Breast Augmentation with Periareolar Mastopexy
The goals of augmentation and mastopexy are diametrically opposed — volume enhancement with skin envelope reduction — yet they must be combined to yield the best results when breast augmentation alone will not suffice. Multiple variables such as volume, skin amount, nipple position, and inframammary distance must all be accounted for, requiring meticulous planning, staging, and execution. Implant size and amount of skin excision are important decisions. The type of mastopexy includes periareolar or donut mastopexy, lollipop or short-scar vertical limb, and Wise pattern and/or short horizontal scar. Simultaneous augmentation and periareolar mastopexy are effective because enlargement of a breast with an implant helps fill out much of the excess.
KeywordsBreast Augmentation Inframammary Fold Skin Excision Skin Envelope Periareolar Incision
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