There are three general skin design patterns for mastopexy. These are based upon the amount of skin that needs to be removed, the distance the nipple areola complex needs to be lifted to place it in an aesthetically pleasing position, the amount of breast tissue that needs to be removed or repositioned, and finally the volume, if any, that needs to be restored with a breast implant.
The three main techniques used by Dr. Moelleken are:
The Wise Pattern mastopexy is the original breast lift procedure developed from breast reduction surgery techniques by Dr. Robert J. Wise. The reduction procedure was modified to simply lift and shape the breasts, rather than focusing on removal of excess interior breast tissue. The incisions and closures remained the same, but the alterations in procedural terms made this a more broad scoped operation. The Wise Pattern lift utilizes the standard anchor incision consisting of three distinct cuts on your actual breast. The Wise Pattern procedure is performed when Dr. Moelleken places incisions along the inframammary border of your breast, a vertical incision from the fold up to your areola, and an incision around the border of your areola.
The periareolar incision allows your areola and nipple to be raised by up to 10 centimeters or more, making a significant difference for women with extremely saggy breasts. The vertical and inframammary incisions allow the re-sculpting and tightening of your breast tissue and the removal of excess and stretched out skin from the bottom and side of your breast. When all the cosmetic improvements are complete, Dr. Moelleken will close the incisions creating an upright and youthful shaped breast.
This procedure is best for women with very large problematic breasts and there is likely to be noticeable scarring, especially from the vertical and inframammary incisions. Any woman who has a clinically ptotic condition, which justifies a complete breast lift, will benefit greatly from the Wise Pattern procedure. These benefits will make a positive change to your body and an even greater contribution in renewing you self-image. Although there are risks and possible complications involved with any major surgery, patients are thrilled with the final surgical result from a Wise Pattern breast lift.
A Periareolar breast lift procedure refers to a special technique used in mastopexy surgery that has less scarring than other breast lift procedures.
The periareolar lift can be performed in two primary forms and countless subtle variations including:
During your consultation, Dr. Moelleken will explain the full range of benefits and limitations regarding a periareolar mastopexy. The periareolar breast lift procedure is performed on an outpatient basis and the procedure takes anywhere between one and four hours. Once the periareolar breast lift procedure is complete, your breast area will be wrapped in layers of gauze and secured with an elastic bandage. Bruising, swelling, and discomfort are not uncommon during the first week and can be relieved with the help of prescribed pain medications. Stitches are usually removed approximately ten days after your surgery. As with any surgical procedure there are some risks associated with periareolar breast lift surgery. Complications from the use of anesthesia, as well as bleeding and swelling are possible risks and though the scars are smaller than those in other mastopexy procedures, you may experience some scarring. Scarring for this procedure should be minimal if you take care of your incisions after surgery and follow all instructions provided by Dr. Moelleken and his professional staff at Neo Surgery Center.
The most common method of breast lift surgery is the LeJour breast lift also known as the Vertical or Lollipop breast lift. This procedure has evolved from the Belgian and French technique of Dr’s LeJour and Lassus and results in the best lift of your natural breast tissue. This technique is a very popular procedure for medium to large breasted woman with moderate to severe breast ptosis. The LeJour breast lift is a moderate approach to mastopexy, more invasive and complicated than a Benelli or Crescent lift, but less invasive than a Wise Pattern mastopexy.
The LeJour method uses two basic incisions to accomplish breast re-sculpting, which are:
The LeJour breast lift eliminates the inframammary incision. Dr. Moelleken will commonly employ a Vertical lift technique (a modified LeJour technique) that minimizes the amount of scarring on your breast using a “lollipop-type” pattern that encompasses a circular incision around your areola with a lower breast vertical incision. This eliminates the use of a transverse incision along your lower breast fold that is placed as part of a more traditional “anchor type” procedure. Your resultant scar will be in the shape of a lollipop and initially your breasts will look too high with pleating in the lower portion of your incisions. Over a few weeks however, significant improvement in your breast shape will occur and it is important that you wear a supportive bra while you are healing.
The LeJour procedure works wonders to rejuvenate your breast shape yet the marks of the surgery can be quite noticeable. The operation will leave the typical periareolar scarring, as well as a vertical scar from the centerline incision but with advanced techniques, new scar reduction techniques can help minimize and conceal surgical marks. If you have problematic breast ptosis and suffer from the associated emotional anguish your bodily condition creates, this procedure will be the best solution for your dilemma. The surgical procedure usually takes between two to four hours with a recuperation time of one to two weeks. You will be required to wear a support bra for approximately six weeks after your procedure to aid in your healing process. You will also be asked to avoid aerobic type exercise for at least three weeks and strenuous exercise for at least six weeks after your surgery. Dr. Moelleken is an expert in breast lift surgery and he has presented his findings in numerous peer-reviewed journals along with presentations on his preferred techniques. Your anatomy, Dr. Moelleken’s preferences, and your desired results will determine the specific method chosen for your breast lift.
A synopsis of what you will experience during your breast lift surgery can be summed up in five basic steps:
Step 1 – Anesthesia
Medications are administered for your comfort during breast lift surgery. The choices include intravenous sedation and general anesthesia and Dr. Moelleken will recommend the best choice for you.
Step 2 – The Incision
There are three common incision patterns:
Step 3 – Reshaping your breasts
After Dr. Moelleken makes the incisions:
Step 4 – Closing the Incisions
After your breasts are reshaped and the excess skin is removed, the remaining skin is tightened as the incisions are closed. Some incision lines resulting from breast lifts are concealed in your natural breast contours; however, others are visible on the breast surface. Incision lines are permanent but in most cases they will fade and significantly improve over time. Sutures are layered deep within the breast tissue to create and support your newly shaped breasts. Sutures, skin adhesives, and/or surgical tape may be used to close the skin.
Step 5- Recovery and Satisfaction
After your breast lift procedure is completed, dressings or bandages will be applied to the incisions. A small, thin tube may be temporarily placed under your skin to drain any excess blood or fluid that may collect after your breast lift surgery. Dr. Moelleken will provide specific instructions on how to care for your breasts following surgery, medications to apply or take orally to aid in healing and reduce the risk of infection, and when to return to Neo Surgery Center for your follow-up visit. The results of your breast lift surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue as you recover and realize the goal of having more youthful and uplifted breasts has come true.