Breast Lift

Introduction to Breast Lift Surgery

At An Enhanced You Cosmetic Surgery, breast lift patients from Mountain View, the South Bay, San Jose, and all of Northern California benefit from caring personal attention and individualized treatment planning intended to help them achieve their personal appearance goals. Learn more about breast lift surgery using the links below, or contact our plastic surgery center to schedule a consultation with Dr. Lowen.

Breast Lift Overview

Mastopexy means to lift the breast. Dr Lowen performs the breast lift procedure to elevate the nipple and reshape the breast with the goal of recreating the ideal breast shape: nipple in the center of the breast and a conical shape with fullness in the upper breast, a round shape when viewed from the front, and a gently curving lower contour that meets the chest wall with minimal overhang.

Dr Lowen recognizes that women who are candidates for breast lift surgery may have experienced stretching of the breast after childbirth or nursing, weight gain and loss, or sagging associated with loss of breast volume after pregnancy or as a result of the aging process. Stretch marks may be present, and the areola may be larger than desired. Additionally, patients who have previously undergone breast augmentation may have experienced stretching of their skin envelope and wish to have a lift.

Enhanced results will be achieved in some cases by combining the lift with breast augmentation with implants either at the time of the breast lift or as a staged second procedure three to six months after the lift.

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Minimal-Incision Breast Lift with Augmentation

Dr. Lowen specializes in minimal-incision breast lift with augmentation. Dr. Lowen understands that women want firmer, more youthful-looking, uplifted breasts, but do not want the long scars usually associated with breast lift surgery.

Over the years, he has worked hard to perfect his technique and achieve a long-lasting and pleasing breast lift with minimal scarring. This scar is only around the areola, and not below on the breast surface or in the inframammary fold.

Women are often unsure if they need a lift when they come in for a breast augmentation consultation. If they are informed that they do need a lift they are much happier to learn that it can be done with in incision only around the areola (periareolar).

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Breast Lift Incisions: Types of Breast Lifts

Dr Lowen notes that as in breast reduction, three variations of incisions are commonly used in breast lift surgery. The choice of incision pattern is based on the distance that the nipple/areola will be raised, the patient’s personal preference, whether the lift is being done on a breast that has or has not had previous breast augmentation surgery, and whether or not augmentation is also desired. The discussion of incisions and techniques parallels the discussion under breast reduction, except that breast lift patients often want either an augmentation or small reduction.

Standard or Classical Breast Lift

Incisions are made around and below the areola (pigmented area around the nipple), and in the fold below the breast (infra-mammary fold). The pattern is known as an “inverted-T incision,” and is useful when the skin has lost much of its elasticity or the nipple needs significant elevation. Additionally, this technique is often used when a breast augmentation is desired either at the time of breast lift or preferably as a later, staged procedure.

Concentric, Peri-areolar (Around the Areola) Breast Lift

Also known as purse-string breast lift, this technique involves placing an incision only around the areola. The goal is minimal scarring on the breast, but best results will be obtained only when there is mild to moderate nipple elevation required. A breast augmentation is often requested  in conjunction with peri-areolar incision.

Vertical Scar Breast Lift

For this technique, incisions are made around and below the areola down to the inframammary fold. No incision is made along the inframammary fold at the initial procedure. Occasionally, a short inframammary incision is required at a secondary revisional procedure. The goal of the vertical scar breast lift is minimal scarring along the fold, and it is an excellent choice for patients who desire a breast lift with no increase in volume, or when a slight reduction is desired.

Vertical Scar Breast Lift with Horizontal Extension

(Inverted T)

Excess skin in the vertical direction may be too much to be absorbed into the vertical scar closure, and then a horizontal incision in the inframammary fold will be required to remove the excess.  We try to keep the length of the horizontal scar as short as possible.

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Breast Lift Recovery

Dr Lowen notes that breast lift patients typically return to work after one week. Aerobic activity must be limited for about two months. Internal healing that will support the breast in the future takes time. A bra is worn day and night for the first six weeks. Smaller lifts, such as a peri-areolar lift, require less time for recovery and return to work. Sutures are removed between four and 14 days, depending on the technique. During your breast lift consultation at our Mountain View center serving San Jose , South Bay, and all of Northern California, recovery information can be discussed in more detail.

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    "Outstanding results come from superb surgeon skills. I have dedicated my working life to the art of medicine and surgery. My artistic vision and intense attention to detail, as well as my real concern for my patients' happiness, are what have lead to such high satisfaction."