Breast Lift

Breast lift, also known as a mastopexy, is among the most common procedures performed in the United States.  Drs. Butler and Leveque have performed hundreds of breast lifts over the course of their careers.  A breast lift can be done with or without implants.  It will restore the shape and volume of the breasts.

Breast Lift

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Typical Timing/Age

35-60

Problem

Droopy breasts

Procedure

Multiple different incision patterns and subsequent scar patterns are used depending the the existing breast shape and degree of ptosis (droopiness). Small changes can be achieved leaving a scar only around the areola (circumareolar, peri-areolar or donut). Most patients require at least a circumvertical (lollipop-shaped) scar in order to achieve the desired amount of lift and reshaping. Many patients require the addition of a horizontal scar at the bottom of the breast creating an “anchor-shaped” or “inverted T” scar to achieve the desired amount of lift and reshaping. A mastopexy trades droopy breasts without scars for lifted breasts with scars. The most critical portion of the procedure are the pre-operative markings which are made before surgery in the pre-operative holding area. A mastopexy involves tailoring the skin envelope and careful re-arrangement of the internal glandular architecture to reshape the breast tissue while maintaining adequate blood flow to the nipple. The operation usually takes 2-3 hours.

Goal

To improve breast shape. Most women will go down about one cup size after a mastopexy. For women to want to remain the same size or increase their breast size after a mastopexy, an augmentation-mastopexy may be a better option.

Facility

Surgery Center or Hospital

Preparation

Patients should be at a stable weight and cannot be using any nicotine containing substances. Patients should not be pregnant, breastfeeding or recently postpartum.

Anesthesia

IV sedation and local anesthesia or General anesthesia.

Recovery

Hospital stay

Most patients choose to go home after surgery.

Positioning

After a neck lift you should sleep with your neck extended (head tilted back) for 2 weeks. This means no pillows. You may roll up a small towel and place it behind your neck (not your head).

Assistance

You will be able to walk around, feed and bathe yourself. Depending on your pain medication requirements, you may not be able to care for others or drive a car.

Walking

You are encouraged to walk around as much as possible to help reduce the risk of DVT and thromboembolism.

Showering

After 48 hours you should remove your dressings and take a shower.

Exercise

You should do mild/gentle stretching exercises immediately after surgery to prevent your arm and chest muscles from getting tight. Light exercise is ok 1 week after surgery with your new breasts well supported. No arm exercises (other than stretching) for 3 weeks.

Sex

Wait 1 week because you don’t want to increase your blood pressure during the early healing period. After 1 week, sex is ok ONLY if your partner is able resist touching your new breasts. You are the only person allowed to touch your breasts for the 6 weeks following surgery.

Work

Depending on your type of work you can resume light office work as soon as you feel you are able to do so. Most people take about 1 week off of work following a mastopexy.

Swelling

Usually peaks around 3 days and gradually goes away.

Bruising

If present, should subside within 1-2 weeks.

Follow-up Appointments

1-3 days after surgery, 7-10 days, 4 weeks, 6 months, 1 year.

Inherent Risks & Complications

Hematoma, Infection, Poor scarring, Tissue necrosis, Need for revision, Complications related to anesthesia.

Performed by: Dr. Butler, Dr. Leveque

 

*Cosmetic Surgery National Data Bank: Statistics 2013. (2014). Aesthetic Surgery Journal / the American Society for Aesthetic Plastic Surgery, 34(1 suppl), 1S-22S.doi:10.1177/1090820X14542571

Gulf Coast Plastic Surgery is the only plastic surgery office in the area offering Canfield Vectra 3-D Imaging and Breast Sculptor software.