Dr. Kirby's Blog

A Better Breast Lift

A breast lift restores the breasts to a more youthful position on the chest. It is a very satisfying procedure for women, many of whom have become disappointed with the appearance of their breasts. Some women experience drooping of the breasts or deflation of the breasts after pregnancy and breastfeeding, which is why a breast lift is often included in a mommy makeover. Age and weight fluctuations can make the breasts fall as well.

A breast lift, or mastopexy, removes excess skin and tightens the tissues to reshape the breasts. Even though many women long to have a more youthful silhouette, some are reluctant to undergo the surgery because of the scars left from the breast lift. There are many techniques used to lift the breast, a few of which we will discuss here. Areolar scars can be placed around the areola only for a minimal lift, without any other breast incisions. Careful selection of patients for this technique is important in order to avoid lift failure and scar widening. The “anchor” or “inverted T” technique is one approach to a complete lift of the breast. It involves three incisions: one around the areola, one vertical incision from the areola to the fold under the breast, and one horizontal incision along the crease under the breast.

A more modern technique provides an alternative to the anchor technique, and in the hands of a skilled plastic surgeon it can create a lasting result with fewer scars. The pattern is often referred to as the “lollipop” or “short scar” technique, and involves only the areolar and vertical incisions. It is a full breast lift like the anchor technique, but with shorter scars.  I was trained in both methods, but I am a firm believer in the lollipop method and believe that it can offer a better long-term result.

Why is the lollipop mastopexy better? There are fewer skin incisions, which is clearly appealing. The final shape of the breast is also superior to the anchor technique. The result is a more feminine, rounded, youthful breast with shorter scars. Internally, the breast is restructured, which gives superior support of the breast. In other lift techniques, the shape of the breast is based on skin support, which can result in stretching of the scar after surgery and repeated drooping of the breasts.

A surgeon who is well trained in both techniques can help patients understand which procedure is right for them. Every breast is different, so a full consultation will help identify which technique is appropriate. I prefer the lollipop technique for optimal results when a breast lift is combined with a breast augmentation for total rejuvenation of the breast.

I would be happy to discuss whether the lollipop mastopexy is right for you. I also perform the standard procedure, in case your needs are better suited by that technique. A breast lift can make a real difference in your appearance and your self-confidence. Contact me today for a complimentary consultation.

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