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Questions about Breast Augmentation?
Visit our website dedicated to information on Breast Augmentation. Find more information about breast implants, breast augmentation recovery, fat grafting to the breast and costs.
Frequently Asked Questions about Breast Lift Surgery
Who typically gets breast lift surgery?
Breast lift or mastopexy surgery is offered to patients that are unhappy with their sagging and deflated breast appearance. Most women want a youthful, lifted and full breast appearance. Some women want a larger breast size, and some are happy with their existing breast volume.
Typical breast lift patients might be women that have had children, have breast-fed children, or have lost substantial amounts of weight. A mastopexy surgery is often part of a mommy-makeover procedure, and is combined with a tummy tuck for a total body makeover.
Are There Visible Scars After The Surgery?
Yes. Three types of incisions are used for breast lift surgery. They are the peri-areolar, vertical and anchor-pattern scars. Although these incisions typically heal with a fine-line scar, they will never disappear. In most cases, a casual observer would not notice the scars. The length of scar depends on the degree of breast sagging and skin excess that an individual patient displays. With any cosmetic breast procedure, you are trading a much improved breast shape and volume for a set of breast scars. You have to be comfortable with this 'trade' before embarking on cosmetic breast surgery.
How Soon Can I Resume Exercise After Breast Lift surgery?
We encourage patients to resume light walking, treadmill, spinning and light elliptical work outs as soon as they feel ready. This is usually at about 4-5 days for most patients. We restrict weight lifting exercise at the gym for 4 weeks. I ask patients not to do pectoralis isolating exercises (bench press, push ups) for 8 weeks after surgery. Normal types of lifting at home and with children is okay to do as soon as patients are comfortable.
What Kind of Bandage or Dressing Is Used?
Small pieces of tape (Steri Strips) are applied along the length of your incisions. These tapes help the scars heal, and we leave them in place for up to 2 weeks. All breast lift patients are placed in a soft post-operative bra that is designed for the purpose. This bra can be removed each day to shower. When the patient is comfortable, a regular bra can be worn, as long as there is no irritation of the breast lift scars. After about 4 weeks, patients can begin daily scar massage for five minutes per day. This has shown to improve the appearance of surgical scars.
Are drains used in breast Lift surgery?
We typically do not place drains in most breast lift patients.
Can a breast lift be combined with a breast augmentation?
Yes, this is frequently done. A saline or silicone breast implant can be combined with a breast lift procedure to improve overall breast volume and upper pole fullness. A breast implant alone will not effectively lift a sagging breast. In these combined breast lift and augmentation procedures, I recommend the use a moderately sized implant to avoid wound healing issues.
Can upper pole breast fullness be restored without a breast implant?
Yes. Most patients seeking a breast lift tend to lack upper breast pole volume and fullness. This shaping is a hallmark of a youthful breast. Creating upper pole fullness does not require a large breast implant. In fact, the sagging breast tissue in the lower breast pole can be transferred into the upper pole to restore fullness. This technique is called an auto-augmentation procedure. It can produce remarkable improvements in breast shaping and upper pole volume without a breast implant.
Can breasts be lifted and augmented with the help of fat injections?
A very natural breast enhancement can be done with a Lipo Augmentation procedure, which combines a vertical breast lift with fat grafting to the breast. Fat grafting to the upper and medial poles of the breast enhances breast volume. As an added benefit to the Lipo Augmentation procedure, a body liposuction procedure is performed to obtain fat for fat grafting. This typically requires complete liposuction of the thighs, abdomen and hips to obtain sufficient fat for grafting. A Lipo-Augmentation procedure significantly lifts and shapes the breast and improves total body contouring.
Does breast Lift incision location change my implant choices?
Most saline implants and silicone implants can be placed through the three types of breast lift incisions:
- Peri-areolar (around the areola)
- Vertical ('lollipop scar')
- Wise pattern ('anchor scar')
Moderate to large silicone implants (300 cc and larger) typically require an incision in the fold under the breast.
Will everyone know that I've has a breast lift procedure?
Not unless you tell them! You can choose clothing that conceals your newly lifted (and augmented) look. On the other hand, you may not want to! People may notice your new self-confidence and the fact that you've bought some new outfits to show off your new look. I strive to do very natural appearing breast lifts and augmentations for patients. In some cases, the casual observer observing you in clothing will have no idea that you've had a breast lift procedure done. In other cases, especially when combined with augmentation, the new breast contour is more obvious. We spend a significant amount of time in clinic discussing what is the optimal breast shape and size for your figure.
How long does a breast lift surgery take?
This depends on the type of breast lift that we are doing. A straight-forward vertical breast lift takes about 1 - 1.5 hours to do in the operating room. When an implant is added, then the procedure takes about 2 hours. You are asleep for the entire procedure. All cosmetic breast surgery is done on an outpatient basis.
How bad is the pain after breast lift surgery?
Pain is a very subjective experience. Almost all patients report that they initially felt uncomfortable, but as soon as they began moving around and getting outdoors, they felt much better. We use local anesthetic during cosmetic breast procedures, so patients wake up from anesthesia feeling little/no pain. Light narcotic pain medications (Vicodin) are taken for a few days after surgery. Mastopexy Augmentation patients are also placed on Valium, a medication that appears to calm some of the sensitive nerves that run through the pectoral muscles.
What are the risks of breast Lift surgery?
The risks include bleeding, infection, skin numbness, nipple asymmetry, breast asymmetry, loss of nipple blood supply, revisional breast surgery and other issues. For each patient, these risks are thoroughly reviewed during the Informed Consent discussion by me, personally. Copies of all Informed Consent documents are given to patients for review at home, and ample time is allotted for questions.
If I like the way a particular model's breasts look, can I bring in her pictures for you to look at?
It is helpful to bring in photos as it gives us an idea of what type of breast shape you are interested in. It is impossible to replicate the surgical results that we see in a photograph but reviewing photographs together is yet another way that we can communicate about your desires.