A breast lift with implants may be a good solution for a woman who would like to address loose breast skin as well as an overall lack of breast fullness. Board certified by the American Board of Plastic Surgery, Dr. Daniel Greenwald is a talented plastic surgeon in Tampa, FL, who can perform a breast lift and augmentation procedure during a single surgical session (when appropriate for a specific patient). Not only can this approach address multiple aesthetic concerns, but it also can result in less downtime than that which would be required if the procedures were performed separately.

In general, the surgical procedure Dr. Greenwald recommends will depend on a woman’s body type, goals, and lifestyle. For instance, a woman who simply desires a fuller look may benefit from breast augmentation alone. However, if sagginess is an issue that she would also like to address, a breast lift, or mastopexy, will probably be necessary, in addition to the placement of breast implants, in order to remove and/or tighten lax breast skin.

If Dr. Greenwald determines that a woman is a good candidate for a breast lift with implants, he will discuss the various surgical techniques he can perform to accomplish her goals, and then help her decide on the best option for her if she wishes to proceed. Dr. Greenwald generally recommends an incision pattern based on the amount of lift required and a woman’s preferences with regard to scarring. Common incision patterns that can be used for skin removal and the placement of implants include:

  • Peri-areolar incision – Also known as the “donut” technique, this type of incision is made around the border of the areola only, and thus can minimize potential scarring. This approach may be suitable for a woman who wishes to address a minimal amount of sagging during surgery to place breast implants.
  • Vertical incision – This pattern involves an incision the follows the border of the areola and then continues in a straight line down to the inframammary crease at the base of the breast. This approach can address mild to moderate sagging, and the resulting scar is usually limited to the lower half of the breast.
  • Anchor incision – Sometimes referred to as the inverted “T” or Wise pattern, this incision surrounds the areola and continues down the middle of the breast to the crease. A second incision is then made along the crease underneath the breast. This approach can be effective for improving a significant amount of sagging during breast augmentation surgery.

Regardless of the incision pattern used, breast surgery (as with all forms of surgery), has inherent risks, such as excess bleeding and infection. During a patient consultation, Dr. Greenwald can fully explain the risks of a recommended procedure, and also provide guidance on an appropriate after-care regimen designed to minimize those risks.