Mastopexy is an operation to help elevate the breast from a position that is too low on the chest wall.
This technique can also be used to remove excess skin or to tighten the surrounding tissue and reshape the breast, giving you a new more favorable breast contour. Sometimes the breast nipple areolar complex becomes thin and effaced and larger than it should be and a breast lift or mastopexy will help with this as well.
Oftentimes a woman’s breasts change over time. This can occur from numerous factors including gravity and aging weight fluctuations breast-feeding pregnancy and sometimes from congenital birth defects as well. Mastopexy is intended to help to correct some of these problems.
The mastopexy also can be utilized to reduce the breasts. Normally as the breast is reduced it needs to be elevated as well. This technique can be utilized to elevate the breast but also to reduce the breast.
The operation can also be utilized to move the nipple higher and more properly positioned on the breast and chest wall. There are many different operations to perform a mastopexy or a breast lift. One of them is a vertical mastopexy. The vertical mastopexy uses a lollipop incision. This is much different and has much less incisions then the normal anchor mastopexy or the Weiss pattern mastopexy. The advantage of the vertical mastopexy is that the incision is quite small and minimal and is hidden entirely by any brassiere or bathing suit. This is a circle around the nipple and a line that extends from the nipple down to the lower lateral aspect of the fold of the breast. This allows the nipple to be elevated and for the extra skin of the base of the breast to be removed and to contour the base of the breast into a smooth nice attractive contour. This elevates the breast projection nipple and brings the nipple up to a more normal position.
The advantages of the vertical mastopexy is that the incisions are much less than the anchor mastopexy. The vertical mastopexy also gives a much better-looking breast as it gives more projection to the breast rather than a flattened look that the Weiss pattern mastopexy technique gives. Often the Weiss pattern mastopexy is known to result in a boxy looking breast.
The most significant advantage of the vertical mastopexy is that it is much safer than the Weiss pattern mastopexy. The Weiss pattern mastopexy requires multiple incision which breaks the breast into multiple separate areas all with their separate blood supply including the nipple areolar complex. This frequently results and soft tissue loss or even nipple loss. The vertical mastopexy maintains the blood supply to the entire breast as it only removes the soft tissue of the lower lateral breast. The blood supply is maintained to the nipple and to the remainder of the breast.
As a result, with a vertical mastopexy this operation can be repeated over and over or adjusted. The Weiss pattern mastopexy cannot be adjusted without significant risk to loss of soft tissue.
In Dr. Jacobsen’s experience, the Weiss pattern mastopexy gives a much better breast shape appearance and projection than other mastopexys.
The vertical mastopexy can be used for medium to significant reduction mastopexy but if the nipple areolar complex is quite excessively low different techniques need to be utilized but for most patients with breasts that are either too large or too low the vertical mastopexy works very well and is safe and gives excellent looking breast.
The part that patients like the most is that the vertical mastopexy and the lollipop incision is quite minimal and extends from the nipple down to the base of the breast but does not show through low-cut garments. This is a minimal incision breast elevation and reduction, and this is the greatest advantage of this technique when it is done properly.
This technique was developed by a surgeon named Madame LeJour in Europe in the 1990s.
Please feel free to visit our page on the weiss pattern mastopexy to learn more about it and why Dr. Jacobsen prefers utilizing the vertical mastopexy technique.
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Dr. William Jacobsen
2400 East Arizona
Biltmore Circle, Ste 2450
Phoenix, AZ 85016
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