Local with sedation / general
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Age, loss of skin elasticity, loss of weight, pregnancy and breastfeeding could lead to breast ptosis. Mastopexy, or breast lift, is the surgical procedure that aims to correct breast ptosis restore a physiologic breast volume while repositioning the nipple-areola complex.
Several techniques of mastopexy have been described; each one has different indications, depending on the degree of ptosis:
- Periareolar mastopexy: generally indicated in case of mild to moderate ptosis. The nipple-areola complex and the gland are repositioned through a periareolar incision.
- Vertical mastopexy (according to Lejour). This technique is able to treat moderate cutaneous and glandular ptoses. This technique allows, if desired, a small volume reduction. Scars are positioned around the areola and vertically from areola to inframammary fold.
- Reverse T mastopexy. This technique is indicated for severe ptosis and allows a good breast reduction and reshaping. Compared to vertical mastopexy, this technique requires an additional scars in the inframammary fold (the resulting scar resembles an inverted T).