Dr. Fiorillo: Breast Lift expert
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. Dr. Fiorillo is a breast lift specialist and can help rejuvenate your figure with a youthful, uplifted breast profile.
Sometimes, a breast augmentation is desired in addition to the breast lift procedure to help balance out the breasts or give them a firmer feel. Dr. Fiorillo recommends Gummy Bear breast implants for these circumstances because they are the safest, most natural looking and feeling implants available.
What can a breast lift specialist 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.
Keep in mind that a breast lift surgery will not significantly round out the upper part of your breast or alter the size. If you desire fuller breasts, Dr. Fiorillo suggests you consider a breast augmentation in addition to your breast lift surgery and is an expert on Gummy Bear breast implants procedures. If you want smaller breasts, consider a breast reduction in addition to your lift.
Am I a good candidate for 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.
The best candidates for a 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 breasts:
- Maintain a stable weight
- Are generally healthy
- Do not smoke
- Discuss realistic goals with their plastic surgeon
How is the procedure performed?
Mastopexy may be performed in a hospital, an outpatient surgery center or a surgeon’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 Dr. Fiorillo 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
- 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. Fiorillo makes the necessary incisions, and then he lifts and reshapes the breast tissue into its new, rejuvenated contour. He moves the nipple and areola higher on the breast and removes extra skin around the perimeter if the areola is enlarged. Finally, Dr. Fiorillo 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 start to fade 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 likely 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.
What are the possible risks of a breast lift?
As with any surgery, there will always be certain risks involved therefore it is a very personal decision to undergo a breast lift. You will have to decide if the surgery will achieve your particular goals. Some risks include unfavorable scarring, infection, poor healing of incisions, and changes in nipple or breast sensation.
That said, Dr. Fiorillo is a breast lift expert and has an above average track record of success. He will explain all of the risks and potential complications with you before you make the decision to undergo the surgery.