary. Obviously, reduction of the larger side will also be helpful.
Make sure you are working with well experienced board-certified plastic surgeons.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.