RESULTS OF DIFFERENT PATTERNS OF BREAST LIFT,
MASTOPEXY OR REDUCTION. NJ
Published on February 23, 2013 Dr. Rafizadeh
There are several techniques in performing a breast lift (mastopexy) and breast reduction. Traditionally an anchor shape or inverted T shaped closure is used to create an ideal breast shape. Several other closure patterns have been popularized in order to limit the scaring on the breast, but it is important to understand that these techniques do not necessarily produce the same results. Shorter scars is obviously desirable and is the reason many patients may opt for these options, but it is important for the plastic surgeon to have a discussion with the patient about the differences in the end results and shape. There is no question the the anchor technique will give the plastic surgeon the best control of the breast shape. He or she can create additional projection by removing more skin in the vertical direction and narrow the base of the breast. The curvature of the breast profile between the nipple and the infra mammary fold can be controlled by the horizontal skin excision. The periareolar skin resection will control the nipple projection.
The vertical technique does not reduce the distance between the nipple and the infra mammary fold even though the parenchymal manipulations and shaping can reduce that distance to a certain extent, the lower pole of the breast remains rounder. The periareolar procedure will flatten the breast and reduce nipple projection. The control of areola diameter will require a permanent suture that can be felt as a ring around the newly formed areola. There are complications associated with that suture.