If I have a second breast lift (I had a breast augmentation over the muscle and then circumareolar breast lift with implants under the muscle 10 years ago) and the doctor uses the same pedicle, takes very little skin out and uses nitropaste, how risky is my surgery? Is there any other way to minimize risk?
I do not recommend a circumareolar lift as it provides suboptimal lift, poor areola scarring, and no opportunity for breast mound shaping. Please consider a vertical mastopexy with your breast implant replacement as it is the GOLD STANDARD lift when using implants.
A skin only breast lift is not likely to cause problems other than maybe minor healing issues.
Great question! You provide a thorough history, which makes answering your question easier. Most of the blood supply to your nipple comes from the breast tissue below it (aka the pedicle). A circumareolar lift only cuts the skin around the nipple and leaves the nipple attached to the tissue below it. A vertical lift will cut the skin around the nipple and remove some skin between the nipple and the lower breast fold. A repeat skin lift such as these is unlikely to risk nipple loss even if you remove a substantial amount of skin. I assume you are not exchanging or removing your implant since it wasn't mentioned. Changing the implant pocket can risk the blood supply to the the nipple depending on what is being done. It sounds like you are asking the right questions. Good luck to you!
Hi Emilia,
Thank you for your question. If your surgeon is using the same pedicle and does a conservative lift then you should be fine. If you are exchanging implants for a larger size then you may face some increased risk. Minimizing risks such as being at a healthy weight and not smoking are essential. Be sure to discuss the surgery thoroughly with your surgeon so that your questions are answered to your satisfaction. Best of luck!
Hi. You will have major risks of having necrosis or circulatory problems again in the Nipple-Areolar Complex (CAP). Maybe with an online evaluation I can evaluate your condition much better.
There is no way to minimize risk.
Based upon your history the risks of serious healing issues should be low. Best of Luck Dr Harrell