Who Is a Good Candidate?
An ideal breast lift (aka mastopexy) patient is someone who is
happy with their breast size but just has some extra skin that is
allowing the breasts to sit lower than they would ideally like. With
breastfeeding, weight loss and just aging and gravity, the breasts
can sag. A lack of upper pole fullness can also occur. A breast lift
also includes decreasing the size of the areola, which is the colored
portion around the nipple.
A commonly used descriptor is something called the "pencil test."
The presumption is that you are a good candidate for a breast lift
if you can tuck a pencil under your breast and it stays there. While there are more scientific ways to determine this, such as using the scale of breast ptosis, there maybe some truth to this myth. Some patients will elect to have fat transfer to their upper breasts at the same time as their breast lift because of the desire to have more full upper breast poles without having to have an implant placed. A breast lift alone does not give the look of having implants. For that, you would need to do a breast lift with implants. A breast lift is sometimes done in conjunction with breast implant removal.
Breast lift surgery is done under general anesthesia in an outpatient surgery center. The procedure takes just under 2 hours. During the procedure, excess skin is removed through a Wise pattern incision, which is the same as that used in breast reduction. Other possible incisions are a "lollipop incision" consisting of the incision around the areola and vertical one only, or a "donut mastopexy" which is an incision around the areola only. Each technique has it's own advantages and limitations, so during your consultation, Dr. Kayan will go over your options and which procedure will address your concerns the best. Your incisions are closed with dissolvable sutures and glue, and your are wrapped in ACE wrap with padding. Drains are not usually needed.
Patients may remove all dressings and shower after 24-48 hours. After showering, a front closure sports bra may be used and worn 24/7 for 4-6 weeks. No overhead reaching is permitted for 1 week, no high end exercise or lifting more than 5 lbs for 4-6 weeks. Your breast shape will change over 3 months, settle in and drop a bit more. Scars will largely fade after a year, and scar treatments such as topical gel or silicone strips can be used starting around 2 weeks after surgery.