Dr. John B. Barnett
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Breast Lift (Mastopexy)

Sagging of the breasts, whether due to pregnancy, weight loss, or simply the constant pull of gravity, is a problem confronting many women. It may be due to loss of breast volume or stretching of the skin. Modern techniques of breast lifting, Mastopexy, can correct many of these problems, producing a pleasing, youthful appearance.

Before/After Photos

 Before #1  Before #2  After #1  After #2 
 Before #1  After #1 
 Before #1  After #1  After #2 
 Before #1  After #1 

How is breast lifting- performed?

Mastopexy is designed to lift the breast, producing a more attractive shape. The droopiness of the breast is referred to as ptosis. In women with ptotic breasts there are three areas which can be affected:

  • The skin envelope may be stretched.
  • The gland may have shrunk, as after pregnancy and breast-feeding.
  • The nipple region may be too low.

To perform a breast lift, we must first decide where the problem lies. The skin, which acts like a natural "bra", must frequently be reduced to provide better support, much like purchasing a new bra when the old one is stretched out. The nipple may need to be repositioned to a slightly higher location, and the volume of the breast may need to be reduced or enlarged.

Is the nipple-aroela region removed from the breast and re-implanted?

No. The nipple-areola region is left attached and moved by re-positioning the entire gland with the nipple areola attached.

Where are the skin incisions located?

Incisions are customized to each patient. To reduce your skin "bra", I basically take in the area between the nipple and the fold where the bottom of the breast intersects with the chest, the inframammary fold. The incisions are located around the areola and extend downward, in an upside down V, to the inframammary fold. When the incisions are closed, the remaining stitch line forms an upside dowr, T, with the top part of the T (now on the bottom) in the inframammary fold, and the vertical part of the T extending to the areola. There is also an ine*ion that goes around the areola. On occasions, the top part of the T can be eliminated, so the scar is only around the areola and vertical. This is called a vertical mastopexy and is desirable in that it reduces scarring. On rare occasions, the incision can be limited to the area around the areola, a procedure referred to as a circumareolar mastopexy.

Will there there be much scarring?

During the first few months after surgery, the incisions tend to become quite red and occasionally raised. With time they tend to fade nicely. The final result, of course, depends on how you heal.

Is the procedure painful?

The surgery is performed while you are under anesthesia, either local or Sul. Afterwards, there is some discomfort, but it's quite minimal. You will certainly be offered pain medication after the procedure, but most patients require very little.

How long will I need to be off from work?

I recommend that you take a minimum of live days off from work. This allows you to recover from the early affects of surgery. At the end of one week, you may resume non-strenuous activities, but you should limit lifting and stretching for an additional two weeks.

Can my breasts be made larger or samller at the time of the lift?

Yes. The goal is to produce an attractive breast in balance with the rest of your body. To achieve this go I may recommend that you consider enlargement or reduction. At the time of your consultation, we can discuss this in detail.

Are there risks to breast lifting or reduction?

As with all surgery, there are risks. Bleeding, scarring and infection may occ r. Differences in the size and shape of the breast, generally quite small, are occasionally seen. Loss of the nipple areola or loss of sensation to this area may happen, but this is very unusual. Continued drooping of your breasts as you get older may also change the shape of your breasts. Adverse reactions to medications and anesthetics can also sometimes occur. These risk are explained not to frighten, but to inform you. Breast lifting is in general a safe and predictable operation.

Will insurance cover the cost of the surgery?

No. Breast lifting is considered a cosmetic procedure.

Should I have it done?

That's a question that only you can answer. At the time of your consultation, we can discuss your questions and concerns in detail. You don't have to decide on the first visit, and you may decide that you're not interested at all. What is important is that we work together to make the decision that's right for you.

"Dr. Barnett was great. He reminded me of our family doctor I used to see growing up. He really seemed to care and his work was very good."
– Maria G.