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Breast Lift

The Procedure

A breast lift is a surgical procedure that lifts the breasts to a higher and more youthful position. Due to many factors, including weight fluctuation, weight gain and weight loss, pregnancy or breastfeeding, patients can have displacement of the nipple areolar complex below the inframammary fold with increased skin laxity.  During rapid weight gain and then loss, patients will often have increased breast volume and then a decreased volume with skin laxity that becomes permanent.  As a result, the breast lift may be required.

A breast lift is a procedure that raises the nipple areolar complex reducing the amount of skin laxity and drag along the lower breast.  In an ideal breast lift, the breast itself could be lifted without external scars on the breast itself.  The degree of ptosis will determine the type of breast lift that will be performed.


Ptosis Classifications

GRADE
DESCRIPTION
PHOTO EXAMPLE
Grade 1 Areola at the level of the mammary crease and above the contour of the gland Grade 1 Before and After
Grade 2 Areola below the level of the mammary crease and above the contour of the gland Grade 2 Before and After
Grade 3 Areola below the level of the mammary crease and below the contour of the gland Grade 3 Before and After
Grade 4 Pseudoptosis in which the nipple areolar complex is either above or at the inframammary fold; however, there is redundant skin. Grade 4 Before and After

Methods of Surgery

INTERNAL EXTERNAL
Associated with elevation of the nipple areolar complex. Most associated with scarring.
Tightening of the external skin envelope without external scars. Needed when there is significant breast tissue volume.
Often involves repositioning of the implant. Used when there is significant skin laxity (the nipple greater than 3 cm below the fold).
Smoothing out of external stretch marks. Used when implants alone will not tighten the breast enough to allow for repositioning.

Incision Types

Crescent Lift

Removing skin along theareolar

Benelli Lift

Known to be an unpredictable incision, may cause additional scarring.

Lollipop Lift

Allows tightening of the breast and repositioning of the nipple areolar complex.

Anchor (Wise-Pattern)

Useful for patients with severe ptosis, this is known as a formal mastopexy.


Anesthesia

Breast lifts should be performed under general anesthesia with a Board Certified Anesthesiologist. In general, breast lift procedures are not painful. There are fewer nerves in the breast tissue and therefore patients have significantly less pain with breast mastopexy than with breast augmentation.

All anesthesia is performed by Board Certified anesthesiologist, Dr. Hoffman.

Laryngeal mask airways can be used in the majority of the patients.  However, those who have a history of reflux or gastroesophageal disease are usually better candidates for endotracheal tube intubation.  This should be discussed with your Board Certified Anesthesiologist.


Cost

Breast lift cost will vary per patient.

This includes surgeon’s fee, operating room fees, implant cost and anesthesia fees.


Surgery Time Table

Preoperative Patient is started on an intervenous antibiotic (Ancef, Cipro and Vancomycin).
Surgery Full breast lift surgery takes approximately 90 minutes.
Recovery Room At least one hour. This is a requirement of federal law in Medicare.
After Surgery Patients are sent home with oral antibiotics to take for the first 7 days, as well as pain and nausea medications.
First Postoperative Visit All dressings placed by Dr. Linder are removed.
Day 7 Dressings are removed and should be replaced by the patient twice daily.
Day 14 Sutures are removed.
Day 21 The breasts are examined. Light activities may possibly be resumed.
Day 24 Patients started on scar treatment regimen. The Linder Bra should be worn at night
Day 28 Normal activities can be resumed. An underwire bra may be worn.