Breast Implants With Lollipop Lift, Raleigh, North Carolina*

Weight loss ,aging and post-pregnancy status can frequently lead to breast drooping also known as breast ptosis. Many women believe that breast implants alone will fill out the breasts and lift the nipples. In some circumstances, with small degrees of ptosis, implants alone may achieve this. However, when the nipple begins to fall below the breast fold , most women benefit from mastopexy or breast lift at the time of breast augmentation. Implant pocket selection depends on patient factors. Submuscular positioning is often recommended and may afford more coverage of the implant, potentially less chance of capsular contracture and minimal potential for rippling or implant visibility. On the other hand, animation deformity or movement of the implant with muscular activity can be problematic. This patient was a healthy 44-year-old who worked out frequently and desired breast augmentation with lifting. She underwent bilateral vertical mastopexy also known as lollipop lift. Implant location was selected in the pre-pectoral or sub-glandular position. This avoided problems with muscle contraction.. There is a increased chance of capsular contracture in this location. Measures to lessen this outcome include: sub-fascial positioning, measures to reduce bacterial colonization such as the use of Keller funnel, antibiotic and antiseptic irrigation and of course strict sterile technique are taken. Textured implants were thought to reduce risk but have fallen out of favor.