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Mastopexy or Breast Lift - Elevating Your Confidence

Mastopexy or Breast Lift - Elevating Your Confidence

May 31, 2024 - By Dr. Jules Feledy

Sagging or ptosis of the breasts can significantly impact a woman's confidence, often resulting from weight changes, pregnancy, or aging. A mastopexy, commonly known as a breast lift, offers a solution to reshape and reposition the breasts, restoring a youthful, perky appearance.

Who is a Candidate for Breast Lift?

1. Experiences breast sagging: Candidates often have breasts that have lost firmness and elasticity, resulting in ptosis (sagging), which may be due to factors such as pregnancy, breastfeeding, weight loss, aging, or genetics.

2. Maintains stable weight: Candidates should ideally be at a stable weight since fluctuations in weight can affect the results of the procedure.

3. Is in good overall health: Candidates should be in good physical health and free from medical conditions that could increase the risks associated with surgery and anesthesia.

4. Does not plan future pregnancies: While it's possible to undergo a breast lift before having children, subsequent pregnancies and breastfeeding can alter the results of the procedure.

5. Understands the limitations of the procedure: Candidates should have realistic expectations about what a breast lift can achieve and understand that it may not significantly change the size of their breasts or correct asymmetry.

6. Is a non-smoker: Smoking can impair the body's ability to heal properly and increase the risk of complications during and after surgery.

7. Has realistic motivations: Candidates should be seeking a breast lift for personal reasons and have a positive outlook on the procedure and potential outcomes.

8. Is mentally prepared: Candidates should be emotionally prepared for the surgical process, including the recovery period, and understand the potential risks and benefits associated with breast lift surgery.

Understanding Incision Patterns:

The incision pattern for a breast lift varies based on the degree of lift required:

  • Crescent Lift: Removes a small area of skin above the nipple-areolar complex, providing a modest lift.
  • Vertical Lift: Involves an incision around the nipple-areolar complex and a vertical line in the middle of the breast, allowing for significant lift and reshaping.
  • Wise Pattern (Anchor/Keyhole): Features vertical lift incisions along with a horizontal incision in the breast crease, offering the most substantial lift and reshaping.

Augmentation-Mastopexy: Enhancing Volume with the Lift

For patients desiring both increased volume and lift, augmentation-mastopexy combines a breast lift with either implants or fat grafting. This approach restores breast volume while achieving a lifted, fuller appearance.

A good candidate for augmentation mastopexy, also known as a breast lift with augmentation, typically has all the same issue as a person that requires a lift but also:

1. Desires both increased breast volume and correction of breast sagging: Candidates seek to address both concerns of deflated or small breasts and ptosis (sagging).

2. Has breasts that have lost volume and shape: Candidates often experience breast changes due to factors such as pregnancy, breastfeeding, weight loss, aging, or genetics, resulting in both sagging and loss of volume.

How long do the results from a breast lift or mastopexy last:

In general, the results of a breast lift can be long-lasting, with many patients enjoying the benefits for many years. However, it's important to note that breasts will continue to age over time, and additional changes may occur. Some patients may choose to undergo a revisional procedure in the future to maintain or further improve the results of their breast lift.

The longevity of breast lift results varies from person to person and depends on several factors, including:

1. Individual factors: Factors such as genetics, skin elasticity, and overall health can influence how long the results of a breast lift last.

2. Lifestyle factors: Lifestyle choices such as weight fluctuations, smoking, and sun exposure can affect the longevity of breast lift results. Maintaining a stable weight and a healthy lifestyle can help prolong the results.

3. Surgical technique: The surgical technique used for the breast lift procedure can also impact the longevity of results. A skilled plastic surgeon will use techniques tailored to the individual's needs to achieve optimal and long-lasting results.

4. Aging process: While a breast lift can provide a significant improvement in breast shape and position, natural aging processes such as gravity and loss of skin elasticity will continue to affect the breasts over time.

Regular follow-up appointments with a board-certified plastic surgeon are recommended to monitor the results and address any concerns that may arise over time.

How long is a breast lift or mastopexy surgery:

The duration of a breast lift or mastopexy surgery can vary depending on several factors, including the complexity of the procedure, the surgeon's technique, and whether any additional procedures, such as breast augmentation or reduction, are performed concurrently. On average, a breast lift surgery typically takes approximately two to four hours to complete. However, it's important to note that the actual time in the operating room may be longer or shorter depending on individual circumstances. During the consultation with a board-certified plastic surgeon, the surgeon will assess the patient's unique anatomy, discuss their goals and expectations, and provide a more accurate estimate of the duration of the surgery based on their specific needs. Factors that can influence the duration of the surgery include the extent of breast sagging, the amount of excess skin to be removed, the need for nipple and areola repositioning, and the complexity of the surgical technique chosen by the surgeon. While the duration of the surgery is important, it's equally important for the surgeon to prioritize safety and achieve optimal results. Patients should feel comfortable discussing any questions or concerns about the surgery, including its duration, with their plastic surgeon during the consultation process.

What is the healing/recovery like for a breast lift or mastopexy:

The healing process after a breast lift or mastopexy varies from person to person, but generally follows a similar timeline and involves several stages:

Immediate Postoperative Period (First Few Days):

- Patients may experience discomfort, swelling, and bruising in the breasts.

