Breast Augmentation with Breast Lift Maryland

There is a large group of women who have either lost considerable weight or who have experienced breast volume loss because of pregnancy and nursing. The result is often small sagging breasts which cannot be reshaped into attractive breast with augmentation alone, but require a breast lift (Mastopexy). If the patient exhibits only a small amount of sagging, a modest augmentation may be adequate to both enlarge and lift the breast. Depending on the amount of breast sagging will determine the techniques used to lift the breast. Mastopexy with or without breast augmentation is a “trade-off” operation, that is, improved breast shape versus the potential for scars, some of which can be unsatisfactory.

Mastopexy procedures

The type of operation is dependent upon the extent of breast sagging (mammary ptosis), with or without breast augmentation. Another way to explain breast ptosis, is to ask the question, “How far must the nipple-areolar complex (NAC) moved to place it at the apex of the breast mound.”

1. Concentric, Doughnut, Purse-String or Benelli type Mastopexy
   If the distance the NAC is short ( less than 1 ½ inches ) this type of procedure can be used in which the scarring is placed completely around the areola. While the scarring is generally very good, if the procedure is performed by an inexperienced plastic surgeon, the risks of stretching the nipple-areolar complex to a larger diameter and flattening the shape of the breast must be considered.
2. Short scar or Vertical scar Mastopexy
   
   Anchor scar Mastopexy

   If you have the opportunity of viewing either breast reduction scars or mastopexy scars, you may have come upon the term “anchor scar”. It is called a McKissock or Inferior pedicle technique.

   This technique produces scars around the areola, a vertical scar down the front of the breast and a long scar extending along the fold of the breast from the breast bone to the underarms. In the majority of patients, the scar is unsightly and unnecessary. The long term aesthetic results are not consistently good. This technique should NOT be used.

   The vertical or short scar mastopexy eliminates the scars in the fold of the breast. The shape of the breast is less dependent on the tightness of the skin and the scars are significantly better.

Patients with Purse-String/Benelli Augmentation-Mastopexy – all scars around areola

 
#1

Before Surgery

After Breast Augmentation & Periareolar Mastopexy – One Year
Circumareolar Scars

Before Surgery

After Surgery

 
#2

Before Surgery – breast asymmetry and ptosis

After Augmentation and Mastopexy Surgery at One Year
Circumareolar Scars

Before Surgery

After Augmentation and Mastopexy Surgery at One Year
Circumareolar Scars

 
#3

Before Surgery – Significant Breast size and shape asymmetry

After Surgery…Augmentation & Concentric Mastopexy on right
Augmentation & Short Scar Mastopexy on the left