Breast Lift (Mastopexy) in New York & New Jersey Area
After pregnancy, you may be unhappy to see that your breasts lack the shape and firmness that they once had. You may find that you have been left with sagging and uneven breasts, lost breast volume, drooping nipples and stretched areolas (the dark skin surrounding the nipple).
A breast lift, or mastopexy, is performed to reverse these changes and return a youthful shape and lift to your breasts. This is accomplished by trimming excess skin and tightening supporting tissues to achieve an uplifted, youthful bust.
After a mastopexy, the breasts are higher on the chest and firmer to the touch. Breast lifts after pregnancy can also reduce areola size and reposition downward-pointing nipples.
What are the benefits of a breast lift (mastopexy)?
By trimming excess skin and tightening supporting tissues, breast lifts can reclaim the uplifted, youthful contour of pre-pregnancy. After a mastopexy, the breasts are firmer to the touch and higher on the chest. Breast lifts are also used to reposition and decrease the size of the areola, which sometimes stretches during maternity and after breast-feeding.
Keep in mind, breast size does not change after a breast lift, nor does the fullness or roundness in the upper part of the breasts. Women who desire larger, smaller or more rounded breasts may want to consider a breast augmentation or breast reduction together with a breast lift.
Am I an ideal candidate for a breast lift?
The best candidate for a breast lift is a healthy new mother who has finished breastfeeding, is maintaining a stable weight, and does not smoke. Since pregnancy and nursing can counteract a breast lift’s effects by stretching the skin, she should also not be planning on having more children in the near future.
Women whose breasts meet some or all of the following conditions are generally considered ideal candidates for breast lift surgery:
- Sagging or drooping
- Lost shape or volume
- Flat, elongated, or hanging
- Stretched areolas
- Downward pointing nipple or areolas
- Nipples or areolas are located in the breast crease when breasts are unsupported
How is the surgery performed?
Mastopexies are performed as an outpatient surgery under general anesthesia at Dr. Fiorillo’s clinic and last from 1 ½ to 3 ½ hours.
When performing your breast lift, Dr. Fiorillo will chose from a number of incision types depending on the patient’s:
- Breast size and shape
- Degree of sagging
- Size and position of the areolas/nipples
- Amount of excess skin
- Skin quality
- And other factors
The three incision types that are most common are: two rings around the areola in a doughnut shape (generally recommended only for patients with small breast and minimal sagging); around the areola and down to the breast crease in a lollipop shape; and the lollipop with an additional half-moon incision along the breast crease, in an anchor shape.
In every case, breast lift surgery begins with administration of anesthesia or IV sedation. The necessary incisions are made, and then Dr. Fiorillo reshapes your breast tissue into its new shape. He repositions the nipple and areola higher on the breast and extracts extra skin around the perimeter if the areola is enlarged. Finally, Dr. Fiorillo removes any excess breast skin that occurs from loss of elasticity. Stitches layered deep throughout the breast tissue are used to support the lifted breasts.
After the procedure, the skin is closed with stitches, tissue adhesive and/or surgical tape. Some of the incisions will be hidden in the crease of the breast, while others will be visible. All scars will mature over time.
What is the recovery from a breast lift like?
After the procedure, your breasts are wrapped with gauze dressings; an elastic bandage or a surgical bra may be required. After the first few days, this is replaced with a soft support bra, which will need to be worn 24 hours a day for about a month.
It’s common for your breasts be bruised, swollen, and uncomfortable after a mastopexy, but this will subside over a few days. Any numbness in your breasts and nipples should lessen as the swelling subsides. After one to two weeks stitches are removed and many patients are able to return to work.
What are the possible risks of a breast lift?
Though breast lifts are generally safe, every surgery carries with it inherent risks. Possible risks include scarring, poor healing of incisions, infection, and changes in nipple or breast sensation.
That said, Dr. Fiorillo is an expert in his field, and has a very successful track record. During your consultation, he will explain all of the risks and potential complications with you as you make the decision to undergo the procedure.