In situations where the nipple areola has descended and there is a large excess of skin, often times the best choice is for a Weiss pattern mastopexy, or a “Keyhole” mastopexy. The name implies the pattern that the scar achieves when the incisions are closed. The incision extends around the nipple areola complex, then inferior in a vertical fashion, then into the natural breast fold- the infra-mammary crease. This procedure is capable of removing the most skin, thus tightening the breast mound the most. This procedure can be done either with or without the use of implants, in either very small up to very large breasts. It achieves placment of the nipple areola complex in a higher position, tightening of the skin, and reduction of the nipple areola complex if desired, and better shape of the breast mound tissue.
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