For each patient, many surgeons use a graduated approach and tailor the technique based on the amount of sagginess, horizontal and vertical dimensions of the breast. Included in this group of operations are procedures which can completely exclude the use of implants and rearrange the gland to mildly restore perkiness to the breasts, procedures where incisions are made only around the nipple, procedures where the incisions are only vertical and procedures which use traditional lollipop (Wise Pattern) incisions. Deciding which operation to use on your breasts requires a great deal of knowledge and experience in breast surgery.
In general, breasts that are long and demonstrate significant vertical excess skin will require a horizontal skin resection to tighten the breast. Breasts that are wide and demonstrate significant horizontal skin excess will require vertical skin removal to tighten the breast. When breasts have both vertical and horizontal skin excess, the traditional lollipop incision is used which removes the vertical and horizontal excess.
Currently, most surgeons employ 5 different breast lift techniques to treat most of their patients. Breast lifts are successful when used with or without implants. However, the combination of breast implant and breast lift can successfully tighten your skin and perk up the breasts without affecting the overall size of the breasts. In some cases, a slight to moderate increase in breast size can be performed with the use of implants.
When patients have a bit more sagginess and an internal lift will not take care of the issues, surgeons often recommend a periareolar breast lift. A periareolar incision is made around the darker skin that surrounds the nipple and can be used to lift the breast and nipple into a higher position with or without implants. In most cases, women with saggy breasts also have wide nipples and areolas which are reduced to make them more proportionate with the rest of the breast size. This is often the ideal incision for such a situation.
Healing of these incisions usually proceeds smoothly with incisions becoming relatively undetectable to the naked eye. If a breast implant is used it can be placed above or below the pectoral muscle using this technique.
The only limitation with this procedure is the amount of skin that can be removed. For instance, when the nipple has to be lifted by 2 to 4 centimeters, only a small amount of skin requires removal, and this incision works best. The limit of nipple elevation with the periareolar technique is about 6 centimeters, elevating the nipple beyond this amount will be difficult and creates too much tension on the skin closure.
After the procedure, the breast appears a bit flat and there will be pleats in the skin around the nipple where the incision was made. Pleating and breast flatness eventually go away, but this can take from 6 to 18 weeks, depending on the amount of lift that was done. Most plastic surgeons prefer to use high-profile implants for most of our breast lifts because these provide greater breast projection and allow the breast to regain its round, natural shape sooner.
Author Resource:-
Dave Stringham, the President of LookingYourBest.com writes about plastic surgery in Phoenix, Arizona and breast plastic surgery procedures like phoenix breast lift, breast augmentation, breast reduction, and breast reconstruction.
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