Mastopexy, or breast lift, is a procedure to lift the breasts. When the breast is low the ligaments in the breast have been stretched. The skin of the breast is also stretched. There’s more skin than breast tissue. The goal of a breast lift is to reduce the amount of skin, tighten the ligaments of the breast and change shape to enhance cleavage.
The short scar mastopexy is a procedure that I do most commonly. Short scar mastopexy is a lollipop type scar with a scar around the nipple and a vertical scar. I no longer use horizontal scars. The advantages of a short scar procedure is that it produces a more cone shaped breast as opposed to a flat breast that is produced by over a horizontal scar. And because scars are always weak you have less weakening of the skin on the bottom of the breast and less bottoming out (falling) of the breast over time. The additional thing that I do to enhance longevity is to use the excess skin to create a sling under the breast to give additional support and shape.
What is physically done during the surgery is the lollipop incisions are made, the skin is lifted away from the breast tissue, the breasts and nipple is moved back to the chest wall, sutures are used secure the breast tissue to the chest wall, sutures are used to create cleavage, dermal slang is placed and the wound is closed.
The recovery from this procedure has mild pain. Most patients require pain medicine for one or two days. Initially the breasts are very swollen and shaped like torpedoes. As the swelling goes down the breast will obtain the normal shape with a natural slope. There is no exercising for one month. Patients usually take 10 days to two weeks off work. It takes about 2 to 3 months for the swelling to resolve and for the breasts to take their natural shape.
The complications associated with mastopexy may be pulmonary embolism, infection, hemorrhage, decrease nipple sensation, nipple loss, keloid formation and the complications associated with anesthesia.
Mastopexy is a great procedure. Cleavage and shape can be created with your own tissue. Implants are not needed to create shape! A breast lift can play a role in reducing shoulder pain due to a broad strap. A lot of patients are able to go without a bra when they want to.
Contact Dr. Perry for more information or to schedule an appointment.