|If you are considering a breast lift it is important to understand the various presentations of sagging (ptotic) breasts which confront the plastic surgeon who is recommending various technical options.
The changes imposed on the female breast are constant and repeated throughout life, such that the natural suspensory structures cannot provide long term support. The surgeon assists the patient within reason to resist the forces of nature by treating the skin and the gland to restore a breast altered by genetics, childbirth, previous surgery, and the normal physiology of aging. When the patient has very thin elastic skin and marked flattening of the breasts, the long term benefits are not as good, and revisions may be required, but other measures may be instituted at the same time including fashioning an internal bra with the patients own breast tissue (including the removal of small sections that are prone to repeat sagging), special suspension sutures, and use of implants placed at the time of mastopexy. By itself, mastopexy is one of the most challenging surgeries of the female breast, and must be carefully explained to the patient with regard to expectations of shape and degree of scar to affect the desired results. This web site is devoted to the concept that the minimal scar (periareolar-type) approach can be applied to a wide array of breast shapes and deformities.
While emphasizing the purse string or periareolar method, additional approaches will be presented on a historical basis and considered for the more extremes of breast length, loss of substance, and extraordinary volume. Ongoing work by this Practice as well as others to develop newer and more resilient methods that can prolong the lift and projection is in progress. It is known that a certain percentage of patients will experience more than minimal scarring no matter how careful the surgeon, the technique, or follow-care by the surgeon and staff.. It is with this consideration that use of a single purse string circular periareolar scar is performed by this Practice in most all cases of breast ptosis and overly large breasts. This approach leaves a scar confined to a simple circle around the areola for each breast. Revision of scars will still honor the circular pattern and not ordinarily lead to placement of additional scars to provide corrections when indicated.