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This is the breast enhancement procedure I find most interesting
and rewarding. Either through hormonal changes following breastfeeding
or the natural aging process, a woman's breasts may sag and
lose their shape. A breast lift, or mastopexy, reshapes a
woman's breasts and gives a firmer, more shapely and youthful
look.
The goal is to create a breast mound that
is firm, shapely and with the proper projection. The nipple
areolar complex has to be placed in an aesthetically pleasing
location. The breasts have to have symmetry. Most importantly,
the scars have to be light and thin.
If a woman has good quality breast
skin tone (without loose skin or stretch marks) and the distance
that the nipple areolar complex has to be lifted is not too
far, I prefer to use a minimally invasive technique placing
the incision just around the borders of the areolar complex.
The breast mound can be reshaped through this incision to
give it a firmer appearance. Excess skin around the areola
is removed and tightened.
If the breast skin is loose, thin, and
has stretch marks and the distance that the nipple areolar
complex has to be lifted is far, then the best cosmetic result
can be achieved by using an anchor shaped incision along the
natural contour of the breast. This is a more versatile incision
where I can move, rotate and sculpt the excess skin and breast
tissue and recontour the breast mound as well as reposition
the nipple to give the breast a new and youthful appearance.
The skin is pulled snugly around the new nipple to complete
the firming process. I prefer to use long lasting but self
absorbing sutures all on the inside and in four different
layers. I try to put many sutures on the deep tissues to keep
the tension on the wound on the inside so there is minimal
tension on the surface skin of the incision. This suturing
technique will help to keep the scar from spreading. I prefer
to bury all the sutures so no stitches will need to be removed
postoperatively.
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