Breast lift

Mastopexy (Breast Lift)

 Who is a good candidate for mastopexy (breast lift)?

Many women are troubled by breasts that have lost elasticity and have begun to sag due to the effects of pregnancy, nursing, weight fluctuations, time, or gravity. Mastopexy or breast lifting surgery reshapes the breasts to a more naturally rounded shape and repositions the breast, nipple, and areola to a more youthful position and projection. In some cases, a breast lift may be combined with a breast augmentation for patients who have very thin, drooping breasts. A breast implant will often help shape the breast and provide fullness in the upper portion even if it is not used to make the breast larger. It is important to understand that implants alone may not adequately lift the breast, or correct the effects of pregnancy, weight loss, or skin stretching.

What do the procedures generally entail for mastopexy (breast lift)?

This procedure is performed under general anesthesia. This generally takes place in an outpatient setting and depending on the complexity of the repair, generally takes from two to three hours. The incisions for the surgery are around the areola of the nipple so that the scar is easily hidden by the color change and extending down vertically to just above the point where the breast meets the chest wall. Through this incision, the removal of the excess skin and the recontouring of the breast can be achieved.

How is the recovery after mastopexy (breast lift)?

Patients typically go home after a few hours in the recovery room. There are a few patients who elect an overnight stay in the hospital, but this is not typically required. We ask that our patient’s leave the dressings in place and they follow-up in the next several days in the office. There is a small amount of discomfort for the first 48 to 96 hours, but this is easily controlled with mild pain medication. We typically send the patient home with a five day course of antibiotics as well. The sutures dissolve on their own, and the only wound care is to replace the small band aides when they fall off. There is typically a modicum of bruising at the operative site which begins to resolve after 48 hours. The patient may shower after the dressing is removed (typically in 48 hours), and they resume normal activity slowly after one week as their clinical course dictates.

What are the typical results from mastopexy (breast lift)?

After the mastopexy, the woman’s breasts will be repositioned and reshaped to provide a more youthful projection to the breast tissue and position of the nipple. Almost all women are extremely pleased with the results of the procedure We typically see a longevity measured over many years of the procedure, but the same forces that have worked to transform the breast previously will still be present. However, the breast tissue typically does not return to the previous level of severity if some minor settling does occur. Almost all women who have had the procedure say that they would have it done again.