By first listening carefully to your goals and then utilizing multiple techniques and tailoring the surgical plan to your specific breast anatomy, Dr. Salemy can achieve the lift, size and breast shape you desire.
A woman’s breasts may droop as a result of the natural effects of aging, heredity, gravity, pregnancy, breastfeeding or weight loss. A breast lift, also called a mastopexy, is performed to return youthful shape and lift to breasts that have sagged or lost volume and firmness.
Breast lifts rejuvenate the breasts by trimming excess skin and tightening supporting tissues to achieve an uplifted, youthful contour. After a mastopexy, the breasts are higher on the chest and firmer to the touch. Breast lifts can also reposition and reduce the size of the areola—the dark skin surrounding the nipple—which may have stretched or drooped.
Breast size may change slightly after a breast lift, but the fullness or roundness in the upper part of the breasts usually stays the same. Women who desire larger, smaller or more rounded breasts may want to consider a breast augmentation or breast reduction together with a breast lift.
The best candidates for breast lift are women whose breasts meet some or all of the following conditions:
It is also very important that breast lift candidates:
The best candidates for a breast lift are women who desire an improved shape, symmetry and contour of their breasts, and are willing to have incisions on the breasts to achieve this goal.
Women who desire larger, smaller or more rounded breasts may want to consider a breast augmentation or breast reduction either together with a breast lift or instead of a breast lift.
Mastopexy may be performed in a hospital, an outpatient surgery center or a surgeon’s office-based facility. It is usually done on an outpatient basis under general anesthesia, and lasts 2 hours.
There are several types of incision methods that can be used when performing a breast lift. The technique a surgeon chooses depends on a number of factors, including:
The three most common incision types are two rings around the areola in a doughnut shape (small-incision mastopexy, generally only recommended for patients with small breasts and minimal sagging); around the areola and down to the breast crease in a lollipop shape; and the lollipop with an additional half-moon incision along the breast crease, in an anchor shape.
In all cases, breast lift surgery begins with administration of anesthesia or IV sedation. Dr. Salemy will make the necessary incisions, and then he will lift and reshape the breast tissue into its new, rejuvenated contour. The nipple, which remains attached to the underlying breast tissue, is then repositioned higher, into a more youthful position. Finally, Dr. Salemy will trim the excess breast skin that resulted from poor elasticity and excess pigmented areolar skin if required. Absorbable stitches layered deep throughout the breast tissue support the lifted breasts.
When the mastopexy is complete, the skin is closed with stitches, tissue adhesive and/or surgical tape. Some of the incisions are hidden in the breast crease. Others will be visible, but all the scars will mature with time.
After surgery, the breasts are wrapped with dressings and you will wear a surgical bra. After a few days, this is replaced with a soft support bra, which is worn 24 hours a day for about a month.
The breasts will probably be bruised, swollen, and uncomfortable after surgery, but this will pass in a few days. Any numbness in the breasts and nipples should lessen as swelling subsides, and many patients return to work within 2 weeks.
If you agreed on realistic goals with your plastic surgeon, you should be very satisfied with the look of your lifted breasts. You will be able to see the results of your mastopexy immediately after surgery, and you may become even more satisfied as swelling goes down and incision lines fade.
Possible complications of a breast lift include: