Uplifting Without a Lift
Certain patient who present with pseudoptosis (situations where this excessive skin, however, the nipple areolar complex is above the inframammary fold) or grade 1 or 2 ptosis with however small breasts and increased skin laxity, these patients may have a substantial breast lift with the high profile implant such as a style 20 or 45 placed without performing the mastopexy. The example below shows a patient with grade 2 ptosis, nipple areolar complex between 1 and 2 cm below the inframammary fold. She underwent a style 20 silicone gel implant placed through the dual plane technique and has a nice lifting with the implant. The specific positioning of the implant must be perfect with care to avoid over-resection and release of the lateral pectoralis major muscle as well as preventing lateral dissection beyond the lateral areolar border, approximately on the right breast, the 9 o’clock position. Repositioned of the implant precisely with a perfect parasternal attachment release will allow for increased lifting of the nipple areolar complex as can be seen in the postoperative photo. Style 20 and 45 gel implants are excellent for lifting breasts significantly without the use of a formal vertical or periareolar mastopexy.