Breast Lift

Breast Lift Salem

Mastopexy (breast lift) with breast augmentation is a combination procedure that lifts sagging breasts while increasing their size and enhancing their shape. Aging, pregnancy, weight loss and gravity can all cause breasts to sag. When sagging cannot be corrected by implants alone, augmentation mastopexy may be recommended. During mastopexy alone, excess skin is trimmed away, supporting tissue is tightened, the breasts are "lifted" to sit higher on the chest, and the nipple and areola are repositioned or resized. By adding augmentation with implants to the procedure, the breasts can also be made larger and firmer.

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

A woman planning to have (more) children should not undergo augmentation mastopexy because pregnancy and nursing can counteract its benefits.

The Augmentation Mastopexy Procedure

Augmentation mastopexy is performed on an outpatient basis under general anesthesia, and usually takes 1 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 either saline solution or 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

Risks of Augmentation Mastopexy

In addition to the usual risks associated with surgery and anesthesia, risks specific to augmentation mastopexy include the following:

  • Capsular contracture (hardening of scar tissue around implant)
  • Implant leaks and ruptures
  • Implant deflation or shifting
  • Temporary or permanent change in nipple/breast sensation
  • Irregularities in breast contour/shape
  • Asymmetry
  • Partial or total loss of nipple/areola

Depending on the incision type used, augmentation mastopexy can produce visible scars, although, in most cases, scars fade over time, becoming much less apparent.

Although there are instances in which they last much longer, breast implants have a life expectancy of about 10 years, so women who want to maintain the size and shape of their breasts should expect to undergo a number of surgeries to maintain results.

 


If you have any questions or comments, or if you want to learn more about the services Dr. Austin provides, please call 503.561.7000 or submit an online form by clicking here.

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Meet Dr. Austin

Originally from California, Dr. Austin practiced in Mt. Vernon, Washington before relocating to Salem, Oregon in 1996. He was educated at Stanford University and UCLA School of Medicine, and received his residency training at the University of Washington, Seattle, and at the University of Michigan in Ann Arbor. Dr. Austin’s practice encompasses a broad range of aesthetic cosmetic surgery, as well as reconstructive surgery following cancer surgery, trauma, and congenital anomalies.

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