One of the most popular types of cosmetic surgery mastopexy, or breast lift , is a growing alternative to breast implants with over 100,000 performed each year and climbing. There are three main variations to consider and some patients may not be candidates for all types of breast lift. Dr. Raj guides his patients along each step, from the initial consultation through the procedure and into recovery. Mastopexy, as with any kind of surgery, has risks and complications, so it’s a good idea to ask questions.
What is Mastopexy
Aging breasts often show signs of sagging or drooping due to overstretching of the skin. This is a common occurrence with time, pregnancy, or weight loss. Mastopexy is designed to reverse course on this process by repositioning the nipple higher on the chest wall and removing excess skin. This can create a very natural looking result which makes the patients breasts look like they did when they were younger.
Who is a candidate for Mastopexy?
Patients who are unhappy with the shape of their breasts but not the size are ideal candidates for breast lift. It’s best for patients to be done having children and around their ideal weight, as changes to the body brought on by weight fluctuations or pregnancy can lead to poor long-term outcomes. Candidates for a Mommy Makeover frequently choose Mastopexy, or Mastopexy with Implants as a supplement to an abdominal surgery to achieve their pre-pregnancy body. Typically surgical candidates will be mentally and physically healthy. Tobacco use and smoking increases the risks of some complications.
Options and Variations
There are three different variations on the procedure which can be performed depending on the position of the nipple relative to the infra-mammary fold.
In cases where the nipple diameter is enlarged, or slightly lower than where it ideally should be, Dr. Raj recommends a peri-areolar breast lift. This procedure lifts the nipple only and repositions it in the correct location.
Lollipop Lift or Vertical Mastopexy
Some patients may have moderate sagging and drooping of the breast tissue as well. In these cases a per-areolar lift alone is not adequate. In order to achieve the desired results the nipple must be placed higher, therefore some of the excess skin and breast tissue from the lower pole of the breast must also be removed. There are two incisions and scars to consider with this procedure, one around the areola and another vertically below the nipple-areolar complex.
Anchor Lift or Inverted T Mastopexy
For patients with severe sagging or drooping of breast tissue, where the nipple is in a very low position relative to the infra mammary fold, there is a technique which removes extra skin and tissue and elevates the nipple to the appropriate position. This is the most common procedure performed, and this technique requires three incisions – one around the areola, a vertical extension to the intra-mammary fold, and a horizontal incision along the fold, forming the anchor that gives the procedure its name.
Many patients who are candidates for anchor lift procedures also require placement of a breast implant to achieve their desired result. This is referred to as breast augmentation mastopexy.
In your initial consultation with Dr. Raj, he will listen to each patient’s concerns and determine if they are a candidate for a breast lift (mastopexy) after a thorough examination. It is important to remember that some patients are a candidate for a lift whereas others are not. Some patients may require an adjunctive procedure to be performed at the same time to provide the best possible result. Dr. Raj will assess the expectations and desires of each patient to propose a plan that will help achieve the patient’s goals. important to discuss your expectations.
During the consultation, Dr. Raj will perform a thorough physical examination of the breasts and obtain measurements to determine if a mastopexy will be beneficial. He will clearly communicate the expectations of the procedure. Dr. Raj will specify where the nipple position should be and if breast augmentation is recommended at the same time.
Before the procedure
Before scheduling surgery, Dr. Raj may request pre-operative testing to be completed depending on the patient’s age and medical history. Some patients may need to obtain medical clearance and a mammogram before surgery. Dr. Mohan and his staff provide detailed instructions to prepare for the procedure and ensure that each patient understands the potential risks, outcomes, and their individual recovery process.
The day of the procedure
In order to maintain the highest standards of safety and patient care, all surgical appointments take place at an accredited surgery center, where patients will be greeted by staff to help them prepare for their procedure. Prior to the procedure Dr. Raj will perform a marking and discuss the details of surgery in the pre-operative holding area. This provides a final opportunity for Dr. Raj to answer any questions before the patient is placed under anesthesia and the surgery commences in an operating room.
Description of procedure
Mastopexy is an increasingly common procedure performed by a plastic surgeon. Breast lift surgery is performed in an operating room under general anesthesia as an outpatient procedure for patient comfort and safety.
During the procedure
Patients incisions are marked by Dr. Raj beforehand to determine the new lifted position of the nipple on their breast.
Once the patient is under anesthesia, Dr. Raj will make an incision around the areola. Usually this cut will extend down the front of the breast, and along the sides of the areola in some cases.
Then Dr. Raj will lift and reshape the breasts, moving the areola to the correct position on the new breast shape.
Extra skin can be removed to give breasts a firmer appearance.
The patient is then closed with sutures, skin adhesives, or medical tape.
After the procedure
Usually the procedure can be completed in as little as two to three hours, depending on the complexity and techniques required. Patients are discharged the same day after the procedure. Dr. Raj and his staff provide all prescriptions and detailed information about the recovery process based on each patient’s treatment plan, but most patients can return to work 1 week after the procedure, with restrictions on heavy lifting and strenuous activity for 4 weeks to allow tissues to heal. By week 6 most patients are cleared to resume a normal exercise regimen and play sports. Individual protocols may vary. Patients can reach out at any time with questions and concerns as Dr. Raj and his staff are available every step along the way.
Limitations, Risks, and Possible Complications
- Risks of Anesthesia
- Poor healing of incisions or wound healing difficulty
- Changes in nipple or breast sensation, which may be temporary or permanent
- Breast contour and shape irregularities, some may require revision
- Asymmetry of breasts
- Fat Necrosis
- Fluid accumulation (Seroma)
- Partial or total loss of nipple and areola
- Deep vein thrombosis
- Possibility of a revision surgery
A: Here is a simple set of criteria to help you determine if you need a breast lift:
- If your nipples are below the infra-mammary fold of the breast
- If your breast shape is flat or deflated
- If the skin on the breast is stretched or has stretch marks
- If the volume of your breasts is much less than the skin around it
Why choose Dr. Raja Mohan?
Patients choose Dr. Raj for a variety of reasons. He trains and studies with the best in the industry as a peer and leader, and this commitment means that his patients are always able to benefit from advancements at the cutting edge of science and surgery.
He is knowledgeable and personable and is known for both candor and compassion. He really cares about his patients and it shows, both in how he interacts with them as well as in the quality of patient care he provides.
Ultimately, however, all roads end with the outcomes, and the reason most people choose Dr. Raj is because he delivers results that speak for themselves.
Schedule a Consultation
If you want to learn more about breast lift/mastopexy surgery please call (469) 301-1725 to schedule a consultation with Dr. Raj Mohan, board certified plastic surgeon serving the Dallas-Fort Worth Metroplex. He operates in Arlington, Grapevine, Southlake, Dallas, Plano, Frisco, Irving, and Coppell.