Breast appearance and aesthetics can take many forms and is subject to personal taste. However, if a woman believes that her breast appearance is not optimal and seeks consultation the surgeon may inform her that a breast lift with or without volume increase may achieve her goals of better-looking breasts. This will require a mastopexy or a breast lift.
This surgery essentially is the strategic removal of skin at the lower part of the breast to re-create a more youthful look. This has a very characteristic incision site similar to an upside-down T as well as a circular incision around the areola.
BREAST LIFT – YES OR NO FOR IMPLANTS
During my examination, I am able to simulate the repositioning of the lifted breast. This maneuver will demonstrate whether or not additional volume is needed as per the patient’s desires. If during the exam for the lift, additional volume is necessary then implant selection may begin. We often perform lifts with implants. However, due to the nature of the two procedures I recommend a limit to the volume of the implant. And, doing so in order to achieve the best aesthetic look and minimize the chance for complications.
SMALLER AREOLA AND PERKY BREASTS
In addition to elevating the sagging breast, the mastopexy lift also creates a more aesthetic areola. This is the tissue around the nipple. Weight gain and loss, multiple pregnancies, and other factors may result in an unnecessarily large areola. Therefore, the lift also reduces the areola dimension and creates a perkier breast. Lifting the breast, reducing their regular size, and creating perkier more youthful breasts is the goal of the lift with or without implants.
AXILLARY LIPO AND EXTENDED BREAST LIFT
Additional benefits of this operation in certain individuals can be to remove extra skin and fat under the armpit. Extending the lift incision on the side of the body as well as light both suction of the fat in the upper outer quadrant of the breast can add significantly to the improvement of the contour and the appearance.
Therefore axillary liposuction and extended lift laterally can be a very useful additional technique.