Breast Lifts

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Areolar Lift And Augmentation

Areolar Breast Lift Technique

illustration of areolar lift and augmentation

This example of a circumareolar breast lift shows the circular pattern of skin that is removed around the areolas. The implants are placed through the lower edge of 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 lift and additional breast fullness, a combined circumareolar breast lift and breast augmentation is the preferred treatment.

This technique is also called a Benelli or donut mastopexy-augmentation. This breast lift is limited in the amount of excess skin that can be removed and is essentially used only to reposition the areola.

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 extra skin around the areola is removed. The breast implant is then placed through the bottom edge of the circumareolar cut-out.

The areola is slid into an elevated position by closing the skin around the areola like a purse string and suturing the new skin edges together. (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.

Areolar Breast Lift Recovery

In the first few weeks after surgery, the skin around the areola is puckered and bruised. The skin is tight and the breast implants are usually high on the chest causing a lot of upper breast fullness.

Over several weeks after surgery, the skin softens, the implants settle, the puckering flattens and the breasts take on a nice appearance.

Illustration of circumareolar lift

This drawing shows a circumareolar mastopexy and augmentation. For the first few weeks after surgery, the implant is high on the chest and the skin is very puckered around the areola. Over time, the puckered skin flattens and the implants settle at the bases of the breasts.

Circumareolar Breast Lift Precautions

The areolar breast lift and augmentation procedure does have some technical failings and it must be used carefully. This is due to some potential problems associated with the areolar lift. With the areolar breast lift, because the skin is closed around the areola like a purse string, the puckering can in some cases 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 and augmentation compared with other common mastopexy and augmentation techniques.

Despite these drawbacks, due to some patients' breast shape and their aesthetic goals, the areolar breast lift and augmentation is 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 breast lift and breast augmentation with you, if this procedure is an option in your case.

Circumareolar breast lift
Circumareolar breast lift

illustration of areolar lift and augmentation

This example of a circumareolar breast lift shows the circular pattern of skin that is removed around the areolas. The implants are placed through the lower edge of 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.

Areolar lift and augmentation results
Areolar lift and augmentation results

Illustration of circumareolar lift

This drawing shows a circumareolar mastopexy and augmentation. For the first few weeks after surgery, the implant is high on the chest and the skin is very puckered around the areola. Over time, the puckered skin flattens and the implants settle at the bases of the breasts.

Vertical lift and augmentation results
Vertical lift and augmentation results

illustration of vertical lift with implants

This figure shows the results of a vertical breast 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.

Vertical breast lift surgery
Vertical breast lift surgery

Illustration of vertical lift and augmentation

This is an example of a vertical breast lift. The implant is inserted through the lower part of the skin cut-out. The areola is then slid into a higher position and the skin is tightened and closed around the areola. Often, the deeper layers of tissue are also sewn together and tightened to shape the breast.

Vertical lift and augmentation after surgery
Vertical lift and augmentation after surgery

illustration of vertical lift with implants

Here is the vertical breast lift and augmentation after the implants have been placed and the incisions are closed. Note the scar around the areola and down the center of the breast in the shape of a lollipop. The first few weeks after surgery implants are slightly high on the chest and the lower breast is flat and tight.

Inverted - T lift results
Inverted - T lift results

illustration of inverted-t lift with implants after recovery

This figure shows the results of an inverted-T breast 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 surgery
Inverted - T surgery

illustration of inverted-t lift and implants

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. This technique is used in moderate to severe cases of breast ptosis.

Inverted - T lift with implants after surgery
Inverted - T lift with implants after surgery

illustration of inverted-t lift with implants

This figure shows the final skin closure and the breast shape after surgery. After removal of the skin, the areola is slid into a higher position and the skin is wrapped around the breast tissue and closed with dissolvable sutures.  During the first few weeks after surgery, the breasts are tight, swollen and perky.

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