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  Mastopexy (Breast Lift for Sagging Breasts)

Frequently Asked Questions

View Mastopexy (Breast Lift) Surgery Pictures

  • Before and After (Breast Lift) Mastopexy Pictures

Q. What is a breast lift?

A. The breasts sag with age. The sagging can be exacerbated by childbirth, genetics, stretch marks on the breast skin, weight gain and loss.

If your nipples have drooped to the level of the crease beneath your breasts, than you have mild breast droop. If they have drooped below this line, then you have moderate droop. If they are pointing toward your shoes, then you have severe droop.

If your nipples and breasts are droopy and you want them lifted, then you need to have a breast lift. The further the breast has fallen, the more extensive the surgery will be. There are several procedures to perform breast lifts such as the crescent mastopexy, Benelli mastopexy and the vertical lollipop mastopexy. You must anticipate recurrent droop if your breasts are large. The larger the breasts, the more droop you can expect, and the sooner you can expect it. [Return to Top]

Q. What about the incisions and scarring?

A. Scaring is a major concern and the greatest drawback of a breast lift. The scars will be around the nipple and may also extend from the nipple down to the crease and along the breast crease. The extent of the scarring is often related to the degree of the droop and the extent of the surgery.

Any woman considering a breast lift must understand that she is exchanging one cosmetic breast problem (saggy breasts) for another cosmetic breast problem (scars). In general, women with mild droop do not find this exchange worthwhile. Women with moderate or severe saggy breasts do find this exchange worthwhile. Also, following surgery future pregnancies are likely to leave you with droopy breasts again. [Return to Top]

Q. What are the restrictions after breast lift surgery?

A. Anesthesia: Local tumescent anesthesia, sedation anesthesia, general anesthesia
Location of operation: Office or hospital.
Length of surgery: 1-2 hours (3 hours if performed with augmentation).
Length of stay: Outpatient (patients go home the same day).
Discomfort: Mild to moderate. Anticipate 2-7 days of prescription pain medication.
Swelling and bruising: Improve in 3-10 days.
Bandages: Will be removed in 1-7 days.
Stitches: Will be removed in 5-7 days.
Support: You will wear a sports bra or ace wrap for 1-4 weeks. Avoid an under wire bra until your surgeon approves it.
Back to work: 3-7 days
Exercise: May be resumed in 2 weeks.
Final result: Will be seen after the scars have matured, which will be about 6 months.

If the patient requests general anesthesia or breast augmentation under sedation anesthesia, the surgery is performed at Bayonne Medical Center Same Day Surgery cosmetic suite. The actual surgical procedure takes 1-1½ hours. However, you will be in the operating room a little longer. In most cases, patients are allowed to go home 2-3 hours following surgery. [Return to Top]

Q. Do you always need a breast lift if your breasts have some droop?

A. Not always. If you are a good candidate you could get some filling of the upper flat part of the breast with just a breast augmentation using a breast implant. [Return to Top]

Q. Who are candidates for a breast lift with implants?

If you have sagging breasts and loss of fullness in the top portion of the breasts, you are a likely candidate for the combined surgery.

In most cases first the implant is placed beneath the pectoralis muscle and then the breast lift is performed. The implant will fill out the breast and improve the projection. The weight of the implant may result in a recurrence of the breast droop if the implant is placed above the muscle. The less extensive mastopexy procedures such as the crescent or Benelli techniques are used. The lollipop incision is used in severe droopy breasts. [Return to Top]


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