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Related Topics

Breast reduction
Breast reduction surgery lifts and reduces the breasts. A woman’s figure and lifestyle can be improved with a breast reduction.

Computer simulations
3-D computer simulations allow women to see how their breasts may look with various size breast implants.

Breast implants & lift
Breast lift, plus breast augmentation, can lead to perky, larger breasts.

Inverted - T lift after surgery
Inverted - T lift after surgery

illustration of inverted-t lift final results

This figure shows the results of an inverted-T lift after several weeks of healing. The upper breast fullness and swelling have resolved, the breast tissue has "dropped", and the lower poles of the breasts have rounded out.

Inverted - T final closure
Inverted - T final closure

illustration of inverted-t lift early recovery

This inverted-T breast lift illustration shows the final skin closure and the breast shape after surgery.

During the first few weeks after surgery, the breasts are very tight, swollen and perky.

Inverted - T lift
Inverted - T lift

illustration of inverted-t lift

The inverted "T" breast lift results in removal of skin from around the areola, down the center of the breast and from the lower portion of the breast. The areola remains attached to the breast tissue, nerves, and blood vessels.  After removal of the skin, the areola is slid into a higher position and the surrounding skin is wrapped around the breast tissue and closed with dissolvable sutures under the skin. This technique is used in moderate to severe cases of breast ptosis.

Vertical lift results
Vertical lift results

illustration of vertical lift early recovery

The breasts appear natural and youthful after the vertical breast lift has healed and the breasts have softened and settled.

Note the "lollipop" shaped scars around the areolas and down the center of the breasts.

Vertical lift surgery
Vertical lift surgery

illustration of vertical lift

The central breast skin is removed in a "key-hole" pattern. The deeper layers of the breast are usually sutured together to shape the breast. The areola is slid into a higher position and the skin is sutured closed leaving a

Side view of areolar lift settled
Side view of areolar lift settled

illustration of side view circumareolar lift settled

After fully healed, the puckering around the areola resolves, and the skin loosens and the breast settles into a soft, natural appearance.

Side view of areolar lift
Side view of areolar lift

illustration of side view of circumareolar lift

 

Here, in side view, is a breast shortly after circumareolar breast lift. The breast is tight and the skin is puckered around the areola.

Areolar lift after surgery
Areolar lift after surgery

illustration of circumareolar lift after surgery

This drawing shows a circumareolar breast lift. For the first few weeks after surgery, the skin is very puckered around the areolas.

Areolar lift design
Areolar lift design

illustration of circumareolar lift

This example of a circumareolar breast lift shows the circular pattern of skin that is removed around the areolas. The skin is then tightened around the areolas like a "purse string" and the breasts are lifted and the areolas are repositioned in a higher location.

Breast Lift Video
Breast Lift Video

Areolar Breast Lift

illustration of circumareolar lift

This example of a circumareolar breast lift shows the circular pattern of skin that is removed around the areolas. The skin is then tightened around the areolas like a "purse string" and the breasts are lifted and the areolas are repositioned in a higher location.

For women needing a small breast lift involving a minor repositioning of the areola and tightening of the central breast skin, a circumareolar breast lift (mastopexy) is a nice choice. This technique is also called a Benelli or donut mastopexy. Though most commonly performed in conjunction with a breast augmentation, this lift can be performed on the small group of women with minor breast ptosis.

Circumareolar Breast Lift Technique

The circumareolar breast lift is performed by first reducing the size of the areola to about 1.5 inches in diameter. Next, the outer layer of the extra skin around the areola is removed. The areola is slid into position and the skin around the areola is closed like a purse string (The areola is not removed and sutured back on with any of the lifting techniques). Additional sutures are then placed to precisely close the incision.

In the first few weeks after surgery, the skin around the areola is puckered and bruised and the breasts are tight and very "perky". In time, the skin flattens and the breasts soften, taking on a nice, natural appearance.

illustration of circumareolar lift after surgery

This drawing shows a circumareolar breast lift. For the first few weeks after surgery, the skin is very puckered around the areolas.

Circumareolar Breast Lift Precautions

The areolar breast lift, whether used alone or in combination with a breast implant, does have some technical failings and it must be used carefully. Because the skin is closed around the areola like a purse string, sometimes the puckering can be severe and complete smoothing out of the puckered skin does not occur with time. In addition, post-operative areolar scarring, shape and size can be unpredictable and unfavorable with this technique. Therefore, additional surgery to improve the scars and/or the shape of the areolas is more common with the areolar breast lift compared with other common mastopexy techniques.

Despite these drawbacks, due to some patients' breast shape and aesthetic goals, the areolar breast lift can be the procedure of choice. Therefore, this is a common procedure for us and we generally achieve nice results with it. During your consultation, Dr. Connall will review the pros and cons of the areolar mastopexy with you, if this procedure is an option in your case.

illustration of side view of circumareolar lift

Here, in side view, is a breast shortly after circumareolar breast lift. The breast is tight and the skin is puckered around the areola.

illustration of side view circumareolar lift settled

After fully healed, the puckering around the areola resolves, and the skin loosens and the breast settles into a soft, natural appearance.