Common natural causes such as weight loss, pregnancy, breast-feeding, and aging, can manipulate and cause stress to the breasts over time. A breast lift, also known as mastopexy, elevates and firms the breasts by removing sagging skin that can be caused by pregnancy, weight loss, or aging. The procedure reshapes the skin surrounding the breast to support a more preferred contour. The breast lift is often combined with an augmentation when either an implant alone will not provide adequate lift or a mastopexy alone will not provide proper shape. Manhattan plastic surgeon, Kenneth Rothaus, MD, offers several breast lift techniques to revitalize and create firmer, shapelier breasts that can ultimately restore confidence and comfort to one’s body.
A breast lift should be considered when breasts have:
- Lost shape or volume
- Become elongated or flat
- Have nipples that are below the crease of the breast and/or point downward
- Ideally, the patient is a non-smoker, in overall good health, and no history of breast disease
A breast lift requires incisions to shape and firm the breasts. The most common incision patterns used during a breast lift procedure are:
- An incision around the areola
- Incisions around the areola and then going downward from the bottom edge of the areola at 6 o‘clock to the breast crease
- Incisions around the areola and then vertically from the bottom edge of the areola to the breast crease and finally extending horizontally in the breast crease
The size and shape of the breasts, size of the areolas, and extent of sagging are factors that will help Dr. Rothaus determine the best technique to use. Occasionally, as previously discussed, it may be determined that a small breast implant may be necessary or desired to enhance the fullness of the upper portion of the breast. This can be done at the same time as the lift or at a later date.
What To Expect
Before the procedure, noted New York City plastic surgeon Dr. Kenneth Rothaus will consult with the patient, evaluating their medical history and results of their examination. During this initial consultation, the various surgical options will be presented to the patient and a recommendation presented based on the patients’ anatomy and wishes as far as final result.
Breast Lift Video
Things To Consider
AUGMENTATION VS. LIFT
Patients desiring a breast augmentation may discover that they need a lift as well if there is a significant degree of ptosis (sag). If the patient wishes to add more volume and only has a small amount of ptosis (sag), implants alone will often resolve this issue. Similarly, patients desiring a breast lift may need implants depending on how much native breast tissue exists prior to the lift.
Before surgery, we will provide a thorough assessment as to whether or not an augmentation alone, breast lift alone, or a combination of the two is necessary to attain the aesthetic results the patient desires. It’s important to note that if an implant is placed within a sagging breast without a simultaneous mastopexy, the outcome can be very unsatisfactory.
In breast lift cases, the nipple needs to be repositioned and often reduced in size so that it is at the proper location and looks proportional to the newly shaped breast. When excess skin is trimmed away during surgery, a portion of an overly stretched areola is trimmed away at the same time.
With any mastopexy procedure scars are an inevitable part of the process. During surgery, the latest surgical techniques are incorporated both during and after the surgery to minimize scarring. A post-surgery scar care program of silastic gels and possible laser treatments will be offered, and patients are strongly encouraged to follow the plan so that healing can be healthy and quick.
Immediately after a breast lift, patients are placed in a surgical dressing or surgical bra. Bruising and swelling after surgery is common and will usually resolve within 1-3 weeks. While recovery varies from patient to patient, full recovery can be expected between 6-8 weeks. Most patients are able to resume modest activities within about 2-3 weeks.
Achieve The Look You Want!
We invite you to call our plastic surgery office and schedule your consultation with Dr. Rothaus today. If you are bothered by sagging breasts and are considering a breast lift, this surgery can restore the look and feel of your breasts and create a gorgeous, youthful outcome.
Plan Your Procedure
Average Procedure Time: 2-3 Hours
Procedure Recovery Location: Out-Patient