Breast Aug Lift Types
Breast augmentation can be combined with any of the common breast lifts. A short review is provided here, and more details on breast lifts can be found on the breast lift (mastopexy) page. Breast lifts are listed in ascending order from mastopexies which provide the shortest scar (and the smallest amount of lift) to the largest.
Breast Augmentation Mastopexy Crescent Lift (Crescent Augmentation Mastopexy): Periareolar breast augmentation is normally performed via a periareolar incision placed below the nipple from about four to eight o'clock. When a small lift is needed, the incision can be moved to above the nipple (from ten to two o'clock). A small crescent of skin is removed, and the nipple and areola are lifted. Since the areola remains attached along its lower half, the amount of lift is limited, and pulling too hard will distort the shape of the areola. This lift is not effective enough to correct true ptosis.
Breast Augmentation Mastopexy PeriAreolar Lift (PeriAreolar Augmentation Mastopexy): The periareolar breast lift is sometimes called a circumareolar lift as it utilizes an incision around the circumference of the areola. It is similar to a crescent lift with the tips of the crescent meeting at the bottom beneath the nipple. Since the lower aspect of the areola is closed horizontally, along the edge of the areola, it does limit the amount of vertical lift. Normally one or two centimeters of upward movement is obtained, but the addition of the breast implant provides additional support for the lower pole of the breast and can enhance the visual improvement. A periareolar augmentation mastopexy is also helpful for correcting the tubular breast deformity. Click here to read more about Tubular Breast Deformities.
Breast Augmentation Mastopexy Vertical Lift (Vertical Augmentation Mastopexy): The vertical breast lift is so named because is has a vertical scar below the periareolar scar. The two shapes drawn together give the lift is nickname - the lollipop lift. The periareolar scar (a circle at the top) and the vertical scar (a vertical line extending downwards) form the candy and the stick of the lollipop respectively. It is variation on the inverted-T technique that is absent the IMF scar. Since the lower aspect of the incision is closed side-to-side, there is no downward drag. The side-to-side closure pinches the lower pole of the breast and helps push the nipple-areolar complex further up on the breast.
Horizontal Lift (Horizontal Augmentation Mastopexy): The horizontal breast lift gets its name from the horizontal IMF (Infra Mammary Fold) scar that is added to the periareolar scar. The horizontal breast lift may be the least commonly used mastopexy technique. It requires a long narrow breast. It is variation on the inverted-T technique that is absent the vertical scar. In order to not have the vertical scar, the nipple must be moved more than 7 centimeters (about 3 inches). Since no skin is removed between the areola and the new inframammary fold, this breast lift works best when the breast is narrow. Since the IMF scar is low in the breast, it tends to be hidden in the curve at the base of the breast, giving a more aesthetic result.
Inverted-T Lift, Anchor Lift, Keyhole Lift (Inverted-T Augmentation Mastopexy, Anchor Augmentation Mastopexy, Keyhole Augmentation Mastopexy): The inverted-T breast lift gets its name from the inverted capital T shape of the scar that is added to the periareolar scar. The other names arise because the overall shape of the scar makes an anchor shape, and the shape of the upper portion of the resection looks like a keyhole before is it closed. This is be far the most versatile breast lift as it can reshape even the severely overstretched or deflated breasts. The peri-areolar and vertical components of the scar, allow the nipple to be moved as high needed. The horizontal (IMF) portion of the scar, allows for removal of excess skin at the base of the breast. Tightening this area reduces the ability of the breast tissue to descend and sag onto the abdomen. This type of lift helps with both true ptosis and pseudoptosis, while the implant can increase the breast size and provide upper pole fullness.
If the areola is too large an Areola Reduction may be seamlessly incorporated into all the lifts above (except the crescent lift). The lifting procedure will position the areola, while the areola reduction decreases the amount of pigmented skin surrounding the nipple. Areolar reduction can also be performed without a lift. The scar is hidden along the edge of the areola. More information on areola reduction is located on the Specialty Breast Procedures page.
The three major breast implant manufactures in the US are Natrelle (Allergan), Mentor (a division of Johnson & Johnson) and Sientra (Silimed). All stand behind their unique breast implant product lines with generous warranties, including lifetime replacement of your implant should you experience a deflation. Breast implants leaks which occur within 10 years of your initial breast augmentation surgery may qualify for additional financial assistance to defray the cost of Breast Implant Deflation Replacement Surgery, i.e. replacing your old breast implants with the new breast implants. For your convenience, warranty details are available here. Breast Implant warranties are frequently updated, so be certain to check your breast implant manufacturer's web site for the latest information.
The combination of Breast Augmentation and Breast Lift is considered one of the most complex Cosmetic Plastic Surgery procedures. Usually the combination can be used to great result, but sometimes the two operations need to be staged, as two separate procedures. The learn more about Mastopexy Augmentation, and to learn what the procedure can over you, give our Board Certified Plastic Surgeon a call at (925) 943-6353, today