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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 for a Breast Lift?
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 the Breast Lift?
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.
Patients are discharged to a care-giver after the surgery is performed in our outpatient surgical facility. The procedure itself is performed with a general anesthetic, and patients are dischargedon the sameday. The post-operative bra is provided to all patients post-operatively, and drains are not required. All stitches used during the procedure are dissolvable and do not need to be removed. Patients maytake a shower 2-3 days after the procedure once they have had their first post-operative visit. Patients may return to work 7-10 days after their procedure, provided they have been assessed. Patients mayliftup to 10 poundson each side for a total of 4 weeks. Weight lifting is restricted to 5 pounds per side for the first week and then to 10 pounds per side for a total of threeweeks.
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.
Scars after Breast Lift
Breast lift surgery can result in the appearance of a few different types of scarring. The most common of these is what’s known as a “dual incision” scar. This type of scar occurs when more than one incision is made to remove the breast tissue. These scars are typically thinner and less visible than other types of scars, but they may still cause some discomfort. One relatively uncommon complication that can occur during breast lift surgery is skin contracture. This condition involves contractions in the skin that can cause it to become tight, painful, or impossible for the patient to stretch out after surgery. It’s important to ensure that you’re appropriately stretching your skin after a breast lift so that you can avoid any unpleasant side effects like this one. In addition to causing some post-surgical discomfort, poor-quality scars can also cause additional problems in the years to come. As time goes on, scar tissue often develops and hardens, leading to reduced elasticity and an increased risk of developing keloids (raised skin caused by trauma). Because of this, it’s very important to choose a surgeon who takes the time to carefully create proper-looking scars during breast lift surgery.
Breast Lift Testimonials
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!
Great experience, a lot of communication and Dr was very straightforward about the procedure and what to expect. Results were phenomenal. Staff is also extremely knowledgeable and very attentive.