Joseph M. Brown M.D, F.A.C.S
PLASTIC SURGEON IN TAMPA
Breast Lift (Mastopexy)
Dr. Brown utilizes state-of-the-art techniques to restore a beautiful shape and contour to breasts that have suffered from the effects of time, gravity, weight loss and pregnancy. Any of these processes can cause the skin of the breast to stretch while having the tissue within the breast shrink, creating a deflated and droopy appearance. Bringing the nipple/areola to a more forward-facing and youthful position, removing excess skin, while improving the overall shape and contour of the breast is achieved with a breast lift, also known as a mastopexy.
During a breast lift surgery, incisions will be made around the border of the areola. It may extend vertically, down to the crease of the breast, or extend further to a horizontal incision following the breast crease direction (side to side) creating an “anchor” scar. How extensive the incision will be depends on how much skin must be removed. The excess skin will be trimmed away and the underlying tissues tightened. The breast is then “re-wrapped” with the remaining skin in its new shape and position. An implant placed underneath the chest muscle may also supplement the lift as it can provide additional support in keeping the improved projection in place.
Women who contemplate undergoing breast lift surgery are typically curious about the scarring and position of incisions. The incisions vary depending on how severe the breast sagging is and how much tissue volume is present. The most common incisions are noted below.
- Incision made along the border of the areola;
- Incision made along the border of the areola, plus a vertical incision down to the crease below the breast (the inframammary fold);
- Incision made along the border of the areola, plus a vertical incision down to the crease below the breast, and another horizontal line within the breast crease (the inframammary fold).
When to Lift vs. Lift with an Implant
When determining whether or not you would benefit from a lift vs. lift with an implant, we start by establishing goals. If you are pleased with the volume of breast tissue you have while wearing a supportive bra, would like to avoid a round appearance in the upper part of the breast, and are looking to raise the position of your nipple/areola, then a breast lift alone may be the best thing for you. If you are seeking more volume, would like to have more of a round shape to your breasts and desire more volume in the upper part of your breasts, then performing a lift at the same time as placing an implant may be a better option. This is called a combined augmentation-mastopexy.
What to Expect
Your visit with Dr. Brown will include a thorough history and physical exam to obtain critical breast measurements. This will help determine the surgical technique that will safely achieve your goals, after setting realistic expectations. There will be a preoperative visit with Dr. Brown and his team, where you will be given your necessary prescriptions and instructions on what to do the day before/the day of/the days after surgery. Dr. Brown will be directly involved with all aspects of your care through the process and welcomes questions along the way.
If this is your only surgery, you will likely go home the same day of breast lift surgery. Walking around is encouraged the day of surgery, but no exercise is permitted for two weeks. At two weeks, light activity may be resumed and vigorous exercise may be resumed at 6 weeks. Swelling is expected and can take a few months to completely resolve. Dr. Brown sees his patients regularly in the postoperative period to offer reassurance and make sure his patients are progressing as expected.
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We are located at Tampa Aesthetic & Plastic Surgery, 17523 N Dale Mabry Hwy Lutz, FL 33548.