Breast Lift (Mastopexy)
Breast lift is performed to address sagging (ptotic) or deflated breasts. Breast “Ptosis” and deflation can occur after significant weight loss, with aging, or following pregnancy with breast feeding. The mastopexy (“breast lift”) procedure reverses the descent following pregnancy and/or weight loss, and “Lifts” the breasts up to a position more consistent with younger perkier breasts. This procedure provides opportunity to make a stretched or enlarged areola smaller, and more proportional as well.
A breast lift will improve position, proportion, and symmetry, boost a woman’s confidence, and serve as a surgical corset or support. An aesthetic cosmetic breast involves a host of considerations and personal preferences, so having a trusted surgeon walk you through these choices /options and to perform the procedure is an absolute must. A breast lift may be performed with natural breast augmentation, using a patient’s own fat or tissue.
Breast implants and lift (breast augmentation mastopexy) may both be required in certain patients. This is especially the case when the breasts are deflated (saggy, ptotic), and need an increase in fullness (or increased volume). Depending on the situation these procedures may be staged (when either the lift or implants are performed first, then the other procedure is performed later [several weeks or a couple months]), or simultaneously (both implant and mastopexy done at the same time / surgery). The examination and measurements are similar to when undergoing each procedure on their own. As always, our goal is to obtain a proportional, cosmetic result, that is in line with your goals and objectives.
Breast Lift benefits:
- An elevated, well positioned breast
- Narrowed areolar circumference/size
- Repositioned nipple position
- Saggy or stretched skin removed or tightened
- Perky breast shape and position
- Can be done as part of a “mommy makeover”
- Fat grafting to breasts
- Correcting breast asymmetry
- Adjusting breast size after pregnancy
- Repositioning breast after aging or weight loss
“Mommy Makeover” – Breast lift (possible augmentation), “Tummy-tuck” (Abdominoplasty), Liposuction
A “mommy makeover” means performing a combination of procedures to restore a woman’s appearance to how it was before pregnancy, to as cosmetic and contoured as possible. The breasts and abdomen (“tummy”) are the areas of focus for these procedures. This will entail performing a breast lift (Mastopexy) with or without implants (breast augmentation) together with a “tummy tuck” (or abdominoplasty) with some liposuction. The excess stretched abdominal skin (and/or stretch-marked skin) is removed, the abdominal muscles are tightened (where they have stretched or spread in the middle, from pregnancy), a new belly button may be brought out, and the sides of the abdomen smoothed. Liposuction may be used to flatten the contour of the flanks, and belly, and to create the normal contours of a well-defined, athletic abdomen. The saggy breasts are lifted and augmented as needed, as described above. Unwanted abdominal fat is removed, bodily contours are enhanced, creating a more pleasing figure. In some cases, a “Mini” tummy tuck may be all that is necessary, or abdominal liposuction alone. If you had a prior C-section (caesarean section) scar, we will revise/improve that scar, and or blend your tummy tuck with this.
Before the Procedure: What to Expect
Every patient is different. Breasts are composed of skin, fatty, glandular, and fibrous tissues, and can change as a result of genetics, pregnancies, weight loss, skin elasticity, and age. Asymmetry is normal but can be improved. However, always some amount of asymmetry will exist, persist, and is normal. At your consultation, we will have a frank discussion of your history and goals. We will perform an examination, including position, skin quality, and measurements. A simulation can be performed on our 3D photo platform, to depict your actual proposed results. We will review educational materials and photographic example cases. The 3D tools will help communicate how you would like your breasts to look after the procedure.
Your initial consultation will involve understanding your ideal goals, especially related to your preferred size, feel, and appearance. There are varying types and sizes of breast implants (round, smooth, teardrop-shaped) and surgical techniques depending on your needs. We are able to perform a personalized and accurate 3D simulation to illustrate different implant options and sizes – views from all angles, to help make the best decision and result to achieve your goals.
After the Procedure: How to Recover
This is a day surgery, meaning you go home the same day (“out-patient”). A surgical bra will be placed at the time of surgery. Sutures are all dissolvable, and you may have a surgical band-aid protecting the small suture-line. The procedure typically invokes very little discomfort. Some subtle soreness, bruising, and swelling are normal during the first week. The access scars will fade and tend to nearly disappear with time. We ask that you wear a non-underwire bra for the initial healing period. Postoperative medications are given. We ask that you limit strenuous activity until we see you back for a follow-up appointment. Most patients are able to return to work a few days later. Elevation of arms at the shoulders can be sore for the first few days. We may ask you to begin massage during the first several weeks after the procedure.