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Breast Lift (Mastopexy)

A Breast Lift or Mastopexy is used to change to shape of the breast. Aging, pregnancy and weight loss can all have a negative impact on the appearance of the breasts. Each can cause for the breasts to soften and sag. If the problem is purely a loss of volume a Breast Implant can provide the cure; however, when the breast skin is over-stretched, and can no longer support the weight of the breast, a Breast Lift can usually provide a better result.

Women at our San Francisco Bay Area Plastic Surgery office, in Walnut Creek, choose to undergo breast lift surgery for a variety of personal reasons. Breast lift can help you feel more confident in your appearance and improve self-esteem. In fact, many women elect to combine their breast lift procedure with Breast Augmentation to further enhance their results. If you would like a fuller, more rounded bust line, Dr. Joseph Mele may recommend Breast Lift surgery or an Augmentation Mastopexy (breast lift with a breast implant) at our practice. During your personalized consultation, Dr. Mele will make recommendations following an in-depth review of your goals and expectations.

Breast Lift Before and After Photos (Mastopexy)

Results shown are specific to each patient and individual results will vary

The Breast Lift Procedure

During your breast lift procedure, Dr. Mele will remove excess skin from the lower portion of your breast to contour and lift the breast. The type of incision depends on how much lifting is needed. Incisions may be confined to a small, circular incision around the areola when a little lift is needed, an anchor shaped incision on the lower breast to provide maximum lifting, or something in between. Excess skin and tissue is removed, while the deep dermis is preserved to act as internal support. The remaining tissue is lifted and tightened. The nipples and areola are often repositioned higher, on the front of the breasts. Nipples are not usually removed, but stay attached to the breast tissue to maintain their sensation and circulation.

Breast Lift Videos and Breast Augmentation Lift Videos

Types of Breast Lifts

There many different breast lift procedures. Some have small scars, and can lift a small amount. Others can reposition the entire breast, and require longer incisions. Here is a list of the five most frequently performed breast lift procedure:

Crescent Lift

Crescent Mastopexy: The crescent breast lift is performed by making an incision around the top of the areola (the pigmented skin around the nipple). This lift is more a nipple lift than a true breast lift. It is good for moving the nipple small amounts. Trying to move the nipple too far will lead to a distorted shape. The breast tissue cannot be lifted with a crescent lift.

PeriAreolar Lift

PeriAreolar Mastopexy: The periareolar breast lift involves an incision is made around the areola, and allows for one to two centimeters of lifting. This lift is often performed with a breast augmentation in cases where there is borderline ptosis (sagging), or without a breast implant for areola reduction with or without tubular breast deformity.

Vertical Lift

Vertical Mastopexy, Lollipop Lift: The vertical breast lift adds a vertical scar to a periareolar lift above. It is a variation on the Inverted-T technique listed below, but without the IMF scar (in the fold under the breast). The vertical breast can truly lift the breast and can push the nipple further up on the breast mound.

Horizontal Lift

Horizontal Mastopexy: The horizontal breast lift adds a horizontal inframammary fold (IMF) scar to the periareolar lift. The horizontal mastopexy is one of the least commonly used breast lifts. It requires a long narrow breast. It is a variation on the inverted-t technique that is absent the vertical scar. To avoid the vertical scar, the nipple needs to be more than 7 centimeters lower than the final, desired placement. This horizontal breast lift works best for long, narrow breasts. The IMF scar is usually well hidden in the curve at the base of the breast.

Inverted-T Lift, Anchor Lift, Keyhole Lift

Anchor Mastopexy, Inverted-T Mastopexy, Keyhole Mastopexy: The anchor breast lift is one of the most frequently performed breast lifts, and is the gold standard to which all other lifts are compared. It is a versatile breast lift that can provide an improved breast shape, for even when the most severely overstretched or deflated breasts. Lifts do not add volume, so if you desire a larger breast, a breast implant can be used with the lift to boost the cup size at the same time.

Breast Lift Presentation

Mommy Makeover Presentation

Breast Lift With Breast Augmentation (Augmentation Mastopexy)

Breast lifts can be combined with breast augmentation when it is desirable to both add volume and lift the breast. The breast lift helps shape the breast and position the nipple, while the breast augmentation adds missing volume. Alternatively, if the breasts are too large, a Breast Reduction is performed.

Breast Lift with Breast Augmentation Before and After Photos (Augmentation Mastopexy)

Results shown are specific to each patient and individual results will vary

Breast Lift With Breast Augmentation Revision Surgery

For patients with previous Breast Augmentation, the Breast Lift may be part of a more comprehensive Breast Augmentation Revision Surgery. If you have Breast Implants, and you have experienced weight gain, weight loss or pregnancy, the skin and breast tissue in front of the breast implants may have dropped. This leads to elongated breasts, that sometimes hang off the breast implants. A Breast Lift can reposition the breasts tissue back over the breast implants, restoring the breasts to a more youthful shape and position, helping the way clothes fit. If a change is size or style is desired, the breast implants can be changed at the same time. Be sure to ask about all your options.

Breast Lift Recovery

The recovery after a Breast Lift is variable. For the Crescent and Periareolar Breast Lifts, healing is quick and the recovery is usually a few days. Since the Vertical and Anchor Mastopexies are performed for larger breast with increased sagging, the procedures are more involved and the recovery can take a few weeks. Regardless of the type of Breast Lift, your first follow-up visit is usually within a week of your procedure. The sutures used are absorbable, so removal is not necessary. Healing is usually rapid, so the majority of the follow-visits are dedicated to obtaining the best possible scar. Scar massage and topical silicone have both been shown to clinically improve the resultant scars. Be certain to ask Dr. Mele about methods for maximizing the results of your Mastopexy.

Schedule a Breast Lift Consultation

If you are interested in learning more about our San Francisco area office and breast lift surgery, please contact our cosmetic surgery office today. Give us a call at (925) 943-6353. The office is open weekdays 9 AM – 5 PM.

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