This patient had naturally full breasts and a relatively larger body frame. Her main concern was breast ptosis (sagging), but she strongly wished to maintain as much breast volume as possible after surgery.
To address her concerns, an Anchor Mastopexy technique was performed using a superomedial pedicle. This method allows for effective lifting and reshaping of the breast while preserving blood supply to the nipple-areola complex and maintaining as much natural breast volume as possible.
Before surgery, the patient was carefully informed that even when the primary goal is lifting rather than reduction, a slight decrease in apparent breast volume is often unavoidable. This occurs because excess skin must be removed to reposition the breast to a higher, more youthful position.
Another important consideration discussed with the patient was the long-term effect of gravity. In patients with naturally heavier breast tissue, the weight of the breast can gradually lead to some degree of recurrent sagging over time. In such cases, a secondary lifting procedure may be considered in the future if further correction is desired.
The postoperative result shows improved breast position, better contour, and a more youthful shape, while maintaining the patient’s overall breast volume and natural appearance as much as possible.
