Learn about Mastopexy Combined with Breast Augmentation.
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My name is Adrian Richards and today, I am going to be talking about the mastopexy augmentation procedure. So a mastopexy is known as a breast uplift and basically tightens the skin of the breast. An augmentation or enlargement increases the volume of the breast. So an augmentation is basically used to increase the size of the breast when the nipple has not descended. So in someone who hasn't had children or has had children, but the nipple isn't too far descended, an augmentation alone will sometimes do. Someone who has got a sufficient breast volume, and just wants to slightly part the breast, an uplift will do. If you have got the dual combination of insufficient volume, plus a nipple in a very low position, the way you test this. If you look yourself in the mirror, if there is no skin underneath the brown, the areola of the nipple when you are looking straight on, you may well need an uplift, because there should be no skin underneath the nipple. So if you haven't got sufficient volume for an uplift mastopexy alone or if you have got a significant amount of droop without the volume, the best option for you is a mastopexy augmentation. In mastopexy augmentation, the volume is corrected with an implant and the lower nipple position droop is corrected with an uplift. So this operation incorporates elements of both the augmentation and the uplift. So I am going to talk about the augmentation first. You need as in normal breast augmentation, think very carefully about the size, the shape and volume, the implant you are going to be using and again, we tend to do is spend a lot of time with you in different clothing, looking at implants and all special bra's to see, what volume suits your frame, the best. So you need to think very carefully about the size of the implant. The next thing to do is to think very carefully again, about the type of incision. With a breast augmentation, the normal incision is in the 4-5 centimeters in the fold underneath the breast. With the mastopexy augmentation, the incisions have to be longer. They can -- like a mastopexy being - this incision, semi-circular incision on the upper part of the areola, it can go right the way right in the areola, it can have a lollipop incision or a short transverse scar which is a lollipop with the transverse scar or a lollipop with the full transverse scar. But normally because when adding volume when tightening up the breast skin, by adding volume, the amount of scars you need generally shorter in a mastopexy augmentation and in a mastopexy alone, it looks as no added volume to the breast. So again, mastopexy augmentation sort of more complicated than other augmentation alone or a mastopexy alone, because the surgeon has got to juggle to change this in volume and changes in the tissue tightness. Now, there is a debate in plastic surgeon, whether the mastopexy augment should be done at the same time or whether some surgeon would favor doing a mastopexy, to do one at a time. To do the mastopexy, an uplift getting the dimension to the breast right, then doing an augmentation. Some people sometimes prefer the augmentation followed by a mastopexy. Most of my patients think because of time concerns, further combine approach having the mastopexy augmentation at the same time and which has the advantage of one operation, but probably this is technically slightly more difficult to get absolutely right. So again, think -- all I suggest is it might be worth listening to a podcast, we've done talking to patients who had these procedures. Also, have a look at the video we previously done on augmentation and the video I have done on mastopexy because mastopexy augmentation combines both of these. But the important thing to think about, in this former surgery are volume, implant, shape of implant, location of implant and frontal part of the muscle, this we'll discuss in the breast augmentation videos and with the mastopexy, type of mastopexy, type of that scar, an extensive scar