The medical term for sagging or lax breast tissue is breast ptosis. Aging, pregnancy, breastfeeding and weight fluctuation can be contributing factors in breast ptosis. Many patients seek returned upper breast projection (perkiness) through a breast lift procedure (mastopexy).
This procedure has become increasingly popular. The American Society of Plastic Surgeons reports that breast lift procedures have increased 70% since 2000. There are three common and very different types of procedures to consider if you are contemplating a breast lift.
Binelli (Donut Mastopexy)
The Binelli mastopexy (named after French plastic surgeon Louis Binelli) limits scarring to around the areola. For qualifying patients, this is often the preferred technique in women with ptosis who desire breast augmentation.
During this procedure, the incision is made around the attached areola, a larger circle is incised, and the skin within the doughnut shape is removed. A “purse-string” technique is then used to tie the outer circle. The resulting scar remains only around the areola margins. Scars will not be visible in a bra or bikini, as opposed to other breast lift procedures. This procedure is best for those who do not have very heavy breasts or for those also seeking augmentation.
The results of Binelli mastopexy may take time to materialize.
Limited-Scar Mastopexy (Lollipop)
The limited-scar mastopexy or lollipop breast lift was originally called “Lejour” mastopexy after Belgian plastic surgeon Madeline Lejour. For patients who desire a simple breast lift without augmentation, this is a great option. This procedure differs from the Binelli lift in that the breast tissue is molded into a new cone of tissue. Breast skin quality is not a determining factor in positive results. A new breast cone is simply formed and suspended higher up on the chest wall. Additional support sutures are utilized to improve breast shape. Results tend to naturally last longer without recurrent surgery.
Scars are limited to around the areola and down the center of each breast. Limited-scar Lejour or lollipop mastopexy are often performed outpatient under general anesthesia, with most recovering patients returning to work within seven to 10 days.
Some patients seek breast lift to treat more extreme sagging or excessive skin. In some cases, vertical mastopexy with or without an implant is the right solution. In this procedure, the breast is totally reshaped, internal sutures are used, and excess skin is incised to dramatically shift the breast shape and position.
A lollipop-shaped incision is made around the areola and then vertically. The deep layer of breast tissue is stitched, and the nipples and areolae are lifted and repositioned, resulting in a firmer shape. The vertical mastopexy is done under general anesthesia. Full recovery and results take around six months.
The best way to decide which type of breast lift may be the best fit for you is to consult with Dr. Hause. To request a consultation with him, please call (916) 646-6869 or email us today.