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After breast feeding and massive
weight loss the breasts often lose
their internal support. This leads
to flat upper breast poles and inferiorly
displaced nipples. The breast uplift
(mastopexy) procedure lifts the
nipple and areola (without removing),
and tightens the skin envelope resulting
in more shapely and youthful appearing
breasts.
A traditional breast lift (inferior pedical based mastopexy or reduction mastopexy), relies of the breast skin to hold the breast tissue to its higher position on the chest wall. This will inevitably lead to recurrent ptosis (hanging or bottoming out) of the breast due to the skin stretching. The “Dermal Wing Mastopexy” or “Dermal Wing Reduction” acts much like an internal bra. These techniques utilize the strength of the normally discarded dermis to re suspend and fix the fallen breast tissue to a higher position on the chest wall and allows the breast skin to be re draped around the newly positioned breast tissue. This is less reliant on the breast skin envelope for support. Immediate improved fullness in the breast upper poles (cleavage line) is noticed, along with what I feel is a longer lasting uplifted breast due to the added support of the internal “dermal Wings”.
In Dr. Leber's practice, he has found this technique often provides sufficient upper pole volume (cleavage), in an otherwise deflated breast, often making placement of an implant unnecessary.
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