- Prescription pain medication is often provided to manage pain during this initial phase.

- Patients are advised to rest and avoid strenuous activities.

- Drainage tubes, if used, are typically removed within the first few days after surgery.

First Week:

- Swelling and bruising gradually begin to subside.

- Patients may begin to transition from prescription pain medication to over-the-counter pain relievers.

- It's important to follow postoperative care instructions provided by the surgeon, which may include wearing a supportive surgical bra and avoiding certain movements or activities.

First Month:

- Most swelling and bruising should have significantly diminished by this time.

- Patients may gradually resume light activities and return to work, depending on individual healing progress and the nature of their occupation.

- It's important to continue wearing a supportive bra as recommended by the surgeon.

- Some residual swelling may persist, and the full results may not be fully evident yet.

Three to Six Months:

- Swelling continues to decrease, and the breasts gradually settle into their final shape and position.

- Scars may begin to fade, although they will continue to mature and improve over time.

- Patients can typically resume more strenuous activities and exercise routines as directed by their surgeon.

- Follow-up appointments with the surgeon are important during this period to monitor healing progress and address any concerns.

Long-Term Healing (Beyond Six Months):

- Most patients experience significant improvement in breast shape, position, and overall appearance by this time.

- Scars continue to fade and mature over the course of several months to a year, although they may never completely disappear.

- It's important for patients to maintain a stable weight and a healthy lifestyle to preserve the results of the breast lift surgery.

Throughout the healing process, it's essential for patients to closely follow their surgeon's postoperative care instructions, attend all scheduled follow-up appointments, and communicate any concerns or changes in their condition to their surgeon promptly. Every individual's healing journey is unique, so patients should be patient and allow their bodies adequate time to recover fully.

Post-Surgery Care and Mammograms:

Patients should wait at least 6 months post-surgery before obtaining a new mammogram for future comparison. Routine breast screening should continue as recommended by your healthcare provider.

Potential complications with breast lift:

Breast lift surgery, like any surgical procedure, carries potential risks and complications. While complications are relatively rare, it's important for patients to be aware of them before undergoing surgery. Some potential complications of breast lift surgery include:

Bleeding and hematoma: Excessive bleeding during or after surgery can lead to the formation of a hematoma, which may require surgical drainage to resolve.

Infection: Infection at the incision sites is a possible complication that may require antibiotics or additional treatment.

Changes in nipple sensation: Temporary or permanent changes in nipple sensation, including numbness or hypersensitivity, may occur after surgery.

Delayed wound healing: Some patients may experience delayed wound healing or wound breakdown, particularly in areas where tension is placed on the incisions.

Unsatisfactory scarring: While plastic surgeons strive to minimize scarring, all surgical procedures result in some degree of scarring. In some cases, scars may be more visible or may not heal as expected.

Asymmetry: Despite the surgeon's best efforts, subtle differences in breast shape, size, or symmetry may occur after surgery.

Loss of nipple or areola: In rare cases, inadequate blood supply to the nipple or areola may result in partial or complete loss of tissue.

Changes in breast or nipple shape: Changes in breast or nipple shape may occur as a result of the healing process, especially in the first few months after surgery.

Capsular contracture: While less common with breast lift surgery alone, the formation of scar tissue around breast implants (if used) can lead to capsular contracture, causing the breasts to feel firm or distorted.

Anesthesia risks: As with any surgical procedure, there are risks associated with anesthesia, including allergic reactions, respiratory problems, or adverse reactions to medications.

How long will I be out of work:

The amount of time you'll need to take off work after a breast lift can vary depending on several factors, including the extent of the procedure, your job requirements, and how well you're healing. However, here's a general guideline:

Desk Job or Sedentary Work: If your job mainly involves sitting at a desk or performing sedentary tasks, you may be able to return to work after about one week of recovery. However, it's essential to listen to your body and avoid activities that could strain your healing incisions.

Physical Job or Heavy Lifting: If your job involves physical labor or heavy lifting, you may need to take off work for at least two to four weeks or longer, depending on your surgeon's recommendations. It's crucial to avoid any activities that could put stress on your healing breasts during this time.

Your surgeon will provide you with specific guidance based on your individual circumstances and the nature of your job. It's important to follow their recommendations closely to ensure a smooth recovery and optimal results. If you have any concerns about returning to work or need accommodation during your recovery period, don't hesitate to discuss them with your surgeon or employer.

How much does a breast lift or mastopexy cost:

Understanding the anticipated cost, which ranges from $10,000.00 to $12,000.00 (if an implant is required), ensures informed decision-making.

Rediscover confidence and rejuvenation with a breast lift at Belmont Plastic Surgery. Our personalized approach prioritizes your aesthetic goals and overall well-being, guiding you through every step of your transformative journey.

Schedule your consultation today

The surgeons at Belmont Plastic Surgery are here to help you take the next step on your aesthetic journey. Whether you want to restore what has been lost or improve upon what you already have, our surgeons will help you make the best possible choices for your care and deliver excellent results. Every day is an opportunity to live a more beautiful life. Seize your opportunity today with a consultation at Belmont Plastic Surgery.

5530 Wisconsin Ave, Suite 814, Chevy Chase MD 20815

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