In our practice, we see many patients who are interested in improving the size and shape of their breasts, especially after having children, but are uncertain about what type of procedure will best help them to accomplish their desired appearance. The correct answer depends on the individual patient’s goals and physical exam. There are several important factors to consider in choosing the correct procedure: the amount of breast tissue present, the laxity of the skin and breast tissue, and the position of the nipple and areola in relation to the remainder of the breast and chest.
For patients who have less breast tissue, minimal excess skin, and in whom the nipple-areola are not significantly sagging, breast augmentation alone (using silicone or saline implants) will increase the size and improve the overall shape and contour of the breast, and will help patients reach their desired goals.
For patients who have larger breasts and have noted significant drooping of breast tissue over time, a mastopexy (breast lift) can be performed to elevate the breast tissue, tighten the skin, and improve the shape of the breast. A small amount of tissue is often removed to allow for lifting and tightening. This procedure most often requires scars on the breast, but the vast majority of patients tolerate the scars very well and are pleased by the improved shape and projection of their breasts after surgery.
For patients with moderate excess tissue or for those that have noticed descent of the breast tissue over time and desire fuller and rounder breasts, implantation with a lifting procedure is often required to provide a desirable result. The implant provides increased volume, and the breast tissue can then be tailored to provide an optimal breast shape around the implant. When less lifting is required, the technique may involve an incision limited to around the areola. However, more significant lifting requires an incision pattern similar to those for larger lifts.
Overall, breast enhancement procedures must always be tailored to the individual patient based on the patient’s goals and physical exam. Contact our office, and Dr. Ridha will work with you at your consultation to develop a plan that will address your specific concerns and accomplish the appearance you’ve been hoping for!
To learn more about these procedures, visit our 3-D animation gallery.