Breast Lift or Mastopexy

Many women work hard to feel and look healthy and fit; unfortunately, there are some changes in the body that cannot be reversed by diet and exercise. For women, breasts can be especially affected by aging as skin begins to lose its elasticity over time due to gravity and the changes that occur to the body during pregnancy. With a breast lift Orange County and Los Angeles women can restore a naturally youthful appearance to their breasts with Board Certified Plastic Surgeon, Dr Kalantarian.

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What is a Breast Lift?

A Mastopexy, or Breast Lift, refers to a procedure designed to tighten and elevate the breasts by the removal of excess skin  which has become stretched over time for a number of reasons. The nipple and the areola remains attached to the breast tissue to maintain viability and sensetivity. With removal of excess skin sometime breast parenchyma is reomved followed by designing different flaps that are approximated to achieve a more ideal shape and contour. There are multiple surgical techniques that may be implemented during the surgery that will be discussed by Dr. Kalantarian for optimal results. Dr. Kalantarian has received extensive training and experience with breast lift procedures and can help you achieve firmer and uplifted breasts with a more attractive shape.

What is the difference between a breast lift and a breast augmentation?

Breast augmentation increases (or augments) breast size  or vlume without any breast lift (there is no sagginess and no need for a lift in these patients) with improvement of shape.  A breast lift is performed when the patient is unhappy about large nipples, breast asymmetry, or loose, sagging breasts. A good test for whether the patient is a good candidate for a breast lift is to notice which direction the nipples point, if they point downward then a breast lift is in order. The position of the nipple and areola in relation to the breast fold (IMF, line where the breast meets the chest wall). For people who are unhappy with both breast size and shape it may be optimal to speak Dr. K Plastic Surgeon in  Orange County about receiving both a breast lift and augmentation at the same time.
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How is a Breast Lift or Mastopexy Procedure Performed?

When getting a breast augmentation with a lift, the nipple is kept attached to the breast tissue but repositioned at a higher, more central place. The size of the areola will also be reduced, if desired. There are different types of lift as described below. A crescent breast lift, removes a crescent piece of skin from top of the areola and scar is limited to only the top of the areola. A donut mastopexy removes the skin around the circumference of the areola and usually reduces the size of the areola with repositioning of the nipple areola in a higher position. A vertical mastopexy makes an incision around the areola with a line going down the center of the breast, and is commonly described as a “lollipop scar”.  For severe sagging of the breast, in addition to the “lollipop scar” it will also be necessary to make an incision underneath the breasts. A breast lift and augmentation generally takes 2 to 3 hours to complete. Please, refer to the view our procedures in 3D if you wish to see how the procedure is done.

types of liftsWhat Can I Expect During Recovery From a Breast Lift?

After a breast lift patients, you will be sent home in a sports bra or Ace wraps lined with gauze. If the wraps are too tight, you may loosen them once you get home. The pain immediately after the surgery is controlled in recovery area with IV medication and the pain medication that is injected in the breast pocket in the operating room. The pain medication that you are prescribed will relieve the pain once you get home. We recommend some one to be with you for the first 24 -48 hours of the recovery. Dr Kalantarian would like for follow within 2 business days after the surgery. You will need to walk every 2 hours for about 3 minutes to prevent blood clot formation in the legs. You will have to wear sports bras (no under wire bra) for at least 6-8 weeks (Dr K will discuss this during post op visits).   Strenuous activity is forbidden for at least a month following the surgery.  You may call your doctor if you have any questions or concerns after your surgery. To prevent the recurrence of sagging, patients are encouraged to continue wearing a supportive bra as frequently as possible in the future. Massaging of the breast starts at about 5-7 days after the surgery. Scars generally fade (become lighter than your skin color and less visible) in about 1-1.5 year. You may shower on the third day but do not immerse (submerge) you breast in the water (e.g. bath tub or swimming pool) for about 3 months unless told otherwise by Dr Kalantarian.