1. What are the concentric (doughnut) and anchor-shaped breast lift techniques?

These techniques refer to the pattern of the incisions (cuts) that are placed on the breast and the pattern of the skin that is removed to provide a lift. The crescentic, or doughnut, breast lift limits the scar to around the areola only, while the anchor-shaped lift results in an anchor-shaped scar that extends from the areola to the inframammary fold under the breast and along the fold. The crescentic technique provides only a limited degree of lift, usually less than 1 to 2 inches. The anchor-shaped technique offers more lifting and shaping of the breast, but with a greater scar burden.


2. Is the placement of the nipple and areola affected by a breast lift?

The nipple and areola are generally lifted during a breast lift to a higher position.


3. Where are the incisions made during breast lift surgery?

As we discussed in Question 1 above, the incisions depend on the type of technique used. One of the newer techniques that I have integrated into my practice is a "short-scar" or "limited scar" breast lift, where the scar is limited to around the areola and below the breast only. A crescentic lift allows for a scar limited to only around the areola.


4. Does breast lift surgery require any prior medical tests?

Your surgeon should determine if your overall health is good enough to undergo surgery and consult with your primary physician when necessary. This may include some routine blood tests and an EKG of the heart.


5. What does a typical mastopexy consultation entail?

During the typical mastopexy consultation, your surgeon will discuss the various options available, including the choice of technique, such as a doughnut, short-scar, or anchor-shaped (Wise pattern) incision. The risks, benefits, and alternatives of the procedure will be discussed. In addition, a breast implant may be placed in some cases to provide additional volume and lift.


6. Is there a lot of swelling involved with mastopexy?

As in any surgery, there is some swelling expected after surgery. In mastopexy, this swelling is typically modest and most of the swelling resolves in a few weeks, although the final result may not be seen for a several months.


7. When will I be able to see the results?

The lift to the breast is apparent as soon as the surgery is completed. As discussed above, most patients have some swelling and bruising in the first week or two, but the breasts will have their improved shape immediately after surgery.