Breast Lifts

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Inverted T Breast 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.

The inverted "T" mastopexy is the classic technique for breast lifting.

This breast lift procedure has its name because of the scar pattern created down the middle and along the base of the breast.With this design, that portion of the scar is the shape of an upside down "T". Like nearly all methods of breast lifting, this procedure also results in a scar around the areola.

This technique is also called a Wise pattern mastopexy and an Anchor pattern mastopexy. This method is very similar to the inverted "T" approach to breast reduction surgery.

The inverted "T" mastopexy is for women with moderate to severe breast ptosis. This method is particularly useful for women with marked breast skin excess, such as those that have lost a great amount of weight or have experienced severe deflation of the breasts following pregnancy and breast feeding.

For women with such skin excess, the inverted-T breast lift is often the most powerful mastopexy technique. 

Inverted-T Breast Lift Technique

Like the vertical mastopexy, a central, vertical key-hole incision is made. In addition, a transverse incision is also made in the breast fold.

Combining the vertical and transverse incisions allows for maximal removal of skin and shaping of the breast. In addition to skin removal and tightening, the deep layer of breast tissue may be sutured together to shape the breast as well.

Finally, the areola is slid into a higher position and the skin is closed around the areola and down the center of the breast. The final scar is like an anchor or inverted "T", with a scar around the areola, straight down the center of the breast to the breast fold and across the base of the breast.

The length of the scar in the breast fold varies according to the degree of skin excess at the lower aspect of the breast.

Like the vertical mastopexy, this technique typically does not cause puckering of the skin around the areola (as does the areolar breast lift), but it does leave the breasts very high and perky and the bases of the breasts are tight and flat immediately after surgery.

Within a few weeks from surgery, the breasts soften and begin to assume a nice appearance.

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.

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.

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.

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.

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.

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.

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

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.

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.

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 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.

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