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Breast Lift

91 East Avenue, Norwalk Connecticut 06851

203.899.0000

Natural changes such as pregnancy, weight loss, or simply the natural aging process can cause your breasts to sag, which may result in an undesirable appearance and loss of self-esteem. While little can be done to prevent these changes from happening, we can help restore the appearance of your breasts. Breast lift surgery repositions and supports the breast tissue, creating perkier, more attractive breasts.

Identifying Your Ptosis

A guide to sagging

Breast ptosis (sagging) can occur slowly over time, or you might experience a sudden, dramatic change in your breast appearance caused by either having children or losing weight. The degree of ptosis dictates the breast lift technique needed for your surgery. While a consultation is needed to personalize the best procedure to achieve your goals, identifying the extent of your breast shape and position can help you better understand your aesthetic needs.

  • Grade I – Mild ptosis, where the lower pole of the breast sits at the inframammary line.
  • Grade II – Still mild sagging, but some breast tissue may sit below the inframammary line.
  • Grade III – Moderate droop, with a portion of your lower breast sitting below the breast crease. Your nipples may begin to point slightly downward.
  • Grade IV – Severe ptosis with a significant section of your breast tissue sitting below the inframammary line. Additionally, your nipples point down.

The incision chosen from the above options is based on the position of the nipple-areola complex, the location of the breast tissue, and the amount of breast tissue present. In a small-breasted woman, for example, the addition of an implant will lift the breast and nipple complex to a degree permitting less of a scar in some cases.

Breast Lift Procedure

Fat transfer is an outpatient procedure performed using light general anesthesia or sedation. This multi-step process first uses liposuction to harvest fat from the abdomen, love handles, and/or thighs (areas that commonly have an excess of fatty tissue). The fat is then put through a purification process to eliminate blood and oils, which preps the tissue for transfer. A needle is then used to inject the fatty solution into the treatment area. Dr. Rosen carefully grafts the fat in fine layers, controlling both shape and appearance.

Incision Options

  • Periareolar incisions are created along the colored border of the areola. This technique is best used to treat mild forms of ptosis. The incision camouflages nicely at the junction of the colored areola and normal skin.
  • Lollipop incisions run around the areola as well as vertically down the lower breast tissue. This technique is commonly used for moderate drooping.
  • Anchor incisions utilize the areolar and vertical incisions of the lollipop technique while including an additional incision along the breast crease. Anchor incisions are used to correct severe forms of sagging.

The incision chosen from the above options is based on the position of the nipple-areola complex, the location of the breast tissue, and the amount of breast tissue present. In a small-breasted woman, for example, the addition of an implant will lift the breast and nipple complex to a degree permitting less of a scar in some cases.

Acellular Dermal Matrix

Acellular dermal matrix (ADM) is a composite mesh used internally to provide additional support to the breast tissue. ADMs are only used when indicated by the surgeon and may affect the cost of your procedure. You will be notified during your consultation if ADM is necessary to achieve the results you desire. Breast skin with extensive stretch marks and loss of tone is an example of a case where ADM would be very beneficial in maintaining the uplifted breast position and results.

Nipple/Areola Repositioning

For patients experiencing sagging, the nipple-areola complex may have moved from its natural position at the center of the breast. By repositioning the areola complex, we can re-establish a more flawless aesthetic to your breast appearance. In some cases, we may also improve the size of the areola for a more balanced look. The nipple-areola complex does not need to come off the body to accomplish the goal; the skin is tucked around it, raising the nipple to a more attractive, youthful position.

Combining Techniques

We often combine breast techniques to create your ideal breast shape. If you desire larger breasts and have laxity, we can consider a combination of augmentation/mastopexy, which involves placing implants in addition to lifting the breast tissue.

In other cases, overly large, sagging breasts can cause physical discomfort. To alleviate pain and create a better-positioned breast placement, we will combine a lift and reduction. In these cases, we remove excess breast tissue while raising the remaining portions to craft a more attractive bustline.


Recovery

There is very little discomfort from a breast lift alone. There will be some bruising and swelling that subside rapidly. All sutures are dissolvable to minimize scarring, and your breasts will be wrapped in an ace bandage. When the wrap is removed, a specialty support bra will be applied and you may shower. This bra is to be worn throughout your recovery to reduce swelling and improve results. You should rest for the first 48 hours after your surgery; you may need to take a week off of work, but rarely longer. Throughout your recovery, you will need to limit physical activity. You can return to workouts after four weeks, but only with surgeon approval. Most swelling and bruising resolves quickly, and your final result will be visible at that time.


Results

Minor swelling can persist for up to three to four months, which is normal, and final shape and result is seen by about three to six months. Once all swelling subsides, your new breast look will stay for many years if no pregnancies or significant changes in weight occur. Breast lift surgery provides long-lasting enhancement, though it does not prevent the effects of future aging and gravity. You may experience subtle changes to your breasts over the years, and additional pregnancies or weight fluctuations can impact your appearance.

Rick Rosen, MD, FACS

91 East Avenue, Norwalk
Connecticut 06851

Phone: 203.899.0000

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