Rapid changes in weight as well as exposure to sun can increase this degeneration, as well as effect changes in the collagen and elastin fibers. The result is looser, less elastic skin that hangs. After a certain point, full retraction of the skin with liposuction alone is not possible, and if smooth contours are desired, some sort of lift or tuck must be considered. The usual incision is above the pubic area and extends on either side for about three inches. The tissue above the muscle fascia is elevated, the fascia tightened in the midline, the belly button transposed, the excess tissue pulled down and resected, and the incision repaired in layers, thus eliminating most stretch marks, if they existed.
Patients consider the scar a worthwhile trade off.
In all instances, the nipple-areola complex is elevated to its new position and breast tissue is infolded for shape and support. The skin is also tightened, which adds support. Patients with very large, pendulous breasts are among the most grateful for this procedure. The relief experienced, ending persistent back and shoulder aches, and the feeling of renewed self-confidence, is a pleasure for the surgeon to behold. For more comprehensive information regarding Mastopexy, and to view Before and After photos of actual clients, please link to the site specific section on Breast Augmentation .