What are the different Breast Lift Techniques?
The specific type of procedure chosen is determined by several factors. Most important is the amount of sag or ptosis (pronounced: toe-sis) that present. When a slight amount of ptosis exists, a crescent Breast Lift can be performed. This is often performed in conjunction with breast augmentation. .
Breast Lift Techniques:
The Crescent Lift (Diagram 1): This technique involves removing a crescent-shaped piece of tissue above the areola and resuturing the tissue higher. This creates a minor lift for patients who have slight ptosis. The areola skin is thinner than the surrounding tissue, so slight distortion at the top is possible if proper support is not worn, or with natural sag and aging. This can cause the areola to appear oval or egg-shaped as a result.
The Benelli Lift (concentric, or peri-areolar, donut or doughnut lift, Diagram 2): This technique is considered less invasive and was designed with the incisions being made around the areolae (or areolas). With the Benelli, a doughnut-shaped piece of tissue around the areola border (or includes areolar tissue as well to reduce its size) is removed and the surrounding tissue sutured to the areola. The incisions are sometimes closed with permanent purse string sutures. The Benelli lift results in flatter projection, yet a rounder breast shape postoperatively as opposed to a naturally sloped breast.
The Benelli Lollipop, or simply Lollipop (or Keyhole, Diagram 3): This lift is the same as the above but with the addition of a straight scar from under the areolae to the mammary fold (crease). This is for those who have medium ptosis, too much for the Benelli only and too little for a full anchor incision. Puckering at the edge of the areola is possible.
Full Breast Lift (anchor, Diagram 4): The most commonly used technique for those with severe ptosis is with an anchor-shaped incision that starts at the base of the areola, then vertically to the where the breast crease meets the rib cage and then along the lower portion of the breast at the natural crease (or slightly higher). Nipple re-positioning is sometimes necessary with this technique as the nipple must be partially removed (see above) and left on a pedicle of flesh to retain the blood flow. This is considered one of the major scarring techniques (with the below being the most scarring) but it sometimes necessary with severely sagging breasts. With the Standard Mastopexy, the resulting scar appears as the shape of an anchor at the natural crease of the breast up to the areola (darker skinned area) and nipple area.
Full Breast Lift (anchor) with an areolae reduction or relocation (Diagram 5): This is sometimes needed or requested to decrease the size of the areolae complexes. This includes the anchor lift scars with the scars around the areola as with the peri-areolar lift.