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DR. ABDOLLAH MALEK: Breast lift is actually another component of the improvement of the shape and contour of the breast. And generally we ask our patients that are you happy with the volume of your breast if you put your brassiere’s on. And if they tell that yes when I put my bra on, I feel comfortable with the volume of my breast and I do not have to wear a padded bra, then we know that the volume of the breast is adequate. And on those occasions, we use a term breast lift to lift the breast tissue and improve the contour and shape of the breast with the volume of the breast they already have. And again this procedure requires some incision on the breast because we need to reduce the volume of the breast. And these incisions could be around the areola which we call periareolar or lollipop incision that goes around the areola and extends downward towards the inframammary crease.

And again the result is very, very good. The important aspect of breast lift is the fact that a breast is a dynamic structure. During the lifetime, the breast is associated with changing amount of fatty tissue in the body as well as atrophy of the glandular component. So to maintain the mastopexy or breast lift in a same shape, in a very long period of time is always a challenging procedure. And at that time, we can discuss with the patients that the longevity would be upon certain years or we may need to augment that with some tissue or we may not augment that or we may defer them in the future, but basically breast augmentation is reflective of a group of patients that they have enough breast volume but they have too much laxity of the skin or the nipple areola are far lower than where they naturally should be. So we combine the lifting of the nipple areola as well as tightening up of the skin together in a term called mastopexy or breast lift.