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Can A Breast Lift Be Performed With Breast Implants Alone? Dr. Sam Jejurikar, Breast Augmentation Specialist, discusses breast lift and breast implants in Dallas, Texas.

Tag Archives: mastopexy

It is not uncommon for many patients to ask me whether they can avoid the scars associated with a breast lift by simply placing a really big breast implant.  This notion may have been placed in their mind by other surgeons, or by information that they have picked up from the Internet.

I certainly understand the motivation behind this question.  I have never had a patient come to my office requesting more scars than necessary for surgery.  Ultimately, people want to avoid scars on their breasts, and I am no different in this regard.

However, only a very minor breast lift can be accomplished with a breast implant.  There are surgeons out there, many of who are not plastic surgeons and do not have specific training or experience with breast lifts, who will attempt to place an overly large breast implant into the patient’s breast rather than perform a breast lift.  Not only can this give patients larger breasts than they want, but it can cause long-term negative consequences on the breast tissue and breast-supporting ligaments.  It is in these situations that long-term complications such as implant malposition (the implant sliding down too far) are more likely to happen.

Ultimately, my goals for the patient always remain the same.  First, it is important that the patient have a nice breast shape and size.  This differs from patient to patient, but it is important for me and the patient to come to a mutual understanding of this prior to surgery.  Two, if a breast lift is needed, I want to do it with the fewest number of scars possible, as well as the most aesthetically pleasing scars as possible,.

If you have more questions about breast implants and breast lift surgery, do not hesitate to contact me at 214-827-2814.

Many women experience changes in the appearance of the breasts after massive weight loss, pregnancy, or breast-feeding.  Oftentimes, these women will come in for consultation, looking for either a breast lift or placement of breast implants.  It is important to realize that breast implants are primarily aimed at increasing lost volume in the breasts, particularly in the upper portion of the breasts, and have very little effect on sagging breast skin and on downward-pointing nipples and areolas.

For patients that do suffer from severe droopiness of the breasts, as well as sagging breast tissue, breast lift (mastopexy) tends to be the best option.  Oftentimes women are resistant to hearing this, as they do not want the scars that are associated with the operation.

There are a large variety of incisions that can be utilized for performing a breast lift.  In the most limited incision form of breast lift, known as a circumareolar lift or Benelli mastopexy, an incision is made just around the areola (the pigmented skin surrounding the nipple).  This operation is useful only for very mild forms of breast droopiness, and is best performed in combination with placement of a breast implant.  The reason for this is that be Benelli mastopexy does very little to restore lost volume in the upper portion of the breasts, which is usually seen in association with mild droopiness.  For mild forms of droopiness (ptosis), however, the performance of a Benelli mastopexy in combination with breast implants can lead to a very pleasing shape.

The next form of mastopexy is known as a circumvertical, or lollipop mastopexy.  In this form of breast lift, an incision is made around the areola, and a vertical incision is made from the areola along the middle portion of the breast to the crease at the bottom of the breast.  This is far and away the most common type of incision utilized for mastopexy.  This access allows the surgeon to reshape breast tissue, and place a large portion of breast tissue from the bottom portion of the breast into the upper pole of the breast, where breast volume is lacking.  It can be utilized for mild to severe forms of breast droopiness.  It can be performed in combination with either saline breast implant or silicone breast implant placement, but can also be performed without breast implant placement.

The last form of mastopexy is known as a Wise pattern mastopexy or anchor pattern mastopexy.  This involves an incision around the areola, a vertical incision from the areola to the crease at the base of the breast, and an incision along the very base of the breast.  This is the traditional type of incision utilized for mastopexy, and is most often reserved for patients that have lost massive amounts of weight, and have a severe amount of extra skin.  Like the lollipop mastopexy, it can be performed with or without the placement of breast implants.

If you have any questions, please do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

Having a child usually is the one of the most magical and emotionally-fulfilling experiences of a woman’s life.  Unfortunately, the physical toll that pregnancy, childbirth and breastfeeding can have on a woman’s body often is devastating. Even with proper diet and exercise, it usually is nearly impossible to restore a youthful, pre-pregnancy body.

Women come in with a litany of complaints, including loosening and bulging of the abdominal wall muscles, stretching and loosening of the skin of the breasts, thighs, and abdomen, and extra fat of the belly, back and thighs.  For those women out there who want a firmer, tighter body, even after childbirth, there is the Mommy Makeover. This cosmetic procedure is individualized for each patient.  One patient may need a breast lift and a tummy tuck; another may opt for liposuction and breast augmentation.  No two patients are the same, so the mommy makeover combines the best of several popular procedures to restore a youthful, pre-pregnancy body.

Through the end of October 2009, we are offering 10% of all surgeon’s fees on breast and body contouring surgery.  Call today (214-827-2814) to schedule a consultation!

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Our Location Dallas Plastic Surgery Institute

9101 N. Central Expwy.
Suite 600, Dallas, TX 75231
Tel: 214.827.2814
Dallas | Dr. Jejurikar

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