Breast Lift (Mastopexy) in New York City
with Dr. Shridharani
What Is a Breast Lift (Mastopexy)?
New statistics show breast lift surgery has increased 70% since 2000, outpacing breast implants 2-to-1. Furthermore, nearly 100,000 breast lift procedures were performed in the United States per year within the past few years.
Breast lift surgery, also known as a mastopexy, is for women seeking an improvement in their overall contour and desire to raise the nipple to a more aesthetically pleasing location. The breast is lifted by removing excess skin, and the surrounding tissue is tightened to reshape the breast.
What Causes My Breasts to Droop?
- Weight fluctuation
Why Should I Consider a Breast Lift?
Over the years, breasts tend to sag and deflate, areolas (skin around the nipple) may stretch or enlarge, and the breast tissue and skin may thin. The breasts may become droopy, sit lower than they once did, and may not be the ideal shape. Some patients may find they have always been unhappy with their breast shape and others may desire to have the breast contour they once had. Many factors including pregnancy and weight fluctuations can cause the breasts to become deflated. Dr. Shridharani can surgically lift your breast to a more ideal position making them more attractive and balanced.
Is Breast Lift Surgery Safe?
YES! When a procedure is performed with appropriate precautions taken, you can have a streamlined overall experience. Even in the best circumstances, some complications can occur. Working with a surgeon you trust and feel comfortable with is paramount.
Types of Breast Lifts
- Circumareolar Mastopexy – “Doughnut” breast lift with an incision around areola only.
- Circumvertical Mastopexy -“Lollipop” breast lift, or short scar breast lift, with an incision around areola and a vertical line.
- Wise-Pattern Mastopexy – “Inverted-T” breast lift, with an incision around the areola, a vertical line to the inframammary crease, and a horizontal line.
- Augmentation Mastopexy – Any breast lift performed in conjunction with breast implants.
47 year old female patient elected to undergo breast lift (mastopexy), and breast augmentation with liposuction to front bra rolls to produce rounder, more aesthetically pleasing breasts. She had different sized breast implants placed due to her natural asymmetry. 255 cc (right breast) and 235 cc (left breast) smooth, round, moderate plus profile, silicone gel implants were placed below the muscle and a crescent breast lift was performed at the same time. This procedure restored her volume and gave her more proportionate breasts with a gentle natural slope and well-disguised scar. She is pictured here 1 week prior to surgery and 1 year after her procedure.
How Long Does a Breast Lift Procedure Generally Take?
Generally, the surgery takes around 2-3 hours to perform.
Can My Stretched out Areola Be Fixed During the Breast Lift Surgery?
YES! A very important goal of breast lift surgery is to place the nipple-areola complex in the appropriate position. It is common for areolas (colored skin around the nipple) to be stretched out from weight fluctuations or pregnancy. If you are unhappy with the size of your areolas, they can be reduced to a more appropriate size during your breast lift surgery.
Can Dr. Shridharani Give Me Breast Implants and a Breast Lift at the Same Time?
Yes, a breast augmentation and lift can be performed at the same time. This procedure requires a deep understanding of the overall anatomy and skin quality. Restoration of the upper pole of the breast (area above the nipple) may be achieved by placement of a breast implant. It is very common for women to desire their breasts to be lifted and the volume of their breasts to be restored. This is best achieved by placement of a breast implant. If the breasts have any asymmetry, breast implants may be the best option to improve the overall evenness of the contour. since multiple procedures have to be performed in a single setting From time to time, this procedure may require a minor “touch-up” (revision) in the future.
Is My “Pec” Muscle Cut or Changed During The Mastopexy Procedure?
NO. Incising the muscle is generally only needed when performing a breast augmentation. During your breast lift, Dr. S is careful to NOT cut the “pec” muscle since many sensory nerves lie on top of the muscle. This helps decrease your pain after the surgery.
Where Will I Have My Breast Lift Surgery?
