Breast Lift-Mastopexy

Breast lift, also known as mastopexy, is clearly one of the most artistic operations of the breast that we perform. It can also be the most dangerous as it requires incisions and occasionally implants, that together, may disrupt blood supply enough that it adds risk to the surgery. This is why very careful planning, technique, and management of expectations are important. There are numerous incisions that can be used depending upon your anatomy and expectations. Incisions such as the donut, periareolar, crescent, lollipop, vertical, boat anchor, inverted T and others may be employed. Implants may be used with mastopexy or not. Because of the great degree of artistry, precision, planning, and pleasing results, this is an operation Dr. Romano loves to perform.

THE PREOPERATIVE FEATURES

• Sagging breasts with loose skin.
• Nipples are usually below the breast crease.
• Loss of breast volume and loss of elasticity to the skin.
• Large nipples and areola.
• Desire for a more youthful appearance to the breasts.

THE PROCEDURE

• General anesthesia can be used and it takes about three hours.
• Incisions depend on the size and contour of the breast but are very inconspicuous. They can often be placed only around the areola or in the lower breast crease.
• A careful exam of the breast tissue is undertaken to make sure no abnormalities are present.
• Excess skin is removed and the breast gland is tucked and lifted to a higher position on the chest wall.
• The nipples are elevated to a higher position and sometimes reduced in diameter.
• If a lift and more size is desired, an implant can be added at the same time.
• The only dressing is a surgical bra.
• No drains are used.
• This can be combined with other surgeries.

THE RECOVERY

• You can go home after several hours.
• You can shower on the second day after surgery.
• Mild pain for the first two days that is mostly gone by the third day and easily controlled by medications.
• You will feel very groggy for the first two days and weak for about ten days.
• Swelling is mild to moderate for the first week after which it rapidly disappears.
• Usually only very mild or no bruising.
• Breasts are square shaped for the first three weeks then settle into a very normal rounded position.
• Resume many activities within the first week, and most by at least three weeks.
• No stitches to remove. They are all dissolvable.
• Off of work for five to seven days.

THE RESULT

• Elevated, full, and beautiful size and shape to the breasts.
• Very natural result that just gets better in time.
• Softness and natural bounce that persists.
• Natural and presentable appearance right away that just gets better over the next three to six months.

For before and after images of this procedure click here

Please call or contact the office for any further information or to schedule an appointment.