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

Mastopexy, or most commonly known as a breast lift, is a procedure designed to improve the appearance of sagging or ptotic breasts. The goal of surgery is to improve the shape of the breast and lift the nipple areola complex. The degree of each patient' s breast droop is measured by comparing the nipple position with the breast fold. Additional measurements help determine the location and degree of excessive tissue laxity in order to decide on the type of mastopexy to be performed.

A "doughnut" or circumareolar mastopexy is a common technique utilized for mild degrees of breast ptosis. The anchor-pattern is a commonly used technique used for correction of moderate to severe ptosis.


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

Yes, the nipple and areola complex is relocated to a higher position on the breast. There are various types of mastopexy approaches; It depends on how high the nipple areola complex needs to be lifted.


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

The incisions will vary depending on the type of lift utilized. Mild degrees of breast ptosis can sometimes be corrected with a "doughnut" or circumareolar mastopexy. This technique employs an egg-shaped incision around the nipple and areola complex. The removal of skin above the areola allows it to move back to a more natural position. The scar is well hidden around the areola.

Mild to moderate breast ptosis can be corrected using a vertical scar, sometimes known as a "lollipop" mastopexy. The surgeon makes a circular incision around the areola and a vertical incision down the front of the breast beneath the areola to the fold of the breast (inframammary fold).

Moderate to severe breast ptosis can be corrected using the anchor-pattern lift, which describes the incisions made on the breast. The surgeon makes a circular incision around the areola, a vertical incision down the front of the breast beneath the areola to the fold of the breast, and an incision along the breast crease. The nipple and areola are then relocated to a higher position on the breast, excess skin is trimmed, and incisions are closed.


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

Mammograms are the main imaging studies required, especially in middle-aged patients. Generally, all patients aged 35-40 years should undergo a baseline mammogram prior to surgery. Routine preoperative laboratory studies may be required depending on the age and health of the patient.


5. What does a typical mastopexy consultation entail?

The initial consultation establishes the relationship between the patient and physician. This allows the surgeon to determine if the patient is an appropriate surgical candidate. The examination allows the surgeon to measure your breasts, position of your nipple areola complex and general torso area. This will assist the surgeon in determining the type of mastopexy which will provide for aesthetically pleasing breasts. Your surgeon should take into account your skin condition (i.e., elasticity and thickness) and age. Your surgeon will describe how a mastopexy is performed, the incisions used, resulting scars, risks and complications. Your surgeon will discuss your goals with you and explain what can be achieved realistically. The consultation is your opportunity to ask any questions and raise any concerns you may have before deciding whether to commit to surgery.


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

The immediate post-operative period is usually not associated with a lot of pain. Most often patients describe a feeling of discomfort and soreness, which your prescribed pain medications should alleviate. Swelling will occur but can be lessened if the patient sleeps with the upper torso elevated and stays upright for the first few weeks. This keeps the edema (fluids) from pooling around the breast. Swelling will decrease during the post-operative recovery period. Patients are advised not to lift anything over their head for at least 10 days or until your doctor specifies. Generally patients should not engage in strenuous activities, including exercise, for at least 3 weeks.


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

Some skin wrinkling may be seen after surgery. Most of this contour irregularity and swelling resolves during the first several weeks after surgery. You should notice an appreciable difference during this time. Final result will take three to six months after surgery.