Augmentation mastopexy, commonly known as a breast lift with implants, is a surgical procedure in the field of plastic surgery that combines two primary techniques: breast augmentation and breast lift (mastopexy). This procedure is designed to address multiple concerns related to the appearance and shape of the breasts, typically requested by women who want to enhance both the size and position of their breasts.
Candidates for Augmentation Mastopexy
Good candidates for augmentation mastopexy have sagging breasts that have lost fullness at the top. Candidates must be in good overall health, maintain a stable weight, and have realistic expectations about what augmentation mastopexy can do. A woman who chooses to undergo augmentation mastopexy is unhappy with her breast size, and has one or more of the following:
- Sagging breasts
- Breasts that have lost shape or volume
- Breasts that are flat or elongated
- Nipples or areolas pointing downward
- One breast lower than the other
The Augmentation Mastopexy Procedure
Augmentation mastopexy is performed on an outpatient basis under general anesthesia, and usually takes up to 3 hours. Depending on the degree of sagging, the amount of excess skin, and the size and type of the implants, one of the following types of incisions is often used:
- Two rings, one larger than the other, around the areola
- A keyhole shape, around the areola and down to the breast crease
- An anchor shape, beginning in the breast crease, and extending up to and around the areola
After the incisions are made, excess skin is trimmed to create a tighter, more defined appearance. The nipple and areola are usually moved higher on the breast or resized. Implants made of silicone gel are inserted into the breast beneath the pectoral muscle or mammary gland. Incisions are then closed with stitches; the incisions used for augmentation mastopexy are larger than those for augmentation alone, which requires only an incision in the breast crease, the bottom of the areola or the armpit.
Recovery from Augmentation Mastopexy
For a few days following augmentation mastopexy, patients are likely to have bruising, soreness and swelling that may last for several weeks. Breasts are usually wrapped in an elastic bandage or a surgical bra for about a week; a support bra is then worn continuously for a month. Stitches are removed after 1 to 2 weeks. Most patients return to work within a week; exercise and other strenuous activity should be avoided until the surgeon believes the patient to be sufficiently healed
Dr. Kleto wants to make sure the procedure most suited to meet your needs is recommended. He will work closely with you and listen to all of your concerns to help you determine what surgical or nonsurgical procedure will provide you with the stunningly beautiful look you deserve. If you live in the areas of Knoxville, Sevierville, or Knox County, Tennessee and would like to learn more about the cosmetic procedures offered by board-certified plastic surgeon Dean Kleto, MD, please contact us to schedule an initial consultation today.