BREAST LIFT (MASTOPEXY) PERIAREOLAR-WINICOL SCAR APPROACH
Συγγραφέας Ανδρέας Ιωαννίδης Γράφτηκε στις ,
Breast lift (mastopexy) surgery is used to restore a more youthful shape to the breast. Common features that are improved are drooping (ptosis) of the entire breast and nipple position. Often just the nipple position has begun to fall and point downward. The areola (darker skin aroynd the
nipple) also can become dilated, which distorts the natural proportions of the breast.
A breast lift does not remove any breast tissue but merely tightens the skin and lifts the glandular tissue. It is common to have a breast augmentation combined with a breast lift in situations where you feel that the breast is too small. The degree of sagging will determine the specific type of breast lift required. Each of these techniques involves some degree of scarring on the breast. Many believe the improved shape is a worthwhile trade-off for the resulting scars. These scars are within normal garment lines and become less visible with time.
A crescent mastopexy can be used to correct small degrees of nipple ptosis or malposition. The scar is limited to the upper half of the areolar border. If there is a small degree of breast and nipple ptosis a periareolar mastopexy will be recommended. This scars goes entirely around the areolar border and can tighten the breast in all directions while reducing the diameter of the areola. When there is more sagging and skin looseness a standard mastopexy is required. In addition to the periareolar scar, Dr. Ioannidis modified the periareolar technique in such a way to tighten also the breast it’s self inside and shorten the coopers ligaments attachments to the chest. With this modification doctor can treat problem with extended degree of ptosis and at the same time extent the duration of the cosmetic result in time.
Who is candidate
• If your breast are sagging due to past pregnancies, genetics, or aging.
• If breast augmentation alone will not restore the breast shape.
• If the areola ( pigmented area around the nipple ) is dilated and
enlarged.
What are the goals
• An elevated, more youthful breast contour.
• A nipple and areola that are in the right location on the front of the
breast and are of proportional size and diameter.
Procedure
• The operation is done as an outpatient procedure in our private surgical
facility under light general anesthesia.
• The design of the operation usually involves an incision around the
nipple- areolar complex and in some instances an incision that extends down to the breast crease. A short scar within the natural breast crease may also be required.
• Excess breast skin is removed and the nipple – areolar complex is lifted
to a higher position. No breast tissue is removed but the tissue is rearranged to give a more uplifted and pleasing shape.
• A light dressing is applied and a normal bra is placed in the operating
room.
Recuperation and healing
• Discomfort is often very mild and controlled with oral medications.
• Some swelling and bruising is present for 2 weeks.
• The final breast shape takes up to 3 months to achieve.
• The breast will continue to droop slowly but an improved shape is long
lasting.
• You can resume light activity in 2 weeks and return to exercise in 4 –
6 weeks.
Adjuvant surgical treatments
• Breast augmentation can correct a mild degree of sagging or this can be
done in addition to the breast lift.
• Liposuction of the breast can reduce the size or contour the area under
the arm.
• Contouring of the abdomen and torso can also be considered at the same
time.
