Breast Augmentation/Lift

What is breast augmentation surgery?

Also known as augmentation mammaplasty, breast augmentation surgery involves using implants to fulfill your desire for fuller breasts or to restore breast volume lost after weight reduction or pregnancy.

What is breast lift surgery?

Commonly referred to as a breast lift or boob lift, mastopexy surgery raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour.

Enhancing your appearance with a breast lift

A woman’s breasts often change over time, losing their youthful shape and firmness. These changes and loss of skin elasticity can result from:

• Pregnancy
• Breastfeeding
• Weight fluctuations
• Aging
• Gravity
• Heredity

Sometimes the areola becomes enlarged over time, and a breast lift will reduce this as well. A breast lift can rejuvenate your figure with a breast profile that is youthful and uplifted.

What breast lifts don’t do

Breast lift surgery does not significantly change the size of your breasts or round out the upper part of your breast. If you want your breasts to look fuller, consider breast lift and augmentation surgery. If you want smaller breasts, consider combining breast lift and reduction surgery.

Is it right for me?

Breast lift surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

A breast lift is a good option for you if:

• You are physically healthy and maintain a stable weight
• You do not smoke
• You have realistic expectations
• You are bothered by the feeling that your breasts sag, have lost shape and volume
• Your breasts have a flatter, elongated shape or are pendulous
• When unsupported, your nipples fall below the breast crease
• Your nipples and areolas point downward
• You have stretched skin and enlarged areolas
• One breast is lower than the other

What happens during breast augmentation surgery?

Step 1 -Anesthesia

Medications are administered for your comfort during breast augmentation surgery. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – The incision

Incisions are made in inconspicuous areas to minimize visible scarring. You and your plastic surgeon will discuss which incision options are appropriate for your desired outcome. Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference.

Step 3 – Implant choice:

Silicone breast implants or saline breast implants?

Breast size and shape are important, so be honest and open about your expectations when talking with your surgeon.

Implant type and size will be determined not just on your desired increase in size but more importantly on your breast anatomy, skin elasticity and body type.

Options for Breast Implants

• Saline breast implants are filled with sterile salt water. They can be filled with varying amounts of saline which can affect the shape, firmness and feel of the breast. Should the implant shell leak, a saline breast implant will collapse and the saline will be absorbed and naturally expelled by the body.
• Silicone breast implantsare filled with an elastic gel. The gel feels and moves much like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket.

  A leaking implant filled with silicone gel may not collapse. If you choose these implants, you may need to visit your plastic surgeon regularly to make sure the implants are functioning properly. An ultrasound or MRI screening can assess the condition of breast implants.

  Implant manufacturers occasionally introduce new styles and types of implants, so there may be additional options available. Currently Saline breast implants are FDA-approved for augmentation in women 18 years of age and older.

  Currently Silicone breast implants are FDA-approved for augmentation in women 22 years of age and older.

  Saline or silicone implants may be recommended at a younger age if used for reconstruction purposes.

  See http://www.breastimplantsafety.org/ for current information.

What happens during breast lift surgery?

Your mastopexy surgery can be achieved through a variety of incision patterns and techniques. The appropriate technique for you will be determined based on:

• Breast size and shape
• The size and position of your areolas
• The degree of breast sagging
• Skin quality and elasticity as well as the amount of extra skin

Step 1 – Anesthesia

Medications are administered for your comfort during breast lift surgery. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – The incision

There are three common incision patterns:

Around the areola

Around the areola and vertically down from the areola to the breast crease

Around the areola, vertically down from the breast crease and horizontally along the breast crease

Step 3 – Reshaping your breasts

After your doctor makes the incisions:

• The underlying breast tissue is lifted and reshaped to improve breast contour and firmness.
• The nipple and areola are repositioned to a natural, more youthful height.
• If necessary, enlarged areolas are reduced by excising skin at the perimeter.
• Excess breast skin is removed to compensate for a loss of elasticity.

Step 4 – Closing the incisions

After your breasts are reshaped and excess skin is removed, the remaining skin is tightened as the incisions are closed.

Some incision lines resulting from breast lifts are concealed in the natural breast contours; however, others are visible on the breast surface. Incision lines are permanent, but in most cases will fade and significantly improve over time.

Sutures are layered deep within the breast tissue to create and support the newly shaped breasts. Sutures, skin adhesives and/or surgical tape may be used to close the skin.

Step 5 – See the results

The results of your breast lift surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade.

Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for breasts which have been restored to a more youthful and uplifted position.