A mastopexy refers to the tightening of the breast envelope and the lifting of the position of the nipple-areolar complex. Aesthetically, the nipple should sit at or above the inframammary fold. Weight loss or gain, rapid breast growth and pregnancy are all known as possible causes of breast ptosis or the descent of the breast and nipple below the inframammary fold.
A breast lift raises the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. This procedure provides a more youthful and aesthetic appearance to the breast mound and nipple-areolar complex, which is often reduced to improve the overall balance. This is done with incisions that are placed in various patterns on the breast in order to minimize their visibility.
Occasionally, a minor mastopexy can be combined with a breast augmentation, as the volume of the synthetic implant can help fill a loose breast envelope and provide a more aesthetically-pleasing appearance. However, in patients with more significant skin excess and breast descent (also known as ptosis), a breast lift with skin tightening and nipple repositioning is required.
Your consultation with Dr. Gilardino will help determine what options are best for you, all to achieve the desired results.