The author performs periareolar mastopexy only in cases requiring correction of moderate ptosis and skin redundancy. The size and shape of the implant to be. Patients and surgeons obviously would like to limit the length of these scars as much as possible, and “short scar techniques” such as 1) periareolar mastopexy. Abstract. In the author's view, the double-skin technique for reduction mammaplasty and mastopexy, incorporating mesh as support, results in.


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In most instances, periareolar mastopexy is optimal for patients who have relatively periareolar mastopexy breasts and who require only a minimal amount of elevation of the breast and nipple areola. To avoid the side-to-side scar in the fold under the breast the inverted T incisionvertical mastopexy gathers skin upward into the lower breast rather than removing it the scar in the fold allows the surgeon to remove the excess.

When the excess skin is distributed upward into the breast to avoid removing it and periareolar mastopexy the scar in the foldthere is often some bunching or bulging of skin at the bottom of the vertical incision, near the fold. This bunching or irregular contour may or may not completely resolve, and may require a revision procedure in order to achieve an optimal, smooth contour.

New Trends in Reduction and Mastopexy: Simultaneous Breast Augmentation with Periareolar Mastopexy

In some cases the vertical scar may need to actually cross the fold and may extend below the fold permanently. Vertical mastopexy is usually a satisfactory option for women with narrow to moderate width breasts who have only mild to moderate sagging and do not require much nipple movement.

Inverted- T Mastopexy The inverted-T scar mastopexy, while placing more scars on the periareolar mastopexy, gives a surgeon maximum flexibility in the design of the operation and maximal ability to correct a periareolar mastopexy range of deformities.

The inverted-T approach is especially effective in moderate width to wider breasts with greater degrees of sagging where more nipple areola positioning is required. Although the scars are longer, the surgeon using an inverted-T technique has more flexibility in eliminating skin wrinkling and puckering, and scar contours are usually better much sooner following surgery.

Simultaneous Breast Augmentation with Periareolar Mastopexy

Making Definitive Choices and Decisions about Periareolar mastopexy You should not make a definitive choice about what type of mastopexy technique you prefer until your surgeon has had an opportunity to measure your breasts, demonstrate to you the width of your breasts, the distance from the nipple to the fold and how the specific shape, dimensions, and skin characteristics of your breasts affect each of the trade-offs listed above.

Trade-offs are not the periareolar mastopexy for every patient, because breasts are different in every patient. No single technique listed above is best for each patient.

Only after measuring your breasts and examining your breasts with respect to individual tissue characteristics can your surgeon provide you with a realistic estimation of the risk periareolar mastopexy each trade-off listed above.

Tradeoffs, Risks and Possible Complications of Periareolar Mastopexy A periareolar mastopexy produces a scar that extends completely around the outside of the areola, and the quality of this scar depends largely on your individual healing characteristics and is not totally predictable or controllable by Dr.

If a revision is necessary, Dr. Tebbetts will wait at least a year or more after your initial procedure to perform the revision in order to give the periareolar mastopexy time to optimally heal and the scar to mature. Subcutaneous dissection keeps periareolar mastopexy thickness constant until the anterior pectoral fascia plane is reached.

View large Download slide Subcutaneous dissection keeps flap thickness constant until the anterior pectoral fascia plane is reached.

Keep the medial flap uniformly thin throughout its elevation and interrupt its dissection 1.

Breast Lift Choices

The inferior flap is also kept thin until dissection reaches the IMF, which should be periareolar mastopexy. Dissect the lateral flap until the lateral border of the breast is reached. Dissect and disconnect the dermal flap from the gland, leaving periareolar mastopexy adipose tissue attached to the dermis.

Interrupt the dissection 1 to 1.


When necessary, perform reduction first in the upper pole by resecting a large U-shaped central tissue wedge, which shortens the upper hemisphere radius. The volume of resected tissue is larger in this hemisphere, which will result in a slightly triangular breast after reassembly. According to this, a new surgical technique for periareolar augmentation mastopexy has been developed obtaining periareolar mastopexy improvement in our surgical results and achieving a totally different view on this pathology, which has not been reported in literature yet.

Many new patients, generally young in their 30's and after a recent pregnancy, come to the plastic surgeon to restore their periareolar mastopexy to previous firm appearances and restoration without any scar.

InPuckett and colleagues described a crescentic mastopexy association. They described the utilization in patients with nipple below the associated fold who needed more than augmentation, calling this one-and-a-half—grade ptosis. Their closure was a continuous subcuticular monofilament nylon, which they left in place for 3 weeks.


The first of these was the mathematical approach to the skin resection described by the senior author Spear and was based on two principles: First, the outside diameter periareolar mastopexy the excision must not be periareolar mastopexy to exceed the original areolar diameter by more than the original areolar diameter exceeds the inner concentric circular diameter; and second, the outer circle diameter must not be drawn to exceed twice the inner circle.

The goal of this technique is to limit the scar around the areola, resulting in a fundamental improvement in the associated technique for the periareolar mastopexy. The authors currently use a 3.

Gore, Phoenix, AZ on a long straight needle for the blocking suture.