The amount of time for a patient to be under general anesthesia for elective procedures should be kept to around 6 hours. Based on the amount of work that needs to be performed for a breast lift, a variable number of hours are needed (around the nipple/areola, lollipop type or anchor type). Also, if the tummy tuck is on a thin person vs a larger person, the time will vary. Finally, the areas needing to be liposuctioned and fat to be placed will determine safety. As a general rule, this number of procedures would likely not be safe during a single surgical session.
Dr. Shridharani Performing a Breast Lift
Would I Have to Spend the Night After My Breast Lift?
Dr. Shridharani’s breast lift patients are not required to stay overnight and generally go home the same day. Some of our patients choose to stay in a nearby luxury hotel with a private nurse overnight while they rest and recover.
When Can I Resume Normal Activities After a Breast Lift?
Following a breast lift, it is important that you do not lift your arms fully above your head for one to two weeks. For that reason, it is recommended that you do not begin an exercise regimen until six weeks post-surgery. Patients are normally back to work within one week of the procedure. Light activities may be resumed as well at the one-week mark. Patients typically return to work within 7=10 days after surgery. Light physical activity may be resumed after two weeks. Intense “cardio” may be resumed by 3-4 weeks. Strength training is typically permitted at 5-6 weeks post-surgery.
Will My Breast Size Change During a Mastopexy?
There will not be a major change in your breasts, however, there may be a small decrease in size as the breasts are lifted. This can sometimes be up to a single cup size change. This is why many women opt to have breast implants placed during their breast lift… to help restore the volume they have lost.
Will I Have a Scar From My Breast Lift?
Anytime an incision is placed on the breast, a scar will result. The goal of an excellent plastic surgeon is to place as few incisions as possible in areas that are well concealed. Dr. Shridharani uniquely tailors each breast lift depending on the patient’s anatomy and expectations. During your consultation, Dr. Shridharani will thoroughly review with you the location of your anticipated incisions.
Ready to Get Started?
Ready to learn more about breast lift surgery and find out if you are a good candidate? Call (212) 508-0000 to schedule a consultation with board certified NYC Plastic Surgeon, Dr. Shridharani.
Breast Lift FAQ’s
Dr. Shridharani rarely uses drains during breast surgery. It is a rare occasion to have to use drains during a breast lift surgery; drains are usually only needed when a large volume of tissue is removed from the breast or the breast lift is considered a complex mastopexy. Dr. Shridharani will be sure to review this with you during your breast lift consultation at LUXURGERY.
In plastic surgery we use a classification system to grade the level of breast ptosis or droopiness. In Grade I, the areola is at the level of in the infra-mammary crease and above the contour of the gland. Grade II is when the areola is below the infra-mammary crease and above the contour of the gland. Grade III is when areola below the infra-mammary crease and below the contour of the gland. Pseudoptosis is when the areola is above the infra-mammary crease but there is loose skin due to hypoplasia.
Deciding if any surgery can be performed in the office with the assistance of numbing injections (local anesthesia) or in the operating room with intravenous medications to make the patient more comfortable (sedation or general anesthesia) is determined by the willingness of the patient, the extent of the surgery being performed, and the comfort of the operating surgeon. Inverted nipples come in a variety of shapes and sizes, and the procedures to correct them vary similarly. Some motivated patients are good candidates for the procedure to be performed in the office under local anesthesia alone, whereas other patients would benefit from having anywhere from light sedation to full anesthesia. Having a consultation with Dr. Shridharani, a board-certified plastic surgeon in New York, is the best way to determine which approach is the best for you.
Correcting an inverted nipple is not painful, although you might experience some discomfort with the injection of the numbing medicine as well as after the surgery when the medicine wears off. At LUXURGERY we use a variety of proven pain reduction techniques with both our non-surgical treatments and invasive procedures in order to provide our patients with the most comfortable experience possible.
Nipple (and all scar) healing varies with the patient, but typically all incisions are healed within a few days. Majority of the time, all dressings and any sutures come out within the first 7-10 days. As with all surgeries, full healing takes place over the next several months while your body makes, and then remodels, healthy/normal scar tissue.