Many Mastopexy procedures are performed using light sleep or general anesthesia.
The crescent Mastopexy calls for the removing of a crescent of skin above the areola moving the nipple upward and suturing the nipple into the new location. The full Mastopexy requires incisions fashioned in such a way as to actually create a new breast envelope. This allows for the repositioning of the nipple and the reshaping of the breast. Either of these operations can be performed in conjunction with a breast augmentation.
Roughly, Mastopexy takes 1 & 1/2 to 4 hours to perform.
The Crescent Lift: This technique involved removing a crescent-shaped piece of tissue above the areola and suturing the tissue higher. This creates a minor lift for patients who have slight ptosis.
The Benelli Lift: This technique is considered less invasive and was designed with the scars being around the areola. With the Benelli, a donut shaped piece of tissue around the areola border is removed and the surrounding tissue sutured to the areola. The incisions are normally closed with purse string sutures. Sometimes a little more tissue is removed above the areola to compensate for a lifting effect when it is sutured.
The Benelli-Lollipop: This lift is the same as the above but with straight incisions from under the areolae to the mammary folds (crease). This is for those who have medium ptosis, too much for the Benelli only and too little for a full anchor incision.
Full Mastopexy: The most commonly used technique is with an anchor shaped incision that starts at the base of the areola, vertically to the where the breast meets the rib cage. The incision then cuts out a crescent shape piece of skin right above where the breast meets the rib cage. Nipple re-positioning is necessary with this technique as the nipple must be removed. This is considered a major scarring technique but it sometimes necessary with severely sagging breasts.
In any case, the goal of the Mastopexy is to rid the patient of excess sagging skin and re-contour the breast in a fashion that is both pleasing to the eye and the touch. For the most part, the suture lines (scars) will fade within a year, and more so after 2 years. Those scars around and in the areola area seem to fade and flatten faster than in the regular unpigmented area. Silicone sheeting is sometimes used to hasten the flattening and fading of a scar