Explanation of several breast lift (Mastopexy) procedures used to correct breast ptosis also known as breast droop. Breast Augmentation Center of Hawaii.

1. Breast Lift Hawaii
Breast lifts are for breasts that are droopy (ptosis). Droopy may
seem like a common word with an obvious meaning, but actually
it has to do with the relationship of the nipple to the fold under
the breasts, i.e. the point at which the breast hits the chest wall.

2. Breast Lift - Mastopexy
If you stand in front of a mirror with your bra off and put a piece of paper under
your breasts so that the top of the paper is at the point where the breast
connects to the chest wall, then you can determine if you need a breast lift or
not. If the nipple and the areolar both are above the top of the piece of paper,
then all you need is a breast augmentation, i.e. a breast implant placed behind
the breast muscle that, in and of itself, will lift both the breast and the nipple.
If the nipple is at the level of the inframammary fold, then a dual plane
mastopexy or non-scarring mastopexy plus a large implant may correct
droopiness or ptosis at this level. If the nipple is below the inframammary
fold, then a Binelli mastopexy with or without implants should be able to lift
this level of droop or ptosis. If the inframammary fold is 2” above the nipple,
then a standard mastopexy with or without implants would be the appropriate
means of correcting this level of droop or ptosis.

3. Dual Plane Mastopexy
Dual Plane Mastopexy is a technique popularized by several plastic surgeons
across the country. In this technique, I place the implant below the muscle
through an armpit or trans axillar incision, but then release the muscle from
the breast tissue through the same armpit incision, but here, going above the
muscle, therefore releasing in two planes, one above and one below the
muscle which leads to the term dual plane. The release of the nipple areolar
complex and breast from the muscle allows it to rise up to a higher position,
and the implant itself raises the breast tissue. Therefore, the combination of a
dual plane release plus a moderately large implant can lead to a breast lift
with no scars on the breast itself.

4. Binelli Mastopexy
The next and more aggressive level of lift is Louie Binelli’s technique of lifting
the breast and nipple with the final scar only being around the edge of the
areolar. I lectured for 12 years at National plastic surgery meetings with Dr.
Louie Binelli as his American expert on this particular surgery. The Binelli
mastopexy is a good alternative to correct droopy breasts with minimal
scarring.

5. Vertical Mastopexy
The vertical mastopexy has gained popularity amongst many plastic surgeons,
but I personally feel this is not an aesthetic procedure and one that I do not
offer to my patients.

6. Standard Mastopexy
The standard mastopexy with an incision around the areolar, a vertical line, and
a horizontal line under the breast is the gold standard for breast lifts. For
really droopy or ptotic breasts, this is a wonderful procedure with or without
implants. The major drawback for this procedure is usually the width or the
redness of the resultant scarring. To decrease the scarring, I put thick sutures
in the deep tissue inside the breast, and then several layers of dissolvable
sutures below the skin level to take the tension off the final closure. Tension
is the number one reason for unacceptable scarring. Finally, I believe that a
specific type of tape applied to suture lines from two to six months after the
procedure leads to the best cosmetic result. I believe surgery does not end at
surgery. I believe the plastic surgeon’s responsibility ends when the patient
has the best possible aesthetic results given the degree of her problem and her
genetics.

7. Breast Droop
In breast ptosis or droop, there are four major problems:
1) the areolar is too big;
2) the areolar is too low;
3) the breast hangs on the chest wall; and
4) there is no fullness in the upper quadrant.
The first three problems can be corrected with any one of the breast lifts listed
above, but one needs breast implants (breast augmentation) to correct the
fourth problem, i.e. giving the breast back the youthful fullness in the upper
quadrant.

8. Getting the best Breast Lift
As you can see, the topic of breast lift is a very complex one, and to get the best
result with the least possible scarring, you need to choose a Board Certified
plastic surgeon, one certified by the American Board of Plastic Surgery.
Membership in the Aesthetic Society is a minimum requirement when
picking the right plastic surgeon.

9. Why the Breast Implant Center of Hawaii?

Breast Implant Center Of Hawaii

At the Breast Implant Center of Hawaii we follow
the same regulations and guidelines as a hospital.

Registered Nurses are available for patients who
desire overnight care. They will assist you in any
way possible to minimize any discomfort and start
you on the right track for recovery.

HELPING YOU LOOK AND FEEL YOUR BEST
IS THE ESSENCE OF OUR PRACTICE.

10. Contact Hawaii Breast Lift Doctor