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Breast lift – plastic surgery procedure that puts nipple in youthful position and elevates sagging breast tissue.

Mastopexy – Another name for breast lift.

Breast Augmentation – common plastic surgery procedure that enhances breast size.

Donut Breast Lift – Donut mastopexy. Periareolar breast lift. Incision goes around the areola only. Also know as Benelli (Bennelli) lift.
Lollipop Breast Lift – Circumvertical breast lift. Incision goes around areola and downward.
Anchor Breast Lift – Standard mastopexy where scar goes around areola, down to IMF and horizontal.
Mommy Makeover – Rejuvenation with breast lift and tummy tuck combination

Saline Breast Implants – Breast implants made with a silicone shell filled with saline.

Silicone Breast Implants – Breast implants made with a silicone shell filled with a silicone gel.

Board Certified Plastic Surgeon – Plastic surgeon certified by the American Board of Plastic Surgery.
Board Certified Cosmetic Surgeon – This board is not recognized by the American Medical Board

Breast Lift Before and After Pictures – common way to show changes in mastopexy.
Breast lift Financing – often used to spread breast augmentation cost over time to lower price.

Best plastic surgeon – many plastic surgeons in Orange County, Newport Beach, Los Angeles, Beverly Hills, and San Diego are very good. None can be considered the best.

Implants under the muscle – Breast implant is placed below pectoralis major muscle.

Implants Above the muscle – Breast implant is placed above pectoralis major muscle.

Complications of Breast lift – Complications of mastopexy include infection, ruptured breast implant, capsular contraction, malposition, safety.



Breast Lift - Breast Lift Procedures

Breast Lift / Mastopexy Information Resource for Southern California, including Orange County, Los Angeles, Newport Beach, San Diego, and Beverly Hills.
The type of breast lift procedure that you require depends on how much sag you have. As mentioned above, the single, most important measurement that determines which procedure is necessary is the relationship of the nipple to the infra-mammary fold (IMF). This is outlined below. The measurements are not absolute but they at least give you a very good idea of what is necessary. Keep in mind, a concurrent augmentation will fill extra volume and, therefore, will decrease the need to remove a lot of the skin envelope. This may make it possible to perform a less invasive lift.
  • Augmentation alone

Depending on the size of the implant used, it can correct breast sag when the nipple is at least at the level of the IMF or above. If the nipple is lower than the IMF, then some form of lift will most likely be necessary. This is somewhat of a controversial topic, therefore, it is important that you are as educated as much as possible so that you can have done what is best for you. It is controversial because you must weigh the advantages of a properly positioned nipple versus a scar that goes completely around the areola. This is a decision that you and your plastic surgeon must make together. Hopefully, this has helped. (One caveat, if you are on the fence about whether or not you want to have a lift you can take some solace in knowing that it can be done later. If, after the augmentation, you are not happy with your nipple/areola location it can be done as a secondary procedure usually under local anesthesia).

If your nipples are at the level of the breast fold or above you are an excellent candidate for a breast augmentation. This will elevate the nipples, fill the upper breast, and increase cleavage without a visible scar.
Plastic Surgery Breast Lift & Enlargement
Frontal view of a 38 year-old woman with minimal breast sag. After shows significant improvement with implant alone.
Plastic Surgery Breast Lift & Enlargement
Lateral view of same patient. Notice the dramatic improvement of nipple positioning and breast fullness.
  • Peri-areolar breast lift

The peri-areolar breast lift is also know as a Donut Mastopexy or a Benneli Mastopexy. This type of breast lift is best when the nipples are no lower than 2 cm. below breast fold.This procedure involves excising the appropriate amount of breast tissue around the areola so that the nipple/areola are positioned on top of the breast mound. This procedure creates a small amount of rippling at the incision but this usually goes away within a year or less.

The 'Donut' breast lift is most useful for women whose nipples are no more than 2 cm. below the breast fold and in conjunction with an implant.
Example of incisions of
Peri-areolar (Donut) breast lift.
Of note, women with a significant amount of natural breast tissue usually require a more aggressive lift than women who have little breast tissue-even if the nipples are at the same level. This is part of the art that goes into breast lifting and this is why it is imperative to have an experienced board certified plastic surgeon performing the surgery.
Reconstructive Surgery Breast Lift & Enlargement
Frontal view of a 38 year-old woman with minimal breast sag. After shows significant improvement with implant alone.
Reconstructive Surgery Breast Lift & Enlargement
Lateral view of same patient. Notice the dramatic improvement of nipple positioning and breast fullness.
  • Peri-areolar with vertical incision breast lift

The 'lollipop' breast lift is best when the nipple is greater than 2 cm but less than 4cm below the IMF.

When the nipple descends greater than 2 cm below the IMF it is often necessary to incorporate a vertical incision in order to take up the additional skin that must be removed. This creates a much more attractive, round, full shape within the lower breast.

As breasts sag, they tend to flatten up top, lose cleavage, and take on a rectangular shape at the bottom. In these patients, a peri-areolar breast lift may lift the nipple to the right location but it will not address this saggy, rectangular appearance. The vertical incision breast lift will remove the excess tissue and create a much more rounded, youthful appearance.
A "Lollipop" breast lift is best when the nipple needs to be raised a moderate amount, i.e. when it is approximately 2-4 cm below the breast fold. Goals of this procedure are fuller upper breast, more cleavage, better nipple positioning, and transition from a hanging rectangular appearance to a projected round appearance.
Reconstructive Surgery Breast Lift & Enlargement
Notice the marked improvement of the lower breast shape. The before is flat and rectangular. The after is round and full.
Reconstructive Surgery Breast Lift & Enlargement
The vertical incision allows this breast to have a rounder, youthful, more projected appearance. A peri-areolar breast lift would not accomplish this is this patient.
  • Peri-areolar with vertical and horizontal incision breast lift

Many variables determine when this horizontal incision becomes necessary.

When the skin excess is greater than the vertical incision can take up, it is necessary to remove the rest via a transverse incision. Sometimes even the plastic surgeon is not sure whether it is necessary until he begins to operate. The length of the horizontal incision is, once again, determined by the amount of redundant skin.

Here is an example of the classic breast lift incision. This incision is way too long and is not necessary when performed with an augmentation by a skilled plastic surgeon.
With Dr. Cruise's technique of breast lifting, the horizontal scars are minimized so that they are hidden completely underneath the breast. This allows his patients to wear bikinis or any low cut dress they desire without concern of the scar being seen.
An "Anchor" breast lift is usually necessary when nipples have descended 4 cm or more.
Reconstructive Surgery Breast Lift & Enlargement
This woman has a significant amount of natural breast tissue as well as significant sag with nipples pointing almost directly downward.
Reconstructive Surgery Breast Lift & Enlargement
Lateral view shows repositioning of nipples back on top of breast cone. Also notice dramatic improvement of breast shape with a more rounded, youthful lower breast.

 

 

 

Breast Lift / Mastopexy Information Resource for Southern California including Orange County, Newport Beach, Los Angeles, San Diego, and Beverly Hills.

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Joseph T. Cruise, M.D.
Board Certified Plastic Surgeon
180 Newport Center Drive, Suite 150
Newport Beach, CA 92660

949-644-4808
1- 866-GoPlastic (866-467-5278)
info@orangecountycosmeticsurgery.com


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