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Breast Implants or Breast Lift? - Dr Michael Szalay
Breast Implants or Breast
Dr M Szalay
Often I will see patients who wish to have breast implants, but
would get a better result with a breast lift.
When considering which procedure is more appropriate for
someone, important factors are how loose the breasts are, where
the nipples are located and the final size and position the patient
wishes to achieve.
Some causes of loose breast tissue can include breast feeding,
weight loss and developmental differences.
Costs and incision lines
Many women are fine with the idea of a breast lift in order to
achieve a better position and shape of their breasts. Some however
are not keen for a breast lift because it entails extra costs and
Some women may be suitable for either implants or a lift,
depending on the final outcome they are seeking.
These women often have loose breast tissue but a good nipple
position. The aim in these cases is to pick an implant which is large
enough to fill out the loose breast tissue. If this doesn’t occur, then
loose tissue can drape off the implant ( “snoopy” or “waterfall
Polyurethane implants can be helpful in this situation as they hold
their position better than other implants and are less likely to
stretch the already loose breast tissue.
Sometimes, the breast tissue might be so loose that a very large
implant is required to fill it out. If the size of this implant is larger
than the patient is willing to have, then she would be better suited
by a breast lift.
1. Peri-areolar (“doughnut”) mastopexy
This type of breast lift is primarily aimed at lifting the nipple and is
mainly used when the nipple is low but the breast is not excessively
An incision is made around the areola and the nipple can be lifted
up to 2 to 3cm. A periareolar mastopexy is usually used in
combination with an implant.
2. Vertical ( “lollipop”) mastopexy
This type of breast lift is the most common type and is used when
there is loose breast tissue as well as a low position of the nipples.
An incision is made around the areola as well as down the middle of
the front of the breast. Both the nipple and the breast can be lifted
significantly with this technique.
3. Anchor Lift
This is a more extensive version of the vertical lift. This technique is
used when the breast tissue is very loose as might occur after
massive weight loss.
An incision is made around the areola, down the front of the middle
of the breast and also in the crease below the breast.
IS IT POSSIBLE TO HAVE A LIFT WITHOUT
It is possible to have a breast lift without implants if you are just
seeking firmer breasts in a higher position with a better nipple
position. All of these things can be achieved with just a breast lift.
Following a lift alone however, the breast will be lacking upper
fullness. Many women choose to have implants as well as a lift in
order to achieve upper fullness.
Dr. Michael Szalay
Dr. Michael Szalay – Precision Cosmetic Surgery
Phone: 07 3839 7222
Fax: 07 3839 6899
Address: Suite 280, Ground Level, St Andrews Place, 33
North Street, Spring Hill, Queensland, 4000