Breast Lift Dallas
A woman’s breasts may droop as a result of the natural effects of aging, heredity, gravity, pregnancy, breastfeeding or weight loss. A breast lift, also called a mastopexy, is performed to return youthful shape and lift to breasts that have sagged or lost volume and firmness.
Many women are frustrated by undesirable changes in the shape of their breasts over time. Pregnancy, breastfeeding, weight loss and heredity can all cause changes in the breast resulting in droop or sagging. It is a common misconception that breast augmentation makes breasts perkier, but an augmentation will only make you bigger. Breast lift (mastopexy) procedures are designed to improve shape and perkiness of the breasts. Dr. Morrissey employs a number ofreast lift techniques and can recommend a specific technique based on your goals and current breast shape.
Breast lift, fullness and size
If you are happy with your current size and simply want to be perkier, a breast lift may be the right procedure for you. If you want perkier breasts with enhanced fullness or a bigger cup size, then you may need a breast augmentation/lift to fulfill your goals.
Breast lifts work by removing extra skin and elevating the nipple/areolar complex to create more youthful shaped breasts. Your breasts will be essentially the same size after the procedure—the removed skin is very thin and minimally affects size. The shape improvement can be significant, but many women want more improvement in upper breast fullness than a lift can reliably create.
Breast augmentation combined with breast lifting is commonly performed to improve deflation and sagging. The implant volume helps improve fullness in the upper breasts, which is often a major goal for women requesting a breast lift. The lift component of the procedure tailors the skin to your new breast volume to maximize shape. Dramatic improvements are possible for many women.
Getting the right amount of lift
Determining your level of perkiness is the first step in deciding whether or not you need a lift and what kind of lift would be most appropriate for you. Important factors in determining the degree of breast sag are the nipple position relative to the breast crease and the amount of breast tissue sagging below the breast crease crease. The diagram below categorizes degrees of breast sag. The horizontal line represents your breast crease.
- Breast A is very perky and does not need a lift.
- Breast B is less perky, but the nipple and most of the breast are above the fold.
- The nipple of breast C is at the level of the breast crease.
- In breast D the nipple and most of the breast tissue are below the fold.
- The nipple is above the breast crease in breast E, but much of the breast tissue sags below the fold.
If you want to be perkier, but stay the same size…
Shape and perkiness can be improved with a breast lift, known as mastopexy, if your breasts are shaped like breasts B through E. Notice how breasts C, D and E have less fullness in the upper breast. Often, only mild improvement in fullness results from a breast lift, even though shape and perkiness improve significantly.
If you want to be bigger and perkier…
If your goal is to have larger breasts, a breast augmentation will likely provide a good result if your nipples are above your breast crease (breasts A and B). A small lift may be required in type B breasts if you select a smaller implant size or want the maximum amount of perkiness possible.
If your nipples are at the level of your breast crease, like breast C, you may get a good result with a breast augmentation alone, but for the perkiest result possible you would need an augmentation plus a lift. Often a donut-type lift (peri-areolar) or lollipop-type lift (vertical) work well if your breasts are shaped similar to this example. Women with breasts shaped like example D require a full lift with an “inverted T” type scar, in addition to the augmentation.
In breast E, the nipple is in a perky position, but some of the breast tissue is sagging below the fold. If only a small portion of the breast tissue is sagging below the breast crease, a good result is possible with an augmentation alone. A breast augmentation plus a lift would be necessary if a significant portion of your breast tissue sags below the fold.
Breast Lift Techniques
Breast droop results from excess skin and stretching of the tissues that attach your breasts to your chest. Dr. Morrissey employs a variety of techniques to address this.
First, excess skin is removed to tailor your skin to fit your breast tissue better. Second, rearrangement or redistribution of your breast tissue may be necessary to maximally improve your shape and improve the longevity of your result.
The amount of skin removed is determined by the amount of lift needed. Any time skin is removed, scars result. Fortunately, the scars typically fade significantly over time. Breast lifts are usually categorized by the scar location.
Donut Lift (Peri-areolar)
Women with a mild degree of sagginess, like breasts B or C, may benefit from this type of lift. A ring of skin is removed around the areola, earning the name nickname “donut” lift. Plastic surgeons call this a circumareolar mastopexy. The resulting scar is usually well camouflaged around the edge of your areola. This operation only works for small amounts of lift (2-3cm).
