I had silicone implants placed 5 years ago. It was performed using the subpectoral, "open pocket" technique from the submamillary fold. Generally I am pleased with the overall appearance. However, is it possible to: 1. Raise the areolas about 1.5 cm utilizing the Crescent incision technique? 2. Shorten my elongated nipples a bit? 3. Can I do this, "in office" with local anesthesia? I would not consider this if I had to have general anesthesia or be sedated.
Answer: Will a crescent incision/areola lift and nipple length reduction help me? A periareolar lift may be an option for you. I would search for the surgeon who you
Helpful
Answer: Will a crescent incision/areola lift and nipple length reduction help me? A periareolar lift may be an option for you. I would search for the surgeon who you
Helpful
December 4, 2014
Answer: Minor breast lift procedures can be performed safely in the office. Minor breast lift procedures can be performed safely in the office without a general anesthesia. The amount of "lift" that you can expect from a crescent, however is not very much. I personally don't perform crescent lifts because the amount of repositioning you can achieve with that technique is not worth the scar in my opinion. Most likely you will require a peri-areolar (doughnut) lift. The amount of lift that you need can be determined in a formal consult.I use a permanent suture to help maintain the size and shape of the areola because over time it will tend to stretch out and become larger than normal. I think this is an important part of the lift that not all surgeons incorporate into the procedure.You can also reduce overprojecting nipples easily in the office.As you make your decision make sure you visit with a board certified plastic surgeon. There is a link to a list of all the board certified plastic surgeons in the country in my free breast augmentation planner. You can download the planner at aBetterBreast.comI would be happy to help answer any other questions regarding these procedures that you might have.
Helpful
December 4, 2014
Answer: Minor breast lift procedures can be performed safely in the office. Minor breast lift procedures can be performed safely in the office without a general anesthesia. The amount of "lift" that you can expect from a crescent, however is not very much. I personally don't perform crescent lifts because the amount of repositioning you can achieve with that technique is not worth the scar in my opinion. Most likely you will require a peri-areolar (doughnut) lift. The amount of lift that you need can be determined in a formal consult.I use a permanent suture to help maintain the size and shape of the areola because over time it will tend to stretch out and become larger than normal. I think this is an important part of the lift that not all surgeons incorporate into the procedure.You can also reduce overprojecting nipples easily in the office.As you make your decision make sure you visit with a board certified plastic surgeon. There is a link to a list of all the board certified plastic surgeons in the country in my free breast augmentation planner. You can download the planner at aBetterBreast.comI would be happy to help answer any other questions regarding these procedures that you might have.
Helpful
December 2, 2014
Answer: Minimally invasive nipple repositioning We would probably recommend a concentric mastopexy, or an incision entirely around the nipple, rather than a segmental or crescent lift.The concentric mastopexies tend to pull in all directions and 'span' the areola rather than pulling only on one section. For many patients, the incision tends to be less noticeable if it is completely around the areola.Like so many other procedures in plastic surgery, using a procedure that places less stress and strain on the incisions tends to lead to a less detectable result!Generally these procedures can be performed under local anesthesia or light sedation, although most patient tends to prefer a light general anesthetic as it is more comfortable.
Helpful
December 2, 2014
Answer: Minimally invasive nipple repositioning We would probably recommend a concentric mastopexy, or an incision entirely around the nipple, rather than a segmental or crescent lift.The concentric mastopexies tend to pull in all directions and 'span' the areola rather than pulling only on one section. For many patients, the incision tends to be less noticeable if it is completely around the areola.Like so many other procedures in plastic surgery, using a procedure that places less stress and strain on the incisions tends to lead to a less detectable result!Generally these procedures can be performed under local anesthesia or light sedation, although most patient tends to prefer a light general anesthetic as it is more comfortable.
Helpful
Answer: Will a crescent incision/areola lift and nipple length reduction help me? A doughnut breast lift, also known as a periareolar lift, involves removing a doughnut-shaped piece of tissue around the areola to lift and reshape the breast. This procedure typically includes resizing the areola, which can actually reduce the size of the areola if desired.
Helpful
Answer: Will a crescent incision/areola lift and nipple length reduction help me? A doughnut breast lift, also known as a periareolar lift, involves removing a doughnut-shaped piece of tissue around the areola to lift and reshape the breast. This procedure typically includes resizing the areola, which can actually reduce the size of the areola if desired.
Helpful
December 3, 2014
Answer: Simple repositioning of the areola or reduction of the nipples can be performed under local anesthesia Both of the procedures you are discussing can be performed easily under local anesthesia. The main issue that I have with your plan is the crescent technique. That technique, even when "properly performed" would not be expected to raise the areola more than .5 cm or so , and therefore your goal of 1.5 cm is very ambitious for that procedure. I would suggest a complete periareolar, or circumareolar, technique, and even then, you will be pushing it at 1.5 cm without accepting some flattening of the breasts and possible distortion of the areolar shape or edge. A crescent mastopexy is the most likely to cause a wide scar, an elongated or stretched areola, and all minimal if any change in position. Find an experienced board certified plastic surgeon who can tell you all of the potential drawbacks and limitations of such procedures in addition to all of the good points, because only then will you get complete information and be able to make a fully informed decision about how to proceed. Good luck.
Helpful
December 3, 2014
Answer: Simple repositioning of the areola or reduction of the nipples can be performed under local anesthesia Both of the procedures you are discussing can be performed easily under local anesthesia. The main issue that I have with your plan is the crescent technique. That technique, even when "properly performed" would not be expected to raise the areola more than .5 cm or so , and therefore your goal of 1.5 cm is very ambitious for that procedure. I would suggest a complete periareolar, or circumareolar, technique, and even then, you will be pushing it at 1.5 cm without accepting some flattening of the breasts and possible distortion of the areolar shape or edge. A crescent mastopexy is the most likely to cause a wide scar, an elongated or stretched areola, and all minimal if any change in position. Find an experienced board certified plastic surgeon who can tell you all of the potential drawbacks and limitations of such procedures in addition to all of the good points, because only then will you get complete information and be able to make a fully informed decision about how to proceed. Good luck.
Helpful
