Mastopexy, commonly known as a breast lift, is a surgical procedure designed to elevate and reshape the shape of the breasts. It is commonly performed to address drooping or sagging breasts due to aging, pregnancy, breastfeeding, or weight loss. There are several different types of mastopexy surgeries, each with its own unique approach and potential risks. Below, we will delve into the various types of mastopexy procedures available to help patients make informed decisions about their surgical options.
- Crescent mastopexy
- Indications: Recommended for minimal sagging and typically performed in conjunction with breast augmentation.
- Procedure details: A small incision is made around the top outer edge of the areola, and a crescent-shaped incision is made to facilitate the insertion of implants. The skin within the doughnut shape is then removed. A 'purse-string' technique is used to close the incision.
- Scar location: Limited to the areola margin, camouflaged by the areola's natural dark pigmentation.
- Recovery: Generally well-tolerated with minimal postoperative discomfort and rapid healing.
- Doughnut mastopexy
- Indications: Ideal for women with small breasts seeking to correct sagging and areola size.
- Procedure details: A circular incision is made around the entire outer edge of the areola, and the areola itself is reduced in size. A 'purse-string' technique is used to close the incision.
- Scar location: Only around the areola, less noticeable than a traditional bridge mastopexy.
- Recovery: Often quicker than a traditional breast lift and with fewer potential side effects.
- Vertical or 'Lollipop' mastopexy
- Indications: Indicated for moderate to significant sagging, providing greater reshaping of the breast.
- Procedure details: Incisions are made around the areola and down to the inframammary fold (natural breast crease). The shape of the incisions resembles a lollipop, hence the name.
- Scar location: Scars are confined to the areola and the center of each breast, hidden from view by a bra or bathing suit.
- Recovery: May involve a slightly longer recovery period compared to a crescent or doughnut lift, but generally well-tolerated.
- Anchor or 'Inverted T' mastopexy
- Indications: Indicated for extensive sagging and large breasts.
- Procedure details: Three incisions are made: one around the areola, one vertical incision from the bottom of the areola to the inframammary fold, and one horizontal incision along the breast crease. The deep layer of breast tissue is sutured, and the nipples and areolae are lifted and repositioned.
- Scar location: An anchor-shaped scar is left underneath the crease of the breast, often covered by a nonautogenic skin (nipple areola complex).
- Recovery: More invasive than other types of mastopexy, requiring a longer recovery time and careful postoperative care.
Each of these mastopexy techniques has its own set of potential risks, including感染、出血、瘢痕形成、乳头或乳晕坏死，以及形态不满意等。 The choice of which type of mastopexy to undergo ultimately depends on factors such as breast size, degree of sagging, overall health status, and personal preferences. It is important to consult with a board-certified plastic surgeon who specializes in breast surgery to discuss the risks and benefits of each procedure in detail. A thorough assessment of your specific situation and goals will help your surgeon determine the optimal approach for your unique needs.
It is also crucial to note that mastopexy should not be considered a substitute for breast augmentation in women with a desire to significant increase in breast size or to correct severe ptosis. Additionally, it's important to discuss the possibility of breastfeeding after mastopexy, as it may be affected by the type of approach used., there are several types of mastopexy procedures available, each with its own set of pros and cons. A thorough discussion with your plastic surgeon will help you make an informed decision about which procedure is right for you. With proper care and follow-up, the benefits of a mastopexy can be significant, including improved breast shape, increased self-confidence, and enhanced overall body image.
