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:
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