Lollipop Lift (Vertical)
This operation works well for women with moderate degrees of droop similar to breast C. It is sometimes called a “lolliopop” lift because the scar includes a ring around the areola and a vertical scar extending to the breast crease. The addition of the vertical scar increases the lift and shaping potential of the procedure. Plastic surgeons call this a circumvertical mastopexy.
This type of operation works best for women with moderate to severe drooping, like breasts C and D. This technique provides maximum lifting and shaping potential and is very similar to that used in a breast reduction procedure.
What can a breast lift do for me?
Breast lifts rejuvenate the breasts by trimming excess skin and tightening supporting tissues to achieve an uplifted, youthful contour. After a mastopexy, the breasts are higher on the chest and firmer to the touch. Breast lifts can also reposition and reduce the size of the areola—the dark skin surrounding the nipple—which may have stretched or drooped.
Breast size does not change after a breast lift, nor does the fullness or roundness in the upper part of the breasts. Women who desire larger, smaller or more rounded breasts may want to consider a breast augmentation or breast reduction together with a breast lift.
Am I a good candidate for a breast lift?
The best candidates for breast lift are women whose breasts meet some or all of the following conditions:
- Breasts sag
- Breasts have lost shape or volume
- Breasts are flat, elongated, or pendulous (hanging)
- Breast skin and/or areola is stretched
- Nipples or areolas point downward
- Nipples or areolas are located in the breast crease when breasts are unsupported
- One breast is lower than the other
It is also very important that breast lift candidates:
- Maintain a stable weight
- Are generally healthy
- Do not smoke
- Discuss realistic goals with their plastic surgeon
Who should not consider a breast lift?
Women planning to have children are advised to postpone surgery, since pregnancy and nursing can counteract a breast lift’s effects by stretching the skin.
Mastopexy does not affect breast size or upper fullness. Women who desire larger, smaller or more rounded breasts may want to consider a breast augmentation or breast reduction either together with a breast lift or instead of a breast lift.
How is a mastopexy performed?
Mastopexy may be performed in a hospital, an outpatient surgery center or a Dr.Morrissey’s office-based facility. It is usually done on an outpatient basis under general anesthesia, and lasts from 1 ½ to 3 ½ hours.
There are several types of incision methods that can be used when performing a breast lift. The technique a Dr.Morrissey chooses depends on the patient’s:
- Breast size and shape
- Degree of sagging
- Size and position of the areolas/nipples
- Amount of excess skin
- Skin quality
- And other factors.
The three most common incision types are two rings around the areola in a doughnut shape (small-incision mastopexy, generally only recommended for patients with small breasts and minimal sagging); around the areola and down to the breast crease in a lollipop shape; and the lollipop with an additional half-moon incision along the breast crease, in an anchor shape.
In all cases, breast lift surgery begins with administration of anesthesia or IV sedation. Dr.Morrissey makes the necessary incisions, and then he or she lifts and reshapes the breast tissue into its new, rejuvenated contour. He or she moves the nipple and areola higher on the breast and removes extra skin around the perimeter if the areola is enlarged. Finally, he or she trims the excess breast skin that resulted from poor elasticity. Stitches layered deep throughout the breast tissue support the lifted breasts.
When the mastopexy is complete, the skin is closed with stitches, tissue adhesive and/or surgical tape. Some of the incisions are hidden in the breast crease. Others will be visible. All scars will mature with time.
What is the recovery from a breast lift like?
After surgery, the breasts are wrapped with gauze dressings, and you may need to wear an elastic bandage or a surgical bra. After a few days, this is replaced with a soft support bra, which is worn 24 hours a day for about a month.
The breasts will probably be bruised, swollen, and uncomfortable after surgery, but this will pass in a few days. Any numbness in the breasts and nipples should lessen as swelling subsides. Stitches are removed after one to two weeks, and many patients return to work then.
Will I like the results of my breast lift?
If you agreed on realistic goals with Dr.Morrissey, you should be very satisfied with the look of your lifted breasts. You will be able to see the results of your mastopexy immediately after surgery, and you may become even more satisfied as swelling goes down and incision lines fade.
What are the risks of mastopexy?
Possible complications of a breast lift include:
- Temporary or permanent numbness in the nipple or areola
- Uneven positioning or shape of breasts or nipples
- Widening of scars
- Poor incision healing
- Fluid buildup
- Breast hardening
- Damage or necrosis of breast tissues
- Need for revision surgery
Dr. Morrissey and his staff will discuss all the risks and benefits of a breast lift with you.