What Are The Different Techniques For a Breast Lift with Implants? What's Right For Me? (photo)

I am considering of having a Breast Lift with Implants, however I want to be very well informed before I make a decision with my surgeon. I am doing some research about the breast lift techniques along with the type of implants used. I would like to have different opinions in order to get an idea about the best procedure for me. Thanks!

Doctor Answers 10

Surgical Options For Combined Breast Augmentation And Breast Lift0

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A variety of treatment options are currently available for patients considering combination breast lift/augmentation surgery. The specific option chosen will depend upon the patient's anatomic findings and aesthetic goals.

Depending upon the degree of breast sag and excess skin that needs to be removed, several treatment options exist. In mild cases, 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 the excess skin. This leaves a circular incision around the areola with a vertical extension that extends to the inframammary fold. When extreme breast sag is present, excision of excess skin requires not only a vertical incision, but an incision transversely in the inframammary fold as well. This results in a circular incision around the areola, a vertical 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 undergo breast enlargement, a variety of treatment options are available. The vast majority of implants are placed beneath the muscle when this procedure is performed. Both silicone and saline implants are utilized and in most cases, the choice depends upon the patient's preference. The size of implant utilized depends upon the patient's anatomic findings and aesthetic goals. Most patients want implants that have balance, harmony and proportion with the surrounding anatomic structures.

It's important to realize that no two patients are ever exactly alike and for this reason procedures are tailored to meet the patient's specific needs. Although your history is helpful, it's virtually impossible to make a specific recommendation without performing a physical examination.

It's, therefore, important to consult a board certified plastic surgeon if your considering the combination of breast augmentation and breast lift surgery. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Preferred Breast Lift Technique for #AugmentationMastopexy

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There are a variety of techniques for these operations. Lollipop lift (vertical lift), donut (periareola) lift, Benelli lift, crescent lift, anchor lift(inverted T ).

I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring.

Your Plastic Surgeon will measure you to determine the best shape and size of the implants to be used. Shaped implants are all textured and should not rotate when used properly. In my practice, about 20% of the patients benefit from shaped implants.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

What Are The Different Techniques For a Breast Lift with Implants?

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This is a great question as there are a variety of lift options for patients. A breast lift with implants is a unique procedure in that it is decreasing the skin envelope while enhancing the overall size of the breast. The combination of tightening the skin and lifting the breast while augmenting them can be a very powerful surgery in improving the overall appearance of your breast. There is several ways to do this depending on your individual situation.

The first is a peri-areolar augmentation mastopexy. This involves a minimal lift of the nipple areolar complex and placement of a breast implant. This limits the incision to only around the areola. It is well hidden in this natural transition. This is a great option for patients that have very little extra skin, but the nipples are just slightly down. The peri-areolar lift will reposition the nipple at the center of the implant. The implant will give the breast the volume and shape that a patient needs to achieve an aesthetically please result.

The second technique is a vertical lift with augmentation. This is used for patients that have excess skin and inferior displacement of the nipples. This will allow your surgeon to lift your breasts, remove the excess skin from the breasts and enhance them with an implant. This is used for patients with mild ptosis of their breasts.

Lastly is a full lift with augmentation. This is where a complete mastopexy is performed with the augmentation. The procedure allows your surgeon to remove the most skin possible and make you as tight and high that he can do safely. He will then use the breast implant to restore the upper pole fullness that has been lost over time. The results after a full mastopexy with implant can be dramatic as the excess skin is removed and the breast can bet tightened around the new breast implant.

Which lift and implant is best for you needs to be a decision between you and your board certified plastic surgeon. This will be decided based on your physical exam and the aesthetic goals for your breast.

Lift type

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First, you are going to require some form of lift to elevate the nipple and tighten the breast envelope.  The degree of lifting and the associated scars will be somewhat determined by the size of the implant you choose--the larger the implant, the less skin will need to be excised and the fewer/shorter scars will be required.  That said, I think you will likely require some form of circumareolar skin excision, and possibly a vertical scar as well, to give you the desired result.  I doubt you will need an anchor type skin excision for your mastopexy if you are using an implant.  This is a complex situation and requires an in person consultation for a good opinion.  If you are wanting more information get in to see an experienced plastic surgeon for a consult.

Jeffrey D. Wagner, MD
Indianapolis Plastic Surgeon
4.9 out of 5 stars 30 reviews

Breast lift type

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I would need to examine you to give you a definite recommendation.  As you may know, there are four types of mastopexy: 1) Periareolar, 2) Circumareolar (donut), 3) Circumvertical (lollipop), 4) Wise-pattern, full lift (Anchor).  Depending on the degree of ptosis (sagging), you will need different types of mastopexy.  In general, as one needs more lift, the scar pattern becomes more complex.  Please visit with a board-certified plastic surgeon so that she/he can evaluate you and review the options for you.

Benelli breast lift (circular scar around nipples) works very well with implants.

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1)  You look like a great candidate for this approach.

2)  The base of your breasts looks a little constricted.  So the vertical (lollipop) lift is not a good idea because it narrows the base further.

3)  In my opinion, the inverted T operation is almost never indicated for a routine lift.  (It is indicated for really big breast reductions.)

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Lift augmentation

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From these pictures I can tell that you have what we call a grade 3/4 ptosis (sagging), more pronounced on the right then the left. At this stage an areolar lift is usually not enough and you will probably need a more involved lift with either vertical or inverted T incisions, along with the implants. The size and profile of the implants are best determined during your examination and after measurments are taken.


Breast lift techniques

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Based solely on yoru photos, you may be a good candidate for a circumareola lift( incision jsut around the areola) and implants, or possibly a lollipop lift and an implant..

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Breast lift Techniques?

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Thank you for the question and pictures.

I think you are an excellent candidate for breast augmentation/mastopexy surgery.

All breast lifting surgery techniques involve removal of skin to tighten up the breasts skin “envelope”. In your case, you will probably be best served with a vertical mastopexy procedure;  this involves incisions around the areola and vertically down the breast.  I think this will give you the best results as opposed to a circumareolar/donut mastopexy.

Breast augmentation will help to increase the size/fullness of the breasts. This can be done with saline or silicone breast implants (individualized after direct patient examination).

I hope this helps.

Breast lift and implant options

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An exam is vital especially to determine exactly where your inframammary crease is and how long is the distance from the crease to the lower areolar border.  These factors determine your options to a great degree.  Basically you need an implant for volume and fullness and you need to determine with the doctor which "profile" will work best for you based on the "look" you want.  Next you need a lift and in my opinion not just one with a periareolar scar.  You need at least one with a vertical scar too.  Depending on the presence of excess skin some element in the crease as well may be beneficial.

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.