Bermant Breast Lift Mastopexy Plastic Surgery
Skin Scars Breast Lift Mastopexy

Skin Reduction Incision Scars and Breast Lift Mastopexy Surgery (Resuspending Breast)

Explore breast lift mastopexy surgery )for breast ptosis (drooping breast) by Dr. Michael Bermant, MD plastic & cosmetic surgery.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

Bermant breast lift or mastopexy surgery for breast ptosis or drooping breasts Surgical Craftsmanship Incisions and skin scars for breast lift mastopexy surgery Your Special Needs Skin scar and breast lift mastopexy, anchor scar and breast lift Individualized Education incisions and scars for mastopexy breast lift surgery Tender Care mastopexy surgery with short skin scars Personalized Service Patients easy travel from Maryland, Pennsylvania, MD, West Virginia, and North Carolina. Become Comfortable Our office is easliy reached from: Washington, Fairfax, Alexandria, Fredericksburg, Williamsburg, Newport News, Hampton, Virginia Beach, Lynchburg, Roanoke, Charlottesville, Rockville, Richmond, Charlotte, and Raleigh.

Breast Lift Mastopexy Incisions

Drooping breasts or ptosis before mastopexy breast liftSkin incision scar patterns for a breast lift depend on the amount of excess skin, elasticity, and degree of elevation needed. Variations can include a circle around the areola, a vertical line extending down from the lowest aspect of the areola to the crease under the breast, and along the crease under the breast.

Not every woman will need all three incisions. Short scar options are a compromise on the skin reduction depending on the ability of the skin to contract to the new form of the deeper breast sculpture. The selection of incisions depends on the amount of loose skin and the elastic quality of the remaining skin. Explore short scar options.

Drawing of breast lift or mastopexy for sagging breasts with long anchor skin scarsThe basic problem with breast ptosis is that the suspension ligaments and breast tissue are sagging and the skin envelope is too large. The areola and nipple have drifted down towards the lower pole of the breast in this Third Degree Breast Ptosis example. To correct the breast to a more natural appearance, the nipple and areola need to be moved higher.

Older breast lift mastopexy techniques depended on reduction skin suspension alone. Depending on skin support alone has been shown to result in earlier drooping and failure. Dr. Bermant prefers to reestablish the main support with the breast tissue and internal supporting ligaments. Internal pillar support tends to hold the breasts up longer and results in a more "perky" youthful breast. The skin then is redraped over the suspended breast tissues.

Drawing of incisions and skin scars of mastopexy breast surgery for sagging or drooping.The problem is with the extra skin. In this example there is just too much to use an incision around the areola only. The incision needs to be closed. The length of the outer wound is much longer than the length around the areola. Dr. Bermant can "cheat" the extra material of the outer wound only so much before buckling takes place. You can see what we are talking about by trying to sew a small circle of cloth into a much larger hole.

The extended pattern anchor skin scar down to the chest and under the breasts permits a more even skin removal and surface tailoring. Sewing this pattern redistributes the skin into a more natural breast. Dr. Bermant does not need this longer anchor scar and prefers short scar alternatives when possible.

Skin scars for suspension of breast with mastopexy surgery or breast lift (tightening).We do use methods to minimize scars. In this example Dr. Bermant tries to minimize the length of the chest wall extensions under the breasts. These scars are placed in the breast / chest crease. Dr. Bermant also try to keep away from the central chest region, an area that tends to have worse scars. Special tissue handling and suture techniques further minimize scars.

No plastic surgeon likes to make scars. We just do not have the ability to take skin and put it into the clothes washer to shrink it. We wish we had such a tool, but none exists outside the realm of science fiction today.


Breast Lift or Mastopexy Surgery for Ptosis or drooping.

Breast Lift Mastopexy
for Ptosis (Drooping)

Dr. Bermant's Tumescent Breast Lift Surgery

Male Mastopexy Breast Lift in Men

Mastopexy or breast lift and tightening for loose skin and drooping breasts (ptosis).


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This page last updated on: January 10, 2013

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