Childbearing, breast-feeding, weight-loss, and natural aging can cause sagging or ‘ptosis’ of the breast for which a Breast Lift or Mastopexy might be indicated. As the skin envelope stretches out over time, volume moves from the more youthful position at the top of the breast down to the lower portion, giving it a drooping or sagging appearance. The nipple position also descends over time, accentuating this aging appearance. A Breast Lift is a surgical procedure used to reshape and rearrange the tissues of the breast while lifting the nipples into a more youthful position.
A breast lift alone does not, however, restore or add volume to the breast. If a patient desires additional volume, a small implant can be placed simultaneously. Please refer to the Augmentation- Mastopexy section for more specific information regarding this.
Who is a candidate?
Patients who are considered good candidates for a Breast Lift are healthy and at a stable or ideal body weight. Typically, these patients are satisfied with the overall volume of their breasts but have experienced a sagging or deflation of the breasts due to natural aging, pregnancy, breast-feeding or weight loss. They may find that their nipples now sit at the lowest portions of their breast or may even point towards the ground. Women who have breast fed may find one breast sagging more than the other due to a preference of the child while breast-feeding. This asymmetry can be corrected at the time of Mastopexy.
What can I expect with this surgery?
Prior to surgery, a complete history and physical examination of the patient is performed. Ideal patients are at or close to a stable body weight and may be directed to reach these goals prior to undergoing surgery. Additional breast imaging may be indicated depending on the age and history of the patient.
A thorough breast examination is made to determine the most effective surgical approach. There are 3 main types of Mastopexy incisions and, typically, the more a breast needs to be lifted, the more scars are required in order to do so. The smallest lift, called a ‘periareolar’ or ‘circumareolar’ Breast lift involves minimal elevation of the nipple in order to achieve an ideal breast shape and nipple position. Scars are placed at the borders of the pigmented areola and surrounding skin in order to camouflage their appearance. If moderate elevation of the breast is required, a ‘lollipop’ or ‘vertical’ Mastopexy is typically used. This places a circular incision around the areola and a vertical incision directed toward the breast fold. The most common technique employed for a Breast Lift is a ‘Anchor’ or ‘Inverted T’ type of incision, which combines the scars of a vertical Mastopexy with a scar along the breast crease. While the vertical incision is made to help lift the breast, the horizontal scar assists in narrowing and reshaping the base of the breast to create an optimal, youthful appearance.
The procedure itself is performed in our outpatient surgical facility using a general anesthetic. This is a same-day procedure, meaning patients will be released to a responsible care-giver once all discharge criteria have been met. There are no drains left during this procedure, and we provide each patient with a post-surgical bra for use in the post-operative period. All stitches used during this procedure are dissolvable and do not need to be removed. Patients are allowed to begin showering 2-3 days after the procedure once they have been evaluated for their first post-operative visit. Weight lifting restrictions of 10lbs per side are implemented for a total of 4 weeks after surgery. Most patients will return to work 7- 10 days after their procedure.
Is Liposuction part of a Breast Lift?
Liposuction may also be added in order to remove fat from the armpit area or to better shape the sides of the breast. This is based on individual anatomy and will be determined at the time of your consultation.
Will a Breast Lift interfere with breast function?
During all types of Breast Lifts, the ductal and sensory connections to the nipple should be maintained.
Therefore, nipple sensation and the ability to breast feed should be preserved with this procedure. Keep
in mind, however, that not all women are able to breast-feed even without surgery.
Breast Lift Testimonials
Dr. Dreveskracht did a great job listening to what I wanted done, and her staff have been nothing but gold. Going into surgery, the team exuded competence, caring and a warm sense of humor. Check-ins have been regular, and Dr. Dreveskracht made sure I was able to contact her in case of emergency. My healing has been fast and uncomplicated, and results are everything I could have asked for.
I have consistently had excellent experiences when I come to this office. I have been a patient for 4 years and I count not recommend anybody more.
Working with this doctor and staff has been the most amazing experience I have had in my health experience. They are thoughtful, caring, concerned, supportive , attentive and always make time for my needs. I was just commenting to someone that I wish this office could serve as my PCP and that I definitely got more than my money’s worth from the preop to the procedure to the aftercare. They are phenomenal and I highly recommend them to anyone and everyone! So super pleased!