Mastopexy (Breast Lift)
Aging, weight fluctuation, and childbirth can all contribute to breast “ptosis” which is sagging of the breast tissue and low nipple position. This can be corrected with a breast lift procedure which gives the breast a more youthful and “perky” appearance. In addition to the aesthetic enhancement of a breast lift, many patients report that they have improved posture and reduced back or neck pain. While we recommend wearing a supportive bra to combat gravity, our goal is for patients to feel comfortable and confident going braless after surgery.
A breast lift involves removing excess skin, reshaping the breast tissue, and elevating the nipple position. Generally, it leaves a “lollipop” or “anchor” pattern scar, meaning an incision line that goes around the areola, vertically beneath the areola, and sometimes in the breast fold. In most women, these incisions heal so they are barely noticeable, and they are positioned so they are well hidden beneath undergarments or bathing suits.
For women who desire improved cleavage or larger breast size, a breast lift can be combined with an augmentation procedure. Augmentation can be achieved with silicone breast implants or with your own tissue, utilizing fat grafting or auto-augmentation techniques. Fat grafting involves removing fat through liposuction from an area of excess and transfer of the fat to the breasts. Auto-augmentation moves excess tissue from the lower part of the breast to upper part of the breast. Good candidates for this procedure have adequate tissue in the lower pole of the breast below the nipple areolar complex.
Often, patients undergoing mastopexy complain of an area of fullness in front of the armpit or on their sides, below the armpit. Liposuction can be performed at the same time as a breast lift to contour the chest and improve the patient’s overall shape. This can make a big difference in how clothing and bras fit. Patients also say they feel more confident wearing sleeveless tops and bathing suits.