Written By: Stuart A. Linder, M.D., F.A.C.S.
Beverly Hills, Board Certified Plastic Surgeon
Woman from all over the world come to Beverly Hills to see Dr. Linder to have their breasts augmented, lifted and reduced. Breast lift operations in Beverly Hills are a very common surgery that we perform every week. Breast lifts are very important when women have excess skin associated with either weight loss or the effects of pregnancy associated with breast feeding and involutional atrophy with increase in skin laxity after breast feeding. Breast lift operations can often be combined with augmentation mammoplasty, placing a saline or silicone implant under the muscle, using the dual plane technique.
Breast lift surgeries include several categories. The first is a periareolar crescent lift where a small amount of skin is removed above the nipple areolar complex in a crescent fashion, which can be used to elevate the nipple areolar complex only a short distance. This often is not an appropriate approach and may lead to wide spreading of the scar.
The second approach is the round block or the areolar lift where skin is removed circumferentially around the areola. I do not perform this operation very frequently because of the scarring associated with it and the usual inadequate lift that I have found in my experience with this operation.

The next is a vertical mastopexy where the areolar is lifted and made smaller, approximately 4.2 cm and skin is removed from the vertical plane only, not along the fold. This can be an excellent adjunct to augmentation mammoplasty to elevate the nipple areolar complex and the scarring is usually quite well.

Finally, a formal mastopexy using the anchor scar or the Wise-pattern technique is an excellent lift that usually leads to a nice shape of the breasts, excellent lift and can be combined with implants placed behind the muscle. This lift scar is an anchor-like incision which can be good or bad, and depending upon color of skin, can lead to increased hyperpigmentation, hypopigmentation, wide-spreading scars, hypertrophic scars or even keloids. This should be discussed with the plastic surgeon in great detail prior to undergoing a formal mastopexy or anchor scar Wise-pattern lift.
Stuart. A. Linder, M.D., F.A.C.S. is a Beverly Hills plastic and reconstructive surgeon specializing in breast augmentation, liposuction, tummy tuck, and more.
Dr. Linder is certified by the American Society of Plastic and Reconstructive Surgeons and is a diplomate of the American Board of Plastic Surgery (ABPS).
9675 Brighton Way Suite 420, Beverly Hills, CA 90210
Phone: (310) 275.4513
Fax: (310) 275.4813
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