Posted on 29 Jun 2017

IT IS VERY COMMON FOR WOMEN WHO ARE UNDERGOING A BREAST LIFT TO OPT FOR A BREAST AUGMENTATION. IN FACT, 95 % OF WOMEN CHOOSE THE COMBINED SURGERY OVER HAVING JUST THE BREAST LIFT ALONE.

Gravity – The Enemy You Fight With A Breast Augmentation Or Breast Lift

Breasts sag – it’s a fact of life. Unfortunately, the skin declines in quality from its youthful, firm and elastic younger self. No longer able to resist the robust and steady downward pull of gravity, the breasts change. Large breasts once full and round; now hang heavy and low on the chest. Small breasts, once perky and tight, lay flat against the chest. Yes, the fundamental laws of gravity apply to everything, including breasts.

During pregnancy, the weight fluctuations play havoc with the breasts. When the breast tissue swells during pregnancy, the skin is stretched and expected to return to normal after the pregnancy is over. Well, as we all are only too aware,
this just doesn’t happen. The breasts are comprised mostly of fat, weight gain obviously affects them, but the skin stretching is the big problem.

Nipple position also changes as time goes on. The youthful breasts’ nipple is located close to the center of the breast, with fullness both above and below. However, in an aging breast, the nipple may drop to a lower position on the breast, with most of the fullness or weight of the breast sitting below the nipple. Also known as mastopexy, a breast lift involves a surgical procedure that includes the removal of skin and/or tissue of the breast. The result is a tighter, firmer breast.

Incision Techniques In A Breast Lift

  • Circumareolar, or Donut Incision
  • Wise Pattern, or Anchor Incision
  • Circumvertical, or Lollipop Incision

Incision placement must be decided largely by the surgeon, with, of course, input by the patient.

Repositioning the nipple requires a circular incision around the breast. If a patient has very little loose skin, the surgeon may be able to remove just enough skin from a donut incision around the nipple. The majority of women who desire a breast lift will require more lift than a donut incision can provide.

The Wise Pattern Scar is when the nipple areola complex has a circular scar, there’s also a vertical scar that goes down to the inframammary fold, and then it includes a full inframammary fold scar as well.

During a circumvertical lift, also called a lollipop lift, the surgeon places a circular scar around the nipple and a vertical scar from the nipple to the fold. By avoiding the anchor incision in the fold under the breast,

A breast lift is able to tighten up the existing breast, however, it is not effective in rounding out the upper part of the breast. Should the patient be looking for a rounder shape to their breast and fullness restored to a flattened breast, a breast implant addition should be seriously considered. Without the implant, patients are usually not pleased with their results.

Contact Salem, Oregon Plastic Surgeon Dr. Keith Neaman for a Consultation

For more clarity and to have a personal consultation regarding a breast augmentation and breast lift, contact Dr. Neaman, practicing in Salem, Oregon. He and his staff of health professionals can clear up and answer any questions you may have. Call Neaman Plastic Surgery in Salem, Oregon at (844) 338-5445 to schedule your consultation.

Dr. Keith Neaman

Board Certified Plastic Surgeon at Neaman Plastic Surgery | Learn More

Dr. Neaman is a board-certified plastic surgeon that specializes in surgical body contouring. He prides himself on being on the cutting edge of plastic surgery. He takes an informative approach to each consultation, and through open dialogue and communication, he helps his patients decide on a treatment plan that meets their needs.


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