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 does not change after a breast lift, nor does the fullness or roundness in the upper part of the breasts. Women who desire larger, smaller or more rounded breasts may want to consider a breast augmentation or breast reduction together with a breast lift.
Mastopexy may be performed in a hospital or in our accredited on-site operating room. It is usually done on an outpatient basis under general anesthesia, and lasts from 1-1/2 to 3-1/2 hours.
There are several types of incision methods that can be used when performing a breast lift. The technique a surgeon chooses depends on the patient’s:
Three common types of incisions used in breast lifts are a doughnut-shaped incision around the areola (small-incision mastopexy, generally only recommended for patients with small breasts and minimal sagging); a lollipop-shaped incision around the areola and down to the breast crease; and a lollipop-shaped incision with an additional half-moon incision, in an anchor shape, along the breast crease.
In all cases, breast lift surgery begins with administration of anesthesia or IV sedation. Dr. Walden makes the necessary incisions, and then lifts and reshapes the breast tissue into its new, rejuvenated contour. She moves the nipple and areola higher on the breast, and removes extra skin around the perimeter if the areola is enlarged. Finally, she trims the excess breast skin that resulted from poor elasticity. 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. All scars will mature with time.