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Breast Lift

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MASTOPEXY (BREAST LIFT)

Breasts come in many different sizes and shapes. Some are naturally attractive, perfectly shaped and symmetric. Others are not so perfect. For some women, breast development begins with oblong shapes and downward gazing nipples. In others, what began well, changes due to the effect of weight change, pregnancy, breast-feeding, or aging. If volume is the only concern, breast augmentation may be enough. But when the breast shape is the issue, mastopexy may be the best solution.

Much More than a Breast Lift

Mastopexy is the general term to describe the surgical revision of the breast to make it more attractive. It usually includes repositioning the nipple areolar complex to a more appealing location, often reducing the areolar size, and tightening the breast’s skin. It can be performed on both breasts, or only one to create symmetry. It may involve enlargement with a breast implant or it may involve a small reduction in volume and size.

There are many techniques used in mastopexy. They are usually described by the location of their scars. The most common types are circum-areolar, vertical, and anchor.

Breast Lift Results
In Chicago and Oak Brook

Dr. Geldner is one of the best plastic surgeons in Chicago and has performed over 10,000 breast procedures, including breast lift. Take a look at the results for yourself in our Before and After Gallery. You can even use our MyFavorites tool to create a collection of the results you’d like to achieve and the cases you wish to discuss during your consultation.

Chicago Breast Lift 2059 - Before and After

This 37 year old had a transaxillary submuscular breast augmentation with saline implants 14 years ago. She has aged and her breasts changed shape....

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Breast Lift Hinsdale, Chicago 2058 - Before and After

This 60 year old woman came to me with a few concerns. She had prior subglandular breast augmentation many years before, and the left...

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Chicago Breast Lift 2291 - Before and After

This 31 year old had a prior subglandular augmentation with 390 cc saline implants. Her breasts felt firm, but she wanted to look better. We decided...

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Breast Lift Chicago 2296 - Before and After

This 38 year old wanted breast augmentation.  We used Allergan 10-300 cc gel implants and performed a left concentric mastopexy to make her more...

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Vertical mastopexy, front and oblique views - Before and After

This is a 35 year old came in with breast involution and grade 2 ptosis following pregnancy.  She had a vertical mastopexy and Allergan gel...

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Chicago Breast Lift 2072 - Before and After

This 40 year old came to me with a history of two prior breast augmentations. Her first surgery was nearly 20 years ago, above the muscle, type...

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Breast Lift Lake Shore Dr, Chicago 2307 - Before and After

This 34 year old wanted a breast augmentation.  She had very asymmetric breasts.  We performed periareolar breast augmentation; We used...

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Breast Lift Lake Shore Dr, Chicago 2308 - Before and After

This 42 year old had breast involution and ptosis. She had a vertical mastopexy and simultaneous subpectoral breast augmentation with Allergan...

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Breast Lift Lake Shore Dr, Chicago 2337 - Before and After

This 37 year old came to us with asymmetric breasts and desired breast augmentation.  She wanted saline implants.  On the right side, we...

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Breast Lift Streeterville, Chicago 2379 - Before and After

This young woman presented to me with a history of submuscular periareolar breast augmentation with saline implants. After childbirth, her breasts...

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The circum-areolar technique places the scar only around the areola. Variations of this include, crescent lifts, concentric lifts, Binelli lifts, and donut mastopexy. The idea is to only put the scar at the edge of the areola. They work very well in the right patients. The best results occur in cases where the movement of the nipple areolar complex is slight.

The vertical mastopexy is also called the circum-vertical mastopexy and the lollipop mastopexy. The nipple areolar complex is lifted on the breast mound and excess skin is removed along the line from the areola to the lowest part of the breast. This limits the scarring somewhat but often provides a better appearance to the nipple areolar complex. This is the most popular technique advocated today and gives a good shape while limiting scars.

The anchor lift, also called the pattern of Wise, involves scarring around the areola, going down the breast like the vertical, and also a scar along the base of the breast. The advantage of this technique is the control of the final shape. The disadvantage of the anchor lift is the scarring. It is however very appropriate in large breasts or in cases of very loose skin where a less aggressive technique would provide poor results. Mastopexy can also be performed with only low scars, lateral scars, or scars only around the areola and the base of the breasts.

The American Society of Plastic Surgeons reports that in 2012, 89,000 breast lifts were performed. Though not as frequent as breast augmentation, this number reflects the growing acceptance of this operation to correct breast shape.The first questions are quite simple; what do we have and what do we want? No two patients are exactly alike, so no operations are exactly alike. Mastopexy can be a very complex operation. If you combine augmentation, skin tightening, and nipple repositioning at one sitting, you have to understand what each set of decisions mean to each part of the operation. Rarely, it’s necessary to stage the operation, doing the mastopexy and then performing the augmentation. Patients also have their own unique set of risk factors. Putting all the factors together for each operation can be challenging, but it is uniquely rewarding. With Dr. Geldner’s superior skill, 25 years of experience, and his experienced and compassionate staff, we exceed our Chicago plastic surgery patients’ expectations.

A breast lift, also known as mastopexy, is a surgical procedure aimed at raising and reshaping sagging breasts by removing excess skin and tightening the surrounding tissue. This surgery can also reduce the size of the areola, the darker skin surrounding the nipple, if necessary. The goal of a breast lift is to create a more youthful and uplifted breast contour. Breast lift surgery does not significantly change the size of the breasts or round out the upper part of the breast. However, it can be combined with breast augmentation or reduction if a change in size is desired.

Good candidates for a breast lift include individuals who are physically healthy and maintain a stable weight. Ideal candidates are non-smokers, as smoking can interfere with the healing process. Women who experience breast sagging due to factors such as aging, pregnancy, breastfeeding, weight fluctuations, or genetics are often suitable for this procedure. It’s important for candidates to have realistic expectations about the outcome and to understand that while a breast lift can enhance appearance, it won’t change who they are.

During the consultation, