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In these intances the dagging breast tissue needs to be: 1) rearranged or 2) removed or 3) removed and replaced with an implant or fat grafts. The type of scar will depend on the size of the areola and amount of excess skin.
There are many shapes and sizes to breasts and there is a not a generic answer which applies to all patients. You would really need to have a full evaluation by your plastic surgeon to determine which procedure is best for you.
Hi there- I personally perform 7 different techniques and variations for reshaping of the breast, and the option recommended for any individual patient will depend greatly on her goals, but also on exam findings which can only be understood through an in person exam (skin quantity, quality, distribution, breast tissue characteristics, etc...). Your best bet is to first find a surgeon you like and trust, and THEN worry about the technique. If you choose a surgeon carefully and well, your chances of ending up safe and happy will be very high- on the other hand, if you choose based on cost or the surgeon's willingness to perform the procedure you think you want, you are much more likely to regret your decisions later... Some of the most unhappy women I meet in my office are those who shopped for a surgeon willing to do an operation they thought they wanted (even though others had recommended a different procedure)... Here is some advice on how to find the surgeon right for you:
Unfortunately, it is not possible to give you good advice without direct examination. Patients with “pseudoptosis” can present with a varying degree of breast skin/tissue below the inframammary fold. This variance will necessitate different operations for different patients. In person consultation with well experienced board-certified plastic surgeons will be helpful. Best wishes.
Hi LIiz, This is a great question. For pseudoptosis I recommend a "custom" operation. The nipple areola complex does not need to be lifted but the breast gland does. So I do work on the breast tissue itself, lifting and shaping it. Then the skin of the lower half of the breast usually needs to be plicated. So I create a vertical scar from below the areola down to the fold and this allows to removed skin in the horizontal dimension. It is a very elegant procedure. Just did a case like this last week. Hope this helps. Tracy M. Pfeifer, MD, MS
