Sometimes there is just too much droop (ptosis) or extra skin to get the best result from a simple augmentation. If your nipple is positioned at or below the level of the crease under your breast (inframammary fold), there may be a lift (mastopexy) in your future. A lift will provide a more youthful shape, and is great for also helping to correct asymmetric breasts and those with large or unattractive areolas. The lift may be as simple as a crescent scar that travels across the top of the areola (best for just asymmetric nipple height), a lollypop scar, or even an anchor type incision. For some patients it may be better to stage the procedures with the lift first, and then the augmentation once healed.
While many people would like to avoid the lift part (because of scars, complexity of the surgery, or cost), if it needs to be done, it needs to be done. Patients with ptosis or excess skin that require a lift but who choose to forego it will likely be disappointed in their results. Because of the complexity of the combined surgery it does have a higher rate of revision (up to 1/3 in published data). Again, if you need it and choose not to do it, you can pretty much guarantee you will want a revision.
Augmentation Mastopexy: Taking the Next Steps
Especially with aesthetic treatments, seeing is believing. Please take some time to review our Augmentation Mastopexy before and afters. It will help you set expectations, and may help you discover questions you have about the procedure. Some of the answers to your questions may be found in the vendor brochures and educational materials, available for download on this page. In the patient education section of our site, you’ll find informative blogs, videos and podcasts on this topic and many other aesthetic treatments.
If you are interested in Augmentation Mastopexy, the best way to affirm your candidacy is to consult with Dr. Folk in our Denver practice. Simply call our office, or submit a consultation request.
See our gallery for more breast augmentation with a lift before and after images.