With time, gravity and aging takes a toll on our bodies in various ways. Unfortunately for women, the breast does not hold up as well to the effects of aging, gravity, and pregnancy as you might like. The additional hormone changes that occur with pregnancy can accelerate the breakdown of breast support structures, resulting in droopy, sagging breasts (ptosis).
A breast lift (mastopexy) is a procedure designed to restore breasts to a more youthful position. The surgery involves removing excess loose skin, rearranging the breast tissue into a more aesthetic shape, and moving the nipple up higher onto the center of the reshaped breast. In some cases, an implant may be combined with a breast lift, particularly when the woman wants more fullness in the upper breast or overall larger breasts.
Benefits of a mastopexy include the following:
- Improving symmetry between the breasts
- Reducing large areolas (pigmented skin around the nipple)
- Restoring a firm, sculpted, more youthful breast shape
- Improved self-confidence
If you are ready to learn more about how a breast lift can improve your look, request a consultation online with Dr. Steele or call our office at 817-731-5330. We serve patients in Fort Worth, TX and surrounding communities and we welcome patients who wish to travel from outside the Dallas-Fort Worth Metroplex.
During your consultation, Dr. Steele will examine your breasts for fullness, degree of ptosis (sagging) and skin laxity. This will help guide Dr. Steele in suggesting the method of breast lifting with the optimal incision pattern.
There are three main types of breast lift incisions. Depending on the extent of breast ptosis (sagging), Dr. Steele will determine the best approach. The addition of a breast implant may also affect the incision location. Generally, a “vertical” type breast reduction with preservation of the blood/nerve supply from the upper/inner aspect of the breast is performed with one of the following incision patterns:
Concentric / "Doughnut" Mastopexy
Also known as a peri-areolar or circular lift. This technique involves excision of a circular piece of skin around the areola. This technique is advisable when only a very small amount of lift is needed. If this technique is used too aggressively (moving the nipple too far), the result can be a flat breast with a wide areola and thick scars.
Vertical / "Lollipop" Mastopexy
This technique results in an incision around the areola and a vertical incision running down from the areola to the breast fold (“lollipop” appearance). This incision pattern is useful for the correction of mild to moderate ptosis (sagging).
Inverted T / "Anchor" Mastopexy
This technique utilizes the same incisions as the vertical technique with the addition of a transverse (horizontal) incision along the underside of the breast in the breast crease. While this technique has the longest incision, it is very a very powerful technique for correcting moderate to severe breast ptosis.
Bear in mind that a mastopexy will not increase the size or volume of the breast. In fact, you may notice a slight decrease in size. Also, a breast lift does not provide fullness in the upper breast. If fullness or a larger size is desired, then a breast implant should be considered at the time of the lift.
Breast lift surgery is typically performed on an outpatient basis with general anesthesia. Typical surgery time ranges between 2-3 hours depending on the extent of sagging. Most patients can return to work within one week, although activity restrictions last up to 6-8 weeks depending on the procedure.