Joel R. Studin, MD, FACS
Cosmetic Plastic Surgery

Breast

Breast lifts

In some women, the skin is not resilient enough to support the weight of the breast. These people can develop fallen, unsightly breasts. In this condition, medically called Ptosis (pronounced “Tosis”), there is an excess of skin as compared to breast tissue. To make the breast higher and firmer, the extra skin must be removed. There are three popular ways to achieve this.

  • Wise Pattern – Operation in the shape of an anchor, around the areola, down and across the chest below the breast.
  • LeJeour – Operation around the areola and down.
  • Donut or Peri-Areolar – Operation only around the areola.

This procedure involves some degree of permanent visible scar, so it is clear that the method chosen should employ the smallest possible procedure to accomplish the result. In most cases, the Lejeour or lollipop incision is all that is needed. In a few cases, only a scar around the areola can suffice. This is called a Benelli or doughnut incision.

Several products are available that may aid in reduction of scarring. I believe that the best product is Scarguard as it contains silicone, cortisone and vitamin E, all shown to help reduce scars. It is available in many doctors’ offices and most pharmacies.

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American Society of Plastic Surgeons
The American Society for Aesthetic Plastic Surgery, Inc
American Board of Plastic Surgery