Breast Lift

Breast Mastopexy and Augmentation

If You are Considering a Breast Lift . . .

As we age we lose the elasticity in our skin and breasts that were once youthful start sagging. This also happens following excessive weight loss and is not unusual after pregnancy. The surgery for lifting breast tissue is called Mastopexy or a breast lift. A breast lift can also:

  • Reduce the size of the areola, which is the dark skin around the nipple
  • If your breasts are too small or have lost volume, breast implants can be inserted as well as a breast lift. This can increase both their firmness and size.

If you plan to have children it is best to postpone surgery until later as your breasts will change in size and shape during your pregnancy. The best results are obtained if you have adequate cup size but your breasts have sagged over time.

Planning Your Surgery
During your initial consultation I will examine your breasts, take measurements and check for any asymmetry. Having done that I will discuss with you whether you will need any implants or not in conjunction with the breast lift surgery. This will depend on the size and shape you breasts, your weight, your expectations and finally on your initial breast volume. I will also discuss with you the size of the nipple areola and whether they need to be reduced during the surgery or not, I will also describe to you how the surgery is done and tell you where you have the incisions following the surgery. In your initial consultation, it's important to discuss your expectations frankly with me. Every patient has a different view of what is a desirable size and shape for breasts. I will also explain the anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved.

I tend to remove minimal breast tissue and create a breast that looks full and tear drop in shape giving it a natural appearance. This is achieved by doing a superior pedicle technique which is the latest and newest technique currently used by nationally recognized plastic surgeons around the country.

Where Your Surgery Will Be Performed
Your breast lift may be performed in an outpatient surgery center.

Types of Anesthesia
Breast lifts are usually performed under general anesthesia, so that you will not be awake during the procedure.

The Surgery
Mastopexy usually takes one and a half hours to perform. If implants are placed there is an additional hour added to the time. The incision for a Mastopexy (breast lift) and the augmentation is the shape of a Popsicle. It is placed around the nipple and a vertical part that extends from the nipple to the inframammary fold. The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. When the excess skin has been removed, the nipple and areola are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are usually located around the areola, in a vertical line extending downwards from the nipple area, and sometimes along the lower crease of the breast.

If you're having an implant inserted along with your breast lift, it will be placed in a pocket directly under the muscle of the chest wall. Please refer to Breast Enlargement / Breast Augmentation on this web site for more information.

After Your Surgery
After surgery, you'll wear an elastic bandage or a surgical bra over gauze dressings. Your breasts will be bruised, swollen, and uncomfortable for a day or two, but the pain shouldn't be severe. Any discomfort you do feel can be relieved with medications prescribed by your surgeon. There are no drains.

Within a few days, the bandages or surgical bra will be replaced by a soft support bra. You'll need to wear this bra around the clock for three to four weeks, over a layer of gauze. The stitches are under the skin and therefore do not need to be removed.

If your breast skin is very dry following surgery, you can apply a moisturizer several times a day. Be careful not to tug at your skin in the process, and keep the moisturizer away from the suture areas.

You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. This numbness usually fades as the swelling subsides over the next six weeks or so.

What happens after surgery?
You will be in a surgical compression bra for extra support. I will be giving you pain medications and within a few days your pain will be manageable. You will wear the bra for six weeks to prevent any dragging sensation. Your stitches will be underneath the skin and will not need to be removed. There will no drains following the surgery. You may lose some sensation over your nipples for a few weeks but this will return in the vast majority of the patients.

How long until I will be back to my normal self?
You will be able to walk briskly after three weeks and do aerobic exercises in six weeks. You will feel some pain when you lift heavy objects and sometimes lifting toddlers may be difficult. You will need to wear a bra for around six weeks following surgery.