Simultaneous breast augmentation and lift

Often, both augmentation and mastopexy are necessary to solve the problems of breast ptosis with hypoplasia. These two procedures can be done simultan eously with no increased risks. Patients who have any degree of ptosis may benefit from some lifting of the nipple areola complex if the nipple is not in the central portion of the general contour of the breast mound when see n in the upright position. A simple crescent or eccentric excision in the u pper quadrant may be sufficient to lift the nipple-areola complex 1-2 cm. I f the nipple needs to be moved more than a couple of centimeters, or if the distance between the nipple and the inframammary crease is already excessi ve, an inframammary skin excision acid re-draping will be necessary. We hav e been using these combined techniques for 20 years with universal patient satisfaction.