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Surgeries / Procedures

• Abdominoplasty
• Blepharoplasty
• Brachioplasty
• Breast Augmentation
• Buttock Augmentation
• Calf Augmentation
• Cheek Reduction Surgery
• Chin Surgery
• Facelift
• Forehead lift
• Gynecomastia
• Lip Augmentation
• Liposuction
• Mastopexy
• Otoplasty
• Rhinoplasty

 

Ptotic, or droopy breasts are a real concern for many women. Weight loss, a severe diet program, pregnancy, and breast-feeding can all contribute to the development of droopy breasts. Women with pendulous or droopy breasts of satisfactory, comfortable size are good candidates for a breast lift. The problem may be that the breasts lack substance or firmness, nipple areolae point downward, and nipple position is below the breast crease. The “pencil test” is a good way to determine eligibility—if a woman places a pen or pencil underneath her breast and the item stays in place without assistance, she would benefit from a breast lift.

The most common patient is one who has had two children and has breast-fed them. After pregnancy and breast-feeding, the top half, or superior aspect, of the breast loses some of its fullness due to involution of breast tissue. Some patients are luckier than others and actually develop fuller breasts after pregnancy, but this is rare. Breast-feeding is extremely important for the baby, and no woman should avoid this important part of the nurturing process just because it might affect the appearance of her breasts.

The most common breast lift operation is the mastopexy. It involves repositioning the nipple areolar complex to a location higher on the chest wall. The incisions are located around the nipple areolar complexes. This operation is usually performed with the patient under general anesthesia or heavy IV sedation. It can be done as an outpatient procedure in a hospital operating room or in a physician’s operating room, and it takes approximately three hours.

Some patients will have lost quite a bit of breast fullness and may require the placement of breast implants in addition to the lift. In this case, the lift is performed in the usual way, and the implants are placed most often underneath the muscle.

Beauty for life

Enhancing your appearance with a breast lift

A woman’s breasts often change over time, losing their youthful shape and firmness. These changes and loss of skin elasticity can result from:

• Pregnancy
• Breastfeeding
• Weight fluctuations
• Aging
• Gravity
• Heredity

Also known as mastopexy, a breast lift raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour.

Sometimes the areola becomes enlarged over time, and a breast lift will reduce this as well. A breast lift can rejuvenate your figure with a breast profile that is youthful and uplifted.

What it won’t do

Breast lift surgery does not significantly change the size of your breasts or round out the upper part of your breast. If you want your breasts to look fuller or smaller, you might want to consider either breast augmentation or breast reduction surgery.

Is it right for me?

Breast lift surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

A breast lift is a good option for you if:

• You are physically healthy and maintain a stable weight
• You do not smoke
• You have realistic expectations
• You are bothered by the feeling that your breasts sag, have lost shape and volume
• Your breasts have a flatter, elongated shape or are pendulous
• When unsupported, your nipples fall below the breast crease
• Your nipples and areolas point downward
• You have stretched skin and enlarged areolas
• One breast is lower than the other

What to expect during your consultation

The success and safety of your breast lift procedure depends very much on your complete candidness during your consultation. You’ll be asked a number of questions about your health, desires and lifestyle.

Be prepared to discuss:

• Why you want the surgery, your expectations and desired outcome
• Medical conditions, drug allergies and medical treatments
• Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
• Previous surgeries
• Family history of breast cancer and results of any mammograms or previous biopsies

Your surgeon may also:

• Evaluate your general health status and any pre-existing health conditions or risk factors
• Examine your breasts, and may take detailed measurements of their size and shape, skin quality, placement of your nipples and areolas
• Take photographs for your medical record
• Discuss your options and recommend a course of treatment
• Discuss likely outcomes of breast lift surgery and any risks or potential complications
• Discuss the use of anesthesia during your breast lift

Preparing for surgery

Prior to surgery, you may be asked to:

• Get lab testing or a medical evaluation
• Take certain medications or adjust your current medications
• Get a baseline mammogram before surgery and another one after surgery to help detect any future changes in your breast tissue
• Stop smoking well in advance of surgery
• Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding

Procedural Steps

What happens during breast lift surgery? Your breast lift surgery can be achieved through a variety of incision patterns and techniques. The appropriate technique for you will be determined based on:

• Breast size and shape
• The size and position of your areolas
• The degree of breast sagging
• Skin quality and elasticity as well as the amount of extra skin

Step 1 - Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 - The incision

There are three common incision patterns:

• Around the areola
• Around the areola and vertically down from the areola to the breast crease
• Around the areola, vertically down from the breast crease and horizontally along the breast crease

Step 3 - Reshaping your breasts

After your doctor makes the incisions:

• The underlying breast tissue is lifted and reshaped to improve breast contour and firmness.
• The nipple and areola are repositioned to a natural, more youthful height.
• If necessary, enlarged areolas are reduced by excising skin at the perimeter.
• Excess breast skin is removed to compensate for a loss of elasticity.

Step 4 - Closing the incisions

After your breasts are reshaped and excess skin is removed, the remaining skin is tightened as the incisions are closed.

Some incision lines resulting from breast lift are concealed in the natural breast contours; however, others are visible on the breast surface. Incision lines are permanent, but in most cases will fade and significantly improve over time.

Sutures are layered deep within the breast tissue to create and support the newly shaped breasts. Sutures, skin adhesives and/or surgical tape may be used to close the skin.

Step 5 - See the results

The results of your breast lift surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade.

Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for breasts which have been restored to a more youthful and uplifted position.

Important facts about the safety and risks of breast lift surgery

The decision to have breast lift surgery is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.

Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.

The risks include:

• Unfavorable scarring
• Bleeding (hematoma)
• Infection
• Poor healing of incisions
• Changes in nipple or breast sensation, which may be temporary or permanent
• Anesthesia risks
• Breast contour and shape irregularities
• Skin discoloration, permanent pigmentation changes, swelling and bruising
• Damage to deeper structures – such as nerves, blood vessels, muscles, and lungs – can occur and may be temporary or permanent
• Allergies to tape, suture materials and glues, blood products, topical preparations or injected agents
• Breast asymmetry
• Fatty tissue deep in the skin could die (fat necrosis)
• Fluid accumulation
• Excessive firmness of the breast
• Potential partial or total loss of nipple and areola
• Deep vein thrombosis, cardiac and pulmonary complications
• Blood clots
• Pain, which may persist
• Possibility of revisional surgery

You should know that:

• Breast lift surgery can interfere with diagnostic procedures
• Breast and nipple piercing can cause an infection
• Breast lift surgery does not normally interfere with pregnancy, but if you are planning to have a baby, your breast skin may stretch and offset the results of mastopexy and you may have more difficulty breastfeeding after this operation

Where will my surgery be performed?

A breast lift procedure may be performed in your plastic surgeon’s accredited office-based surgical facility, an ambulatory surgical facility or a hospital. Your plastic surgeon and the assisting staff will fully attend to your comfort and safety.

When you go home

If you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment.

The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.

Be careful

Following your physician’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.