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For women with smaller and less severely drooping breasts, this
breast lift procedure (which requires fewer incisions) may be possible.
In some instances, the physician may administer a local anesthesia
with a sedative instead of general anesthesia.
Concentric circles (like a doughnut) around the areola are drawn
and cut. The doughnut-shaped skin around the areola is removed and
the nipple & areola are moved upwards. Then the outer skin is stitched
(sutured) around the areola.
Sometimes the skin that is stitched to the areola may wrinkle because
there is more skin than needed around the areola (think of sewing
the edges of a hole in a piece of fabric to a smaller circle of
fabric in the middle of the hole. This wrinkling is much like the
pleats you would see in a pair of pants at the waistline.) Often
the wrinkling will subside in just a few weeks to months after surgery
as the skin envelope adapts to the new shape and weight of the tissues.
If your surgeon does not think that this is possible he/she may
instead elect to make a cut that descends from the areola down to
the bottom fold of the breast where it meets the chest. A strip
of skin is removed along this cut and the two sides stitched together.
Even with this additional vertical cut, this procedure leaves less
scarring than the more common anchor-shaped mastopexy.
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