Breast lift surgery, or mastopexy, restores a more youthful appearance to a woman’s breasts. Over the years breasts can lose their shape and firmness due to pregnancy, nursing and loss of skin elasticity, causing them to sag. Many of my patients lost a lot of weight, resulting in deflated, saggy breasts. Mastopexy will raise and reshape breasts—slowing the effects of aging and gravity. This procedure can also reduce the size of the areola.
Pregnancy and nursing often result in stretched skin and therefore decreased volume. If you are planning a future pregnancy, it is advisable to postpone your breast lift as pregnancy will likely cause further stretching.
Breast lifts are performed under general anesthesia in an outpatient surgery center.
The surgery may take between 2 1/2 to 3 1/2 hours. I tell my patients they are trading a better more youthful shape for a long incision. The incision is around the areola, a verticle line from the areola to the breast crease and a line in the breast crease.
In your consultation, we will determine what skin incision will be best to accomplish your desired result. I will help diagram the procedure and show you what your final scars will be. In general, most patients’ scars fade over time resulting in a more youthful better shaped breasts. Most patients are EXTREMELY happy with their results. It is a joy for me to hear how my patients no longer feel embarrassed when out of their push up bra.
This patient had a breast lift with replacement of her implants.
This patient had significant asymmetry. She didn’t want to increase her bra size. She had a lift without implants
This older patient had lost almost 100 pounds and had severe deflation and ptosis. She had a lift with a small reduction
As with any surgery, there are possible complications. Although rare, a patient may experience bleeding and infection following a breast lift, causing scars to widen. Poor healing and wider scars are more common with patients who smoke. Patients with tanner skin are at higher risk for keloid scars or darker scars.
After Surgery: What to Expect
After surgery, your stitches will be covered with gauze and an elastic bandage or a surgical bra will hold the breasts in place. Your breasts will be bruised, swollen, and you may experience some mild discomfort for a couple of days. Your doctor may prescribe pain medication. A soft support bra replaces the bandages or surgical bra after a few days. In the recovery stage, it is important to wear the bra at all times.
In general, almost all of the stitches used are absorbable so only a minimal number need to be removed. The scars eventually fade over the next 2 years and becoming less obvious. The procedure can also leave you with unevenly positioned nipples, or a permanent loss of feeling in your nipples or breasts though this is rare.
To ensure proper healing, plan to stay at home for at least a week before returning to work. You will need to avoid lifting anything over your head for 3-4 weeks and avoid strenuous sports for a month.
Overall, my breast lift patients are some of the happiest patients after their surgery. They are able to fit bras better, exercise easier, wear tighter fitting clothes and have a much improved feminine shape!