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Breast Procedures > Breast Lift (Mastopexy)

Breast tissue is held in position by breast skin and tissue. When the breast skin stretches and the volume of breast tissue and fat in the breast decreases, the result is saggy breasts and a less youthful appearance.
A breast lift can correct breast droop ptosis and raise the position of the nipple/areola. Dr. Shafer can also reduce the size of the areola during the procedure. Breast size and skin quality are determining factors in breast appearance following surgery. It is important for patients to discuss their expectations for the surgery with Dr. Shafer.

Key Facts

Anesthesia: Local anesthesia with intravenous sedation or general anesthesia
Length of procedure: 1 to 2 hours
Length of stay: Home the same day
Discomfort: Moderate controlled with prescription pain medications
Anticipate: Bruising up to 2 weeks and swelling up to 6 weeks
Final results: About 6 months scars improve over 12 to 18 months
Duration of results: Variable there may be further sagging with age

Breast skin that has good tone will hold the breast in a better position. When the skin is stretched, some drooping will likely occur even with surgery. The greater the droop, the more skin will need to be removed, which means longer incisions and scars. Scars usually soften and fade within six to 12 months. Because scars are permanent and their appearance can be difficult to predict, scarring is an important consideration for many women. Potential candidates will have to decide if they are willing to trade breast droop for some degree of scarring. Breast-feeding is usually possible with a breast lift since the nipple is not separated from the milk glands.
For those who wish to increase breast size in addition to improve breast position, shape and size, a breast lift can be combined with enlargement.

What to Expect

Dr. Shafer will measure the distance between the clavicle collarbone and nipples prior to surgery to determine the best surgical approach. Depending upon the degree of droop, skin may be removed around and below the nipple, and if droop is significant, skin may also be removed along the inframammary crease below the breast. The amount of droop helps surgeons determine which surgical technique should be used. The technique chosen determines the location of incisions and resulting scars. In some cases only an incision around the areola may be needed. In other cases it is necessary to use a vertical incision from the areola to the breast crease and another along the inframammary crease. Patients may have up to three incisions.
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Dr. David Shafer is a Double Board Certified Plastic Surgeon, a Diplomate of the American Board of Plastic Surgery and a Member of the American Society of Plastic Surgeons

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