Augmentation Mastopexy with Silicone Gel/ Lollipop Technique, North Carolina*

This 49-year-old mother of 2 teenage children noted drooping and sagging of her breasts after childbirth. As she got older it seemed to get worse and she lost volume in her breasts. She was currently a B cup and wished to be a C cup. She did have breast ptosis or drooping so augmentation alone would not be enough to reshape the breast and elevate the nipple positions. She underwent a vertical mastopexy also known as a lollipop technique-which leads a circular periareolar scar and a single suture line down the middle of the lower breast which looks like a lollipop or balloon on a string. Alternative techniques such as an anchor scar are sometimes done for women with more skin laxity but are not necessary for women with moderate laxity. This avoids the large scar under the folds of the breast. The patient had submuscular positioning of 255 cc moderate profile smooth wall gel prostheses. Dr. Lyle utilizes a Keller funnel for insertion of the implant which reduces trauma to the implant and potential bacterial contamination which may lead to capsular contracture. The patient was very pleased with her C cup perkier breasts. Augmentation mastopexy can be done with peri-areolar scars alone for very minor degrees of ptosis or with a full anchor pattern depending on skin laxity and nipple position. The vertical scar or short scar technique is a compromise between these 2 procedures . Unfortunately breast lifting requires additional scarring to achieve proper shape.