Doughnut Mastopexy with Augmentation
Some women seeking to enhance their ptotic (saggy) breasts, also desire to increase their cup size. In selected cases, the scar for mastopexy with enlargement can be limited to around the areola. This technique is called a Binelli Mastopexy after Louis Binelli, the French Plastic Surgeon who described it. Unlike standard breast augmentation scars that are nearly undetectable, the scar that results from Binelli Mastopexy is visible. In essence the way the procedure is done is by incising a circle around the areola and leaving the nipple attached. A larger circle is then fashioned and all the skin inside the 'doughnut' is removed. The two circles are then brought together by placing a 'purse-string' in the outer circle and then tying it. This allows the scar to remain at the areolar margin. However, because there is a mismatch between the two circles, the resulting scar widens a little bit and is visible. Also there tend to be folds or pleats near the areola that may persist for months and rarely are permanent. As long as the woman's breast is not too heavy, it is the preferred technique in women with ptosis that want to be larger. One aspect of all minimal scar techniques is that they can take a while to settle and assume a normal shape. In addition to having a flat frontal area, Binelli Mastopexies can also look 'boxy' for an extended period of time (occasionally 6 to 12 months in some instances). Therefore, you may need to be very patient with the shape and areolar pleating as the result matures during the first 3 to 6 months.
In addition to this procedure, Dr. Hause also treats Sacramento augmentation and breast reduction patients. Please visit these pages to learn more about Dr. Hause, who serves patients from Sacramento and Modesto.