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Breast Lift

As a woman ages, her breasts may begin to sag. The effects of normal aging and gravity are exacerbated by pregnancy, weight loss, and genetics. The breast lift, also known as a mastopexy… is a surgical procedure designed to lift the breasts, making them look increasingly healthy and more proportionate to the body. This procedure is sometimes combined with other procedures such as breast augmentation (to provide fullness in the upper portion of the breast).

The Breast Lift Surgery

The Mastopexy surgery may take one to three hours. The method of anesthesia depends on the extensiveness of the surgery. The type of scar can vary depending on the amount of excess skin that needs to be removed. If needed, a breast implant can be placed during a breast lift for additional volume. When needed, the areola and nipple can be adjusted in size and diameter. Once the breasts are reshaped, the nipple will be repositioned in the ideal location proportionate to the breasts. Finally, the incisions are carefully and meticulously sutured closed by Dr. Kreithen.

Circumareolar incision:

Disclaimer: Results are not guaranteed and may vary from person to person.

Some patients, especially those with relatively small breasts and minimal sagging, may be candidates for a minimal circular requiring less extensive incisions. One such procedure is the “doughnut (or concentric) mastopexy,” in which round incisions are made around the areola, and a doughnut-shaped area of skin is removed.

Keyhole (Lollipop) shaped incision:

Disclaimer: Results are not guaranteed and may vary from person to person.

The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. When the excess skin has been removed, the nipple and areola are moved to a higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are located around the areola and in a vertical line extending downwards from the nipple area.

Inverted T (Anchor) incision:

Disclaimer: Results are not guaranteed and may vary from person to person.

Patients with significant excess breast skin are likely candidates for a more extensive skin removal lift which involves vertical and horizontal scars in the lower breast as well as repositioning the nipple-areolar to a higher location. The horizontal scar is typically hidden by the inframammary crease at the bottom of the breast.

Inferior Horizontal Lift:

Disclaimer: Results are not guaranteed and may vary from person to person.

In certain situations, there’s so much sagging skin that a vertical scar is not necessary. The incisions can be hidden under the breast and around the nipple-areolar complex.

Breast Lift with Implants

Disclaimer: Results are not guaranteed and may vary from person to person.

For many women, ptosis (drooping) of the breasts also leads to a lack of fullness and volume. In these situations, an implant will provide an improved, rounder and larger shape.

Who is a candidate?

A good candidate for this surgery is a woman who wants a full, perkier breast. Non-smokers, women in generally good health, and people who have reasonable expectations from the surgical procedure make up the ideal candidate for this procedure. At Holcomb and Kreithen Plastic Surgery a consultation will be scheduled before deciding on having surgery. When we review the medical history and perform a physical examination, it can be determined if this is the right procedure for the individual situation.

To schedule a consultation for a Breast Lift, contact Holcomb and Kreithen Plastic Surgery at (866) 218-4810. We are here to answer your questions and explain your options for a rejuvenating breast procedure. Our goal is to make every woman look natural and beautiful, as well as comfortable with her own body. We look forward to seeing you in our Sarasota or Tampa office.

The best breast lift candidates are healthy, emotionally stable women who are realistic about what the surgery can accomplish. Breasts of any size can be lifted, but the results may not last as long in heavy breasts. Smokers are most likely to experience poor healing of the skin; therefore, smokers must quit for at least one month prior to surgery and refrain from smoking at least one month after the surgery.

Many women seek mastopexy because pregnancy and nursing have left them with stretched skin and less volume in their breasts. However, if you’re planning to have more children, it may be a good idea to postpone your breast lift. While there are no special risks that affect future pregnancies (for example, mastopexy usually doesn’t interfere with breast-feeding), pregnancy is likely to stretch your breasts again and offset the results of the procedure.

Mastopexy Procedure: Raise and reshape sagging breasts by removing excess skin and repositioning remaining tissue and nipples.

Length: 1 to 3 hours.

Anesthesia: Local with sedation, or general.

In/Outpatient: Usually outpatient. Sometimes inpatient.

Recovery: Back to work: Within 1 week or more. Strenuous activities: 1 month. Fading of scars: several months to a year.

Duration of Results: Variable; gravity, pregnancy, aging, and weight changes may cause new sagging. Results may last longer or be enhanced when breast implants are inserted as part of the procedure.

Planning Your Surgery

During your initial consultation, it’s important to discuss your expectations frankly. Every plastic surgery patient–and every physician–has a different view of what is a desirable size and shape for breasts.

Dr. Kreithen will examine your breasts carefully during the consultation. He will discuss the variables that may affect the procedure–such as your age, the size, and shape of your breasts, and the condition of your skin–and whether an implant is also advisable. You should also discuss where the nipple and areola will be positioned; they’ll be moved higher during the procedure and should be approximately even above the crease beneath your breast.

Dr. Kreithen will describe the procedure in detail, explaining its risks and limitations and making sure you understand the scarring that will result.

At the completion of your consultation, you will meet with our patient coordinator. You will be given an estimate of the cost of your procedure, and have the option to schedule your procedure if you so choose. You are also encouraged to bring your spouse, significant other, family member, or a friend to your consultation. Dr. Kreithen realizes the importance of your decision and will be happy to meet with you a second time to discuss the surgery.

Preparing for Your Surgery

Depending on your age and family history, Dr. Kreithen may require you to have a mammogram (breast x-ray) before surgery. You’ll also get specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.

While you’re making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days if needed.

Where Your Surgery Will be Performed

A breast lift will most likely be performed at our state-of-the-art certified Holcomb – Kreithen Plastic Surgery Medical Center operating room. It’s usually done on an outpatient basis. Extensive complex combination (Mommy Makeover) procedures may require an overnight hospital stay.

Types of Anesthesia

Breast lifts are usually performed under IV sedation, which means you’ll be in a twilight sleep through the operation. In selected patients–particularly when a smaller incision is being made—Dr. Kreithen may use local anesthesia, combined with a sedative to make you drowsy. You’ll be awake but relaxed, and will feel minimal discomfort.

Breast Lift Recovery:

The breast lift procedure will be performed on an outpatient basis; patents are able to rest and relax at home the same afternoon. Women need to expect the recovery from their lift to take between two to four weeks but will feel good within the first week. Generally, pain after surgery is only mild to moderate, although Dr. Kreithen will prescribe appropriate medications for comfort. Swelling, bruising, and numbness are common but are temporary. Initially, after the procedure, bandages will be worn; then a surgical support bra will be used for approximately one month to allow for appropriate healing. Patients generally feel well enough to return to work or school in two to three days, but strenuous exercise should be postponed for up to four weeks.

Noticeable scars will occur after the procedure, but everyone’s body is a little different. Regardless, the scars will be easily covered under clothing or swimwear. Complications after surgery are extremely rare. Avoiding the risk of significant issues after surgery is mitigated by choosing a Board Certified plastic surgeon like Dr. Joshua Kreithen.

After Your Surgery

After surgery, you’ll wear a sports bra over gauze dressings. Your breasts may be bruised, swollen, and uncomfortable for a day or two, but the pain shouldn’t be severe. Any discomfort you do feel can be relieved with medications prescribed by Dr. Kreithen.

Within a few days, the bandages will be removed. You’ll need to wear your sports bra for about a month. The stitches will be removed after a week or two.

You will be provided with ointments and scar creams to optimize the appearance of your scar.

You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. This numbness usually fades as the swelling subsides over the next six weeks or so. In some patients, however, it may last a year or more, and occasionally it may be permanent.

Getting Back to Normal

Healing is a gradual process. Although you may be up and about in a day or two, don’t plan on returning to work for at least a week, depending on how you feel. Avoid lifting anything over your head for three to four weeks. It is not safe to drive a car within 24 hours of taking pain medication, as your reflexes and alertness may be altered.

You should wait at least four weeks before strenuous activity or exercises, and not lift more than 10 pounds in each arm. Walking and other normal activities can resume when you feel comfortable. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually four to six weeks after surgery.

Your New Look

Dr. Kreithen will make every effort to make your scars as inconspicuous as possible. It may take up to a year for the scars to fully mature. Over time, eventually, the scars should fade to thin white lines.

You should also keep in mind that a breast lift won’t keep you firm forever–the effects of gravity, pregnancy, aging, and weight fluctuations will eventually take their toll again. Your satisfaction with a breast lift is likely to be greater if you understand the procedure thoroughly and if your expectations are realistic.

As a highly educated and exceptionally skilled plastic surgeon, Dr. Kreithen offers a range of breast procedures. In fact, he is renowned throughout the greater Sarasota and Tampa areas as a specialist in breast implants expert. In addition, he specializes in male breast reduction and has helped many male gynecomastia patients enhance both their appearance and self-confidence.

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