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0 Comment February 8, 2017

The Inverted T Breast Lift

There are many ways of lifting the breasts, and the best procedure for you will depend on how much sagginess you have. This patient has significant sagginess, meaning that the distance from the desired areola location to the current location is more than 6 cm. This type of breast will require more extensive surgery and longer scars.

By far, the most common technique used to reduce the breast is the inverted T breast lift. It is called inverted T because this technique produces vertical and horizontal scars in a T shape. It is the most common technique used by plastic surgeons because it is extremely reliable, very easy to perform, and easy to learn, but in my experience, the inverted T breast lift is not a good option for the patient.

As a matter of fact, I do not remember the last time I did an inverted T breast reduction and breast lift. I have noticed many different problems with this technique:

1. If you look at the picture, the scars are very extensive, particularly this scar that goes all the way close to the midline. The fact that you have a horizontal scar that goes to the midline will prevent you from wearing certain clothes, including clothes that show cleavage, because you will see the scar at this location.

2. This technique violates the fundamental reason for performing a breast lift. For example, the reason your breasts sag is because they are weak and there is excessive skin. The internal structures of the breast are not holding the breast in place, which results in significant sagginess. When this procedure is performed, the nipple-areolar complex is transferred with its own blood supply and then the incisions are closed, resulting in an inverted T shape. The excess skin is removed below the nipple-areolar complex and then the nipple-areolar complex is lifted to the right place. But, if you look closely, this technique relies on the skin envelope to hold the breast for a long-term result. If your breasts are weak, this surgery will actually make them even weaker, because the dissection will cut any minor supports that you have. This will result in your breasts looking nice in the short term, but in the long term, your breasts are going to bottom out. The breast tissue and the tissue that was used to transfer the nipple-areolar complex will descend, increasing the distance between the nipple and the lower part of the breast fold.

3. The results of soft tissue relaxation will make your breast fuller at the bottom and cause you to lose upper pole fullness, which completely affects the overall aesthetics of the breast.

This is the reason that I have developed the Wonder Breast lift. In this technique, the main goal is to reconstruct and reposition the breast while providing support using a different aspect of the breast. With the Wonder Breast lift, the scar will be L-shaped in those patients that have excessive sagginess, completely avoiding the scar that goes toward the midline.

There is nothing wrong with having an inverted T breast lift, and as a matter of fact, if you need a breast lift, this is the technique that most surgeons will use. They are not doing anything wrong. It is a reliable technique for lifting the breast to the right anatomical place, but there are other techniques that will give you a nicer shape and long-term results, like the Wonder Breast lift.