Even small breasts can sag due to the natural effects of
aging, weight fluctuations, and previous pregnancies. Fortunately, plastic surgeons have come up with a new technique which combines
the benefits of mastopexy (or breast lift) and breast augmentation in one operation.
The sagging of the breasts primarily happens when the amount
of tissue decreases and the skin becomes lax.
Contrary to popular belief, breast augmentation surgery alone is less
likely to provide a lifting effect especially if there is a severe case of ptosis
(drooping).
Mastopexy with breasti mplants starts by making incisions to remove a small amount of skin, which
in turn corrects the sagging appearance.
With this technique, less tissue is excised than if breast lift is
performed alone; for this reason, patients will enjoy less scarring on their
chest.
Because less skin is removed, plastic surgeons need shorter
incisions to perform mastopexy-augmentation surgery. In most cases, they use the crescent-shaped
incision around the areola complex, although patients with severe breast ptosis
may need the lollipop incision in which the surgical cut is made around the
areola and vertically down the breast crease.
The good thing with mastopexy-augmentation is that most
patients can get more cleavage, although they should bear in mind that the
final result also depends on their chest width and rib cage. For example, women with a concave chest are
likely to enjoy more medial cleavage and upper pole fullness as the implants
tend to settle toward the center.
On the other hand, patients with convex chest will achieve
less cleavage because their implants will likely settle opposite with each
other. However, there is a solution to
the problem: use breast implants that offer more projection off the chest wall.
While some surgeons prefer simultaneously performing breast augmentation and mastopexy, others would rather wait for three months before
another surgery (augmentation) is conducted.
Some doctors argue that breast augmentation with
mastopexy—if performed on the same day—can lead to higher risk of asymmetrical
breasts and complications since the skin is being removed and tightened while
at the same time the implants stretch it even further. Another concern is the tension on the
incision site can adversely affect the blood supply.
They also argue that it is challenging to position the
nipple and breast crease if mastopexy and breast augmentation are performed
simultaneously.
Regardless if breast augmentation is performed on the same
day of mastopexy or at a later date, most plastic surgeons recommend placing
the implants totally under the pec muscle which can provide good coverage and
strong “support.”
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