Breast Lift Dallas

Breasts undergo changes secondary to pregnancy, lactation and aging. Typical changes include loss of fullness, sagging with changes in the location of the nipple areolar complex, excess skin secondary to cycles of enlargement and volume loss following pregnancy and discrepancy between the breasts with relation to size and shape. A breast lift or mastopexy is a procedure done to restore the fullness and shape of the breasts. The excess skin is removed and the breast tissue is repositioned and tightened along with relocation of the nipple to its ideal location. This gives an elevated and full appearance. Stretched out areolas can also be reduced to smaller size during a breast lift.

Important considerations

Breast lifts will not increase breast size. Although it may look fuller as the breast tissue is rearranged, an implant is required if one desires a cup size change.

A breast lift rearranges breast tissue and repositions the nipple at a higher location. Some patients may be happy with their breast volume, but may have relatively less fullness over the upper part of the breast. They may require a small implant not to increase size but to give some upper pole fullness.

There are different types of lifts; but all types will leave visible scars on the breast surface that typically fade with time, but can be prominent in some women.

Although results are stable over several years, aging and weight loss can cause progressive loss of breast fullness and skin excess that may require revisions in the future.

Some women have breasts that are larger than desired. In such patients, the breast can be reduced to the desired size along with a lift.

Breast lifts will not decrease your chance of getting breast cancer. Regular screening mammograms are still required.

Types of lift

A circumareolar lift or donut mastopexy: This is done using a circular incision around the areola and typically only repositions the nipple without addressing the underlying breast tissue. This procedure is appropriate only for women with a very minor degree of inferior displacement of the nipple. There will a circumferential scar around the areola. Unfortunately, this operation is performed in many patients who are not good candidates for this procedure under the pretext of limiting scars on the breast surface. This technique has the potential to cause flattening the breast. The procedure is ideal for someone with a well-positioned or slightly lower nipple but with a wide areola that needs to be reduced in diameter. A modification is to use an incision extending only along half the circumference of the areola.

Vertical mastopexy: Here in addition to an incision around the areola, there is a vertical incision running down the surface of the breast. The incision resembles a lollipop. This procedure repositions both the sagging breast tissue and the descended nipple and places them higher up on the breast mound. Excess skin is also removed giving the breast a firm and pleasing contour.

Anchor or inverted T lift: This is performed similar to the vertical mastopexy, but in addition a horizontal scar is also required. This is the procedure typically required in women with excessive sagging of the breast with a lot of skin that needs to be removed from the lower part of the breast. Some women with large breast that need reduction are also good candidates for this procedure.

Post-operative recovery

Patients usually go home the same day after recovery from anesthesia. Strenuous activity needs to be restricted for 4 to 6 weeks afterwards. A support bra can help with post-operative discomfort. Pain is usually moderate and well tolerated by most patients. Although by three months the breast has mostly settled, it can take much longer for final results.

Who is a good candidate?

Women who have changes in breast shape and volume from aging and childbirth related changes are good candidates for the procedure. These changes are typically manifested by sagging of the breast, inferior displacement of the nipple and loose skin. At examination, the need for an implant can be addressed depending on one’s individual anatomy and desires.