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Ghada Y. Afifi, MD, FACS
Board Certified Newport Beach Plastic Surgeon
You. Just Better.

Breast Augmentation/Lift

Breast augmentation and breast lift (also known as mastopexy) is commonly done by Dr. Afifi for those seeking rejuvenation after having children or simply wishing to enhance both their breast shape and volume.

The breast lift varies depending on the degree of breast droop or "breast ptosis."  There are several types of ptosis.  

1)  Pseudoptosis refers to the breast that has the majority of breast tissue on the lower aspect of the breast, yet the nipple areola is still in the correct location.  Frequently it is thought that the idal location of the nipple is "mid humurus" - the midpoint of the upper arm.  Pseudo (looks like) ptosis is just that -the breast looks droopy but technically is not.

2)  Grade 1 ptosis is where the nipple areaola is at or within 1 com of the inframammary crease or fold.

3)  Grade 2 ptosis is where the nipple areola is below the inframammary fold but above the most inferior edge of the breast.

4)  Grade 3 ptosis is where the nipple areola is pointing down, at the inferior edge of the breast.

The degree of ptosis and where the patient desires the ultimate position of the nipple determines what type breast lift the patient would most likely desire.  It can also affect the volume of breast augmentation they also may wish to have,

For mild corrections of ptosis, in which a mild elevation, ex. 1 cm, is desired:  crescent lift (half circle along upper edge of areola).   This is commonly for Grade 1, and occasional Grade 2 ptosis per patient preference.

For more correction, but to avoid vertical incision:  donut (or benelli) breast lift or mastopexy.  This is commonly used for widened areola (from having pregnancy), and for Grade 1 or possibly Grade 2 ptosis

 For further correction, and incuding vertical incision:  the so called "lollipop" mastopexy or breast lift which is around the areola as well as vertical

For ultimate correction of breast ptosis (most commonly preferred for Grade 3 ptosis):  the full (or Wise pattern) mastopexy or breast lift which includes an incision around the areola, vertcally and horizontally within the inframammary fold.


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