Mastopexy is the operation to correct breast ptosis. Breast ptosis is characterized by the descent of the breast below the inframammary fold which may be caused by aging, childbirth and pregnancy, or the presence of large breast implants. There are various grades of mastopexy which classifies the breast and nipple in relation to the descent to the inframammary fold, and depending on this gradation the operation may change.
The mastopexy or breast lift plastic surgery is an operation that is very similar a breast reduction. There is a repositioning of the nipple and the areolar above the inframammary fold, and reshaping of the breast without removal of breast tissue. It is often referred to as the changing of the skin envelope without significant change in the contents of the envelope. The result is a nicer aesthetic result, and a firmer, younger-looking breast.
Simultaneous Mastopexy and Breast Augmentation
For patients who have smaller sized breasts, and where the breast is ptotic, a simultaneous breast augmentation may be combined with the mastopexy operation. There are many ways to perform this procedure, all of which vary with the type of mastopexy that needs to be performed: either a full mastopexy or a periareolar mastopexy. The best results are achieved for this operation when small implants are used in combination with the mastopexy. Of all the breast operations, this requires an experienced surgeon because of the simultaneous uplift and increase in size where judgment must be used.
Breast reduction and breast uplift surgery overview by John E. Sherman, MD, FACS New York Plastic Surgeon.
+ About The Operation
Unless the patient has medical conditions that warrant hospitalization, the mastopexy is almost always performed as an outpatient. The mastopexy (breast lift) may be performed as an outpatient in our fully accredited operating suite, or as an outpatient in the hospital. If you prefer the hospital, Dr. Sherman operates in New York at the New York Presbyterian Hospital, Weill Cornell Medical Center, or at Lenox Hill Hospital.
The procedure usually takes about 2 to 2 1/2 hours. The patient returns home after convalescence in the recovery area. Patients who live outside of New York are encouraged to stay in Manhattan overnight. Sutures are removed up to seven days after surgery.
Complications are rare following breast mastopexy.
Dr. Sherman does not perform this operation on cigarette smokers, because of the higher rate of complications associated with it. The operation depends upon blood supply to the nipple and tissues. Nicotine is a vasoconstrictor (it constricts the blood vessels) thereby diminishing the circulation to the nipple. If you are a current smoker, you must stop for at least one month prior to surgery. Nicotine patches and gum are not acceptable, and do not significantly diminish the risk of complication.
- However, scars may be minimal or noticeable, but certainly are present.
- Nipple sensation may also be diminished, and
- there is potential for healing problems as well as scarring.
- Nipple circulation problems, and healing of the nipple
Though these are very rare in experienced hands like Dr. Sherman’s, he will discuss all potential complications with you concerning this operation beforehand.
+ Results of the operation
There are numerous benefits of breast lift surgery. You will notice that your breasts are firmer and higher, and be in better proportion with your body. The vast majority of our patients are happy with the results and often indicate they feel younger looking and more feminine.
Though a breast lift does not technically increase the size of your breasts, they usually appear larger due to being higher and more firm in appearance. You can of course combine this procedure with breast augmentation surgery to increase size.
The advances in cosmetic surgery allow our center to produce results that are much more natural looking with an increased success rate for most patients.
That being said, patients still need to have realistic goals about this surgery. We will go over everything with you during your first breast lift appointment in our Manhattan office.
+ Procedural Tools Invented by Dr. Sherman
Dr. Sherman invented the fiber-optic retractor with suction that is the most commonly used retractor in breast surgery throughout the world. Originally, this retractor was made by the Luxtec Corp. Since that time, it has been duplicated and copied by multiple manufacturers throughout the world.