Breast Lift

What is a Breast Lift?

Breast lift surgery is designed to improve the shape of sagging breasts, helping to restore a more youthful, perky contour and breast shape. For some women, the changes in the breast shape are a result of pregnancy, weight changes or simply time and gravity. For others, the breast shape has always tended to be droopy. By tightening the skin of the breast and re-positioning the nipple to a higher location, the breast lift procedure can create a more attractive breast shape.It’s important to realize the difference between breast augmentation and a breast lift.  An augmentation uses an implant to increase the size and fullness of the breast. A breast lift does not use an implant. With a lift, the breast size stays approximately the same, but the breast gland is re-positioned above the level of the breast crease.  A combination procedure of breast lift and breast implant can also be considered, particularly if the breasts have lost significant volume after pregnancy or weight loss, or if the round, full “implant look” is desired. Alternatively, if the breast size is a little on the large side, a size reduction can be performed at the time of the breast lift.

What kind of breast lifts does Fiala Aesthetics perform?

There are 3 main patterns of breast lift, depending on how much droop there is to correct. The one with the shortest scar is known as the “donut” lift, also called the Benelli or circumareolar lift. This design works for women who just need a minor degree of lift – about 1 – 1.5 inches, or who wish to have the areolar size reduced, if it is overly large. In this operation, there is no scar down the front of the breast, or in the crease. This lift is commonly combined with a breast augmentation, for women that would like a small degree of elevation of the nipple-areola at the time of their augmentation.For intermediate cases, a “vertical mastopexy” is performed. This permits a greater degree of elevation and tightening of the breast than the donut lift. Now, the incision still goes around the nipple-areolar complex, but now extends down the front of the breast. There is no horizontal incision in the crease.For cases where there is a lot of stretched-out breast skin, and high degrees of breast ptosis (droop), the traditional mastopexy is used. This design includes the horizontal incision in the crease as well.

Is the recovery from a breast lift painful?

Not typically. Since the operation doesn’t involve any modification of the pectoral muscle, the recovery is usually quite quick. Patients are back to work after approximately one week. You will have to limit your activities until the incisions are well healed.

I’d like my breasts to be about a cup size smaller, and also need a lift. Is this possible?

Yes.  Dr. Fiala can remove a little bit of the breast tissue at the same time as performing the breast lift surgery.  In some cases, liposuction of the breast can also be used for this purpose.

I’d like my breasts to be about a cup size larger, and also need a lift. Is this possible without an implant?

Yes. Fat grafting to the breasts can be performed, using fat that has been liposuctioned from another area. This can be used to give a one cup size increase.

How long will the lift last?

Unfortunately, time and gravity march on for all of us. Women who have stretchy tissue that allowed breast droop to develop in the first place will tend to have some recurrence of this over time. However, their breast shape is always better than if they had never had the operation, and better than their unoperated friends. Most women will have a significant improvement for between 5-10 years.  A second surgery can be performed, if needed.

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