Robert Whitfield MD walks through lift options for breast explant surgery, focusing on donut and lollipop techniques that minimize scarring. He avoids anchor and crescent lifts due to shape concerns, and stresses that not every patient needs a lift at all.
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So we can do it in whatever manner the patient wants in order to help them get where they want to be at the end. I always will try to come up with ways to limit scarring. But, you know, that being said, there's the circular or the donut lift. There is basically a lollipop lift. And those are predominantly how we will help patients with skin tightening that is surgical. I don't do an anchor and I don't do a crescent. An anchor, to me, is something that's going to box out the bottom of the breast. So I don't prefer it, especially if you're going to go back and fat transfer up against that. I think it's much harder. I have lots of little adjustments that can be made afterwards if there's no lift or circular lift or a lollipop lift, that would not work when there was an anchor. So I focus on those to help our clients get the best possible, you know, outcomes and in the littlest amount of time or surgical steps as possible. So, in summary, not every breast explant surgery patient needs a lift. They have to come with, you know, their questions, and I try to give them the best possible information. They ultimately want to have a lift or don't want to have a lift. It's their choice.