If you have sagging breasts due to past pregnancies, genetics, or aging.

If the sagging is too great to be treated with an implant alone.

If your nipple-areolar complexes (pigmented areas around nipples) are enlarged.

INTENDED RESULT

A mastopexy or breast-lift operation is designed to improve the shape and position of the breasts without reducing their size. It is used for breasts which sag but are not large. Sagging of the breasts may occur with normal development for some women, or as part of aging. Pregnancy, breastfeeding, and weight loss are other conditions which increase breast ptosis (sagging). Some patients will have a better shape to their breast if an implant is used at the time of mastopexy.

An elevated, more youthful breast contour.

Nipple-areolar complexes of the desired size and at the correct height.

PROCEDURE DESCRIPTION

The procedure is done on an outpatient basis under sedation and local or general anesthesia.

There are a variety of techniques for these operations. Most commonly there is an incision around the areola, another between the areola and breast crease, and a third within the crease under the breast. This is an "anchor-shape" or inverted "T" incision. On occasion, especially with mastopexy, these incisions may be modified and more limited. Some operations may require only the incision around the areola.

The nipple-areolar complex is repositioned higher, the excess skin is removed, and the breast is reshaped in a pleasing contour and in a more normal position.

The insertion of an implant as well, may be advisable.

RECUPERATION AND HEALING

You will go home in a bra, or with only light dressings over the incision lines.

Sutures are usually completely removed within 1-2 weeks.

Initial discomfort is easily controlled with oral medication. Light activities may be started in 7-10 days.

OTHER OPTIONS

Additional procedures which may enhance the result are a small breast reduction or breast enlargement.

INSURANCE GUIDELINES

This procedure is considered cosmetic and therefore is not covered by insurance. You are responsible for payment.

NOTE

Gravity continues to have its effect, and there is a tendency for the skin of the breast to stretch over a long period of time. Women vary a great deal in this respect. In general, the smaller the breasts the less tendency for sagging to recur. If the breasts sag again, further excision of the skin on an outpatient basis can be used to correct the problem. If we try to lift heavy breasts without making them smaller at the same time, sagging will return soon. One key to a satisfying result is realistic expectations.

The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.