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Re-Establish a Youthful Looking Breast

When performing breast augmentation by itself, it takes great skill to place an implant correctly and achieve wonderful results. Similarly, it takes great skill to appropriately carry out a breast lift procedure by itself and re-establish a youthful looking breast. However, both of these operations have certain, relatively low levels of unpredictability when they are carried out by themselves. Unpredictability in plastic surgery originates from multiple factors, such as, individual wound healing factors, age, hormones and techniques used.

When breast lifts are combined with implant placement the variables that contribute to unpredictability are multiplied several fold. Increased unpredictability sometimes makes it more difficult to achieve good results. The experienced surgeon can still be successful by using proven techniques that reduce the amount of unpredictability.

Patients who wish to have a breast lift with implants performed together should understand that carrying out this combination of operations is more of a challenge and requires a tremendous amount of skill and experience, on the part of the surgeon, to achieve the best results. Most patients can have these procedures performed together as long as the anatomy, level of sagginess and tissue conditions favor a good outcome.

In certain cases, when the level of sagginess and tissue conditions are not favorable, your surgeon may recommend against using the combination of breast lift and implant during the same operation. Instead, they usually carry out placement of the implant first to give the tissues a chance to settle and improve. After 6 to 12 weeks, once tissues have settled, the second stage of the procedure (the lift) is carried out with greater predictability.

While it is a disadvantage to have the procedure performed in two stages, the advantage is the ability to achieve much better results in patients who would otherwise have poor results with a one stage procedure. Patients who are likely to need two separate stages include those with severe sagginess, thin tissues, capsular contracture, sub-glandular implants, breast scars and those who already had a breast lift in the past.

The vertical breast lift technique is ideally suited for saggy breasts that are wide and have a nipple that requires greater than 6 centimeters of lift. The vertical incision is made along with a periareolar incision. The breast gland can be reshaped and lifted through these incisions with or without the use of implants. With a vertical breast lift, the nipple can be lifted 6 to 10 centimeters. The wide breast skin is removed and the breast is molded into a more beautiful shape.

Skin closure is made without creating a lot of tension. When there is little skin tension, there is usually great healing and, in most cases, the incisions begin to fade soon after surgery. The vertical incision technique can be used in patients who previously would have required a wise pattern or lollipop incision and is considered to be a state-of-the-art, minimal incision alternative to more extensive procedures.

This breast lift technique is reserved for breasts that have both vertical and horizontal skin excess and demonstrate great sagginess. It is the most extensive form of breast lift technique used by plastic surgeons, but can produce very predictable results. Nipple elevation can be accomplished nicely while achieving a great breast shape through this incision. Ultimately, incisions end up in the breast crease, around the areola and vertically in the front of the breasts. These incisions fade nicely with time. Women who need the Wise Pattern breast lift technique should not be disappointed when their surgeon recommends this procedure. The Wise Pattern incision is recommended in patients who will benefit the most from this form of breast lift technique.

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