Breast Augmentation with Breast Lift

Conveniently located to serve Waldorf, St. Charles, and White Plains

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. Anchor scar Mastopexy
    Short scar or Vertical 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

Before & After
Before & After
* Individual results may vary.

Photo Gallery

View before-and-after pictures of real patients of Don Fontana, MD

View Before & Afters

You gave me the confidence in myself…I was always lacking

5 5 Star Rating Written on February 18, 2019

Though I have known you for a very short time, you have brought so much happiness to my life. Through my breast augmentation surgery, you made me feel like a woman I never knew I could be. You gave me the confidence in myself that I was always lacking. Because of you, I was able to walk down the aisle wearing a wedding dress that showed off my figure and I felt ‘beautiful.’ Both my husband and I value your opinion and expertise and felt total trust in you as the professional that you are. From our first office visit to the last, you made me feel comfortable and answered all of our questions thoroughly. Thank you for giving me ‘happy ever after.’


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