Breast augmentation with silicone implants and full breast lift
- Posted on: Oct 30 2018
This 36 year old mother of three came to see Dr. Medalie in his Beachwood office. She was interested in a breast augmentation and breast lift to tighten her loose skin and increase the superior fullness of her breasts. After careful consultation she decided to proceed with 330 cc silicone breast implants at the same time as a full mastopexy (breast lift). The surgery was performed as an outpatient and took approximately 2.5 hours. She is shown 6 months after the procedure and is very happy with her higher and fuller breasts. *Plastic Surgery results may vary
Below is information from the American Society of Plastic Surgery regarding breast lift surgery:
Your breast lift procedure can be achieved through a variety of incision patterns and techniques.
The appropriate technique for you will be determined based on:
- Breast size and shape
- The size and position of your areolas
- The degree of breast sagging
- Skin quality and elasticity as well as the amount of extra skin
Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
Step 2 – The Incision
There are three common incision patterns:
Around The Areola
Around The Areola And Vertically Down From The Areola To The Breast Crease
Around The Areola, Vertically Down From The Breast Crease And Horizontally Along The Breast Crease
Step 3 – Reshaping Your Breasts
After your doctor makes the incisions:
- The underlying breast tissue is lifted and reshaped to improve breast contour and firmness.
- The nipple and areola are repositioned to a natural, more youthful height.
- If necessary, enlarged areolas are reduced by excising skin at the perimeter.
- Excess breast skin is removed to compensate for a loss of elasticity.
- Breast augmentation may also be performed to add more volume and provide superior fullness (this was done in the patient case presented above)
Step 4 – Closing The Incisions
After your breasts are reshaped and excess skin is removed, the remaining skin is tightened as the incisions are closed.
Some incision lines resulting from breast lift are concealed in the natural breast contours; however, others are visible on the breast surface. Incision lines are permanent, but in most cases will fade and significantly improve over time.
Many women desire the smallest scar possible. However, your plastic surgeon will recommend the incisions which best suit your anatomy.
Listen to your surgeon and do not diminish your result by demanding an incision that will not be appropriate for you.
Sutures are layered deep within the breast tissue to create and support the newly shaped breasts. Sutures, skin adhesives and/or surgical tape may be used to close the skin.
Posted in: Cool Case of the Week