PLASTIC SURGERY | procedures │ Breast Lift │ Surgical Options

Breast Lift

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There are many different types of breast lifts.

A Benelli, concentric or donut type mastopexy are different names for an operation we perform at Beleza Plastic Surgery in Pittsburgh that is indicated for minor forms of breast ptosis when the nipple requires elevation of only a few centimeters. In this procedure, the surgeon removes a ring of skin from around the areola and then the circumference of the circle is reduced with a purse string or so called Benelli suture. Often an implant is placed through the same incision to add breast volume.
Dr Wooten - Plastic Surgeon Pittsburgh thinks that a Benelli breast lift is an excellent procedure when done under the right circumstances. The amount of lift is mild to moderate and scarring is confined to the areola or pigmented area of the breast.

This type of lift is so named because of the surgical scar produced.  The incision goes around the areola with a vertical extension inferiorly. It provides a little more lift than a Benelli with slightly more scarring. Again an implant may be added for increased volume.  The Brazilian Breast Lift is usually performed with this type of incision.

In patients that present with moderate to severe breast ptosis, an anchor type breast incision is usually indicated. Similar scars are produced as with a lollipop lift with the addition of an incision along the breast fold producing an inverted T scar. This procedure is extremely versatile and allows correction of severe ptosis in cases where the nipple points inferiorly. Volume correction is often performed with the placement of an implant.

Many patients presenting for cosmetic breast enhancement desire improvement in the shape and size of their breasts. Frequently due to weight loss, pregnancy or hereditary influences, they may have various degrees of breast ptosis.  Patients with breast ptosis who desire only a breast lift and reshaping may not require the addition of a breast implant.  Until recently, a breast lift without augmentation has not provided the best long-term improvement. Surgeons have tried many procedures over the years to reshape the breast. Most of the older procedures depended on various patterns of skin removal to maintain breast shape.  However, with time the scars and breast skin would invariably stretch and breast tissue ptosis would reoccur and upper breast fullness would disappear with the effects of aging and gravity.  It became apparent that in order to maintain breast shape, the breast tissue itself required remodeling and the skin had little to do with maintaining the shape.

In 2007 Dr. Wooten travelled to Curitiba, Brazil and worked for several weeks with the renoun surgeon Dr. Ruth Graf who developed “Brazilian Breast Lift” technique. She learned this unique method of breast lift and observed long-lasting results after this procedure. Today, Dr Wooten performs the Brazilian Breast Lift with long-term results without implant placement.  Dr Wooten is convinced that this technique is the best current answer to maintaining a good long-term result.

First the new location of the nipple is determined and an estimate is made of the amount of lift required and the amount of excess skin to be removed. Skin removal is secondary to internal reshaping and suturing of the breast tissue to maintain a long-term result.  Inferiorly a triangular portion of breast tissue is isolated by dissection to preserve its blood supply.  Just superior to this a belt of chest wall muscle is raised.  The breast tissue is then passed beneath the muscle belt and sutured high on the chest wall to provide superior fullness and lift of the upper breast and a sort of auto augmentation. The belt holds this tissue in position for a permanent lift. Finally, the lower part of the breast where the tissue was transposed is closed bringing the medial and lateral breast pillars together to cone the breast and produced a youthful lifted result.

Because this procedure is accomplished without the use of an implant, associated risks and complications of this additional procedure are eliminated. The breast is soft with a pleasing, longlasting shape.  Recovery is similar to other breast contouring procedures. To find out if you are a candidate for this unique operation contact Dr Wooten’s office at 412-952-9299 for your initial consultation.

It is not uncommon for breast lift patients to also want breast augmentation, which combines the breast lift procedure with the insertion of breast implants. Dr. Wooten’s breast augmentation practice offers this combined procedure.  The combination of the breast lift with breast augmentation can help women achieve a firmer, more youthful bust.  In many cases, Dr. Wooten also performs other body contouring procedures in conjunction with breast lift or breast augmentations to achieve a more define physique.

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