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Allen M. Doezie MD - Mission Plastic Surgery

Mastopexy

Mastopexy is the technical term for a breast lift; a surgery that lifts or reshapes the breast. It involves removing the skin and lifting the breast tissue, as well as repositioning the nipple and areola.


Best Candidates for the procedure

A breast lift is appropriate for women who wish to improve breast shape and position. When there is a desire for an increase in breast volume, breast implants can be used in conjunction with a regular breast lift.

Sagging of the breasts typically appears as part of the natural aging process, or in patients who have gone through weight loss, childbearing, or breast-feeding. The loss of skin elasticity, gravity and other factors affect the shape and volume. As a result, the breasts most often lose their shape, size and begin to sag over time. Breast lift surgery can effectively raise and reshape drooping breasts.

Good breast lift surgery candidates:

  • Are in over all good health
  • Have moderately sized breasts
  • Have loose excess skin and fat that is resilient to exercise
  • Have realistic expectation for their outcome
  • Do not have a life-threatening conditions or illnesses that can impair healing
  • Are Non-Smokers

Initial Consultation

After meeting and discussing the procedure with you, Dr. Doezie will do a breast exam while his assistant takes notes of breast measurements and size. Before you leave a quote will be given to you at the end of your appointment.

The Procedure

Dr. Doezie will determine the mastoplexy technique that is right for you. There are various types of mastopexy techniques available.

Some of them are:

  • Doughnut, periareolar, or concentric mastopexy: This technique involves a circular incision all around the nipple. This breast lift surgery requires less skin removal. On closing, the breast skin is tightened up around the open doughnut when the nipple is elevated. This method is useful in patients with smaller breasts and less sagging.
  • “Lollipop” mastopexy: This is a modified version of the breast lift procedure particularly used for breasts with a little bit more ptosis, or drooping. It involves a periareolar incision with a vertical extension incision that extends down the lower part of the breast to gather in the extra skin on the bottom of the breast.
  • Standard mastopexy: Most patients fall into this category, which involves a procedure to dramatically elevate the areola and breast tissue to the proper position. It involves a periareolar scar, a vertical scar, and horizontal scar under the breast, which are quite minimal over time.

During the procedure, incisions are made using one of the aforementioned techniques. The underlying breast tissue is reshaped and restructured to improve the shape and firmness of the breast. The nipple is repositioned into the appropriate place and excess skin is removed. The remaining skin is tightened and the incisions are closed.

Recovery

Immediately after your breast lift surgery, dressings or bandages may be applied to your incisions, and support bra or compression garment will minimize swelling and support the breasts as they heal. Before you are sent home, you and an accompanying caregiver will be given specific instructions that may include:

  • How to care for the breasts following surgery
  • Medications to apply to your incisions
  • Oral medication to aid healing and reduce the risk of infection
  • Signs of potential complications
  • When to follow-up with your surgeon

You may experience swelling and discomfort at the incision sites and in breast tissue overall. This is normal and any discomfort can be controlled with medications. Dr. Doezie may recommend you wear a support bra continuously for the first week or two. It is important to clean the incision sites and apply any medication as directed. It is essential to the success of your outcome to follow all instructions. As soon as you feel ready you can return to light, normal activity, usually within one to two days of surgery.

Initial wound healing may take five to ten days. Generally, sutures are dissolvable and do not need to be removed. Most patients take one week or more off from work, depending on the level of the surgery and how the patient feels. You will be ready to return to work and normal activity at this time, if you feel comfortable, so long as you do not engage in any heavy lifting or vigorous exercise. Intimate contact with breasts may resume when healing is more fully completed, usually within three to four weeks.

You will continue to heal for several weeks. Swelling will resolve and the incisions lines will continue to refine. While scar lines are permanent, they will be inconspicuously located. Continue to follow Dr. Doezie’s instructions and attend follow-up visits as scheduled.

Results

It may take six months to one year for your breasts to settle into their current shape and there may be fluctuation in their shape in response to hormonal shifts, pregnancy and weight changes. Even though the scars are inconspicuous, breast lift scars are permanent and extensive. In many cases they remain red and lumpy for months, and then, over time they become less obvious finally fading to thin white lines.

Any breast lift surgery will not keep your breast tissue firm forever. Weight fluctuations, pregnancy, aging and the effects of gravity can ultimately take their toll again.

Risks

You can expect some loss of feeling in your breast skin and nipples caused by the swelling after the breast lift surgery. This numbness normally fades as the bruising subsides over the next few weeks or so. But in some patients, it may last for a year or more, and in certain occasions it may be permanent.

Costs

The costs of a breast lift can vary based on the type of technique used and the extent of the procedure. Dr. Doezie will determine your exact quote at the time of your consultation.

Visit our photo gallery to see before and after pictures of Dr. Doezie’s breast lift patients.

Learn more about breast lift surgery and Schedule a consultation with Dr. Doezie at Mission Plastic Surgery.

Allen M. Doezie MD - Plastic Surgery Associations