You may be a candidate for a breast lift if you have sagging breasts due to past pregnancies, genetics, weight loss or aging. You may also desire a mastopexy if breast sagging is too great to be treated with an implant alone. A breast lift may also be helpful if your nipple areolar complexes (pigmented areas around nipples) are enlarged.
Mastopexy is intended to give the patient an elevated, more youthful breast contour, as well as nipple areolar complexes of the desired size and at the correct height. It is a popular procedure in Chevy Chase and the Washington DC area.
Breast lifts are done on an outpatient basis under sedation with local anesthetic or with general anesthesia. The design of the incisions will vary based on the amount of excess skin and the level of the nipple areola complex(see below). The nipple areolar complex is repositioned higher, the excess skin is removed, and the breast is reshaped in a pleasing contour and in a more normal position. If breast volume has been lost, the insertion of an implant may be advisable.
The patient goes home with only light dressings over the incision lines and in a compression bra. You may shower after 48 hours and sutures are usually completely removed within 7 to 10 days. Initial discomfort is easily controlled with oral medication. Light activities may be started in 5 to 7 days. A support bra is worn for 6 weeks.
Breast lift procedures are considered cosmetic and therefore are not covered by insurance. The patient is responsible for payment. The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare. Find out more about this popular procedure in Chevy Chase, MD, and the Washington, DC, area by calling Dr. Lynch.
Concentric Mastopexy (Breast Lift)
Concentric or Periarolar (around the areola) mastopexy is usually performed for a small amount of breast ptosis. The design of the incisions is around the areola only. Excess skin is removed from around the areola in a donut shape and a purse string suture or stitch is used to keep the incision small and to elevate the areola. An implant may be needed if volume needs to be replaced.
Standard Mastopexy (Breast Lift)
A standard mastopexy is used if the nipple areola is low and the excess skin is too great to correct the problem with a periareolar (around the areola) lift alone. The design of the incisions can vary but usually include incisions around the nipple areola complex and a vertical incision below the areola that extends to the fold under the breast. A third incision in the crease under the breast many also be needed.
Additional procedures which may enhance the result are a small breast reduction and liposuction of the axillary area and lateral chest wall (sides).