Breast Remodeling

Mastopexy

Ptosis (drooping of the breast) is associated with the sagging of glandular tissues, ligaments connecting the gland to the deep fascial plane, and the skin losing elasticity. Breast ptosis correction (mastopexy) is a procedure aimed at correcting excessively drooping breasts and involves the upper repositioning of the mammary gland and the areola-nipple complex. The goal of the procedure is to restore a graceful shape to the breast. Mastopexy allows lifting the mammary gland and, if necessary, restoring volume by inserting an implant if it's deflated, or lightening it by removing excess tissue if it's excessively heavy.

Undergoing Breast Lift Surgery

Before undergoing mastopexy surgery, it is necessary to perform appropriate preoperative blood tests, an electrocardiogram, and an ultrasound or an ultrasound associated with mammography (depending on age).

Mastopexy technique (Breast Ptosis Correction)

The choice of the technique to be used depends on the patient’s initial conditions and the surgeon’s preference. There are no perfectly defined guidelines that can provide precise and unequivocal indications on which technique to choose. Each technique has its pros and cons.

 

Mastopexy techniques, based on the scar, are distinguished as follows:

  • Round Block: Involves the removal of only a concentric ring of skin around the areola, resulting in a scar around the areola that initially may appear puckered but tends to smooth out over time.

    Pros: Single scar around the areola.

    Cons: The scar is often stretched and of questionable quality; with this technique, it is challenging to shape the mammary gland appropriately. The result often resembles a tomato shape—flattened superiorly and lacking retroareolar projection. Nevertheless, this technique is suitable for minor ptosis and tuberous breasts.

  • Vertical Scar: Involves the removal of a portion of skin around the areola and a vertical diamond-shaped piece, resulting in both periareolar and vertical scars. The vertical scar may also be partially or entirely puckered. The length of the vertical scar varies based on the breast’s shape and size.

    Pros: Allows for shaping the gland to achieve the desired form.

    Cons: Both periareolar and vertical scars.

  • T-Scar: Essentially the same as the vertical scar mastopexy, but with an additional scar in the crease. Although considered ‘old-fashioned’ by more modern surgeons, it is still favored by many.

    Pros: Allows for shaping the gland to achieve the desired form.

    Cons: Adds an extra scar.”

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