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A Better Technique for Breast Lifts

By: Dr. Sigalove
Topics: Health & Diet, Infant Care, Physical & Occupational Therapy, Women's Health
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A breast lift, or what is known as a mastopexy, is a procedure that has been around for decades. It is a solution for sagging breasts that have lost their perkiness post-pregnancy, following breastfeeding, or even weight-loss. If you’ve considered a breast lift before and have decided against it, it’s worth taking a second look. New advances in the way we perform breast lifts mean more lift, fewer scars and longer lasting results – for an all-around better look.

The Old Way
Traditionally in a mastopexy, we would make three incisions in the breast: a circular incision around the areola, a vertical incision from the areola down to the fold of the breast, and a horizontal incision along the fold of the breast. This pattern is called the “keyhole” incision.
We would then remove excess skin, reposition the nipple and the breast, and close the incisions. The skin of the breast would hold the breast in its new position.
However, this technique produced three scars on each breast. The breasts also tended to sag again over time, and we weren’t always able to achieve the projection the patient desired.
And so we developed a better technique.

The Better Way
In recent years, we’ve been able to do a complete vertical mastopexy, which eliminates the horizontal scar completely. We are also able to use your own breast tissue to support the breast, as opposed to relying on the skin alone. This gives your body a better profile and ensures your results will last longer.
The technique of using your own tissue not only gives you better results, it gives you more options as well. For example, if you have enough breast tissue, we can perform an “auto-augmentation” where we use your tissue to add volume and better shape to your breasts, for a natural look that doesn’t require an implant.
The vertical breast lift is performed as an outpatient surgery, and potential complications such as sensation loss or difficulty breast feeding are typically minimal. Downtime is also only 1-2 weeks, which is less than for an augmentation, and the recovery is virtually painless.
It’s important to note that mastopexy is not perfect for everyone. It’s possible you may need an additional augmentation to achieve the full look you desire, or there may be other contraindications. The most important thing is to consult a board-certified plastic surgeon who will be uniquely qualified to advise you on your best options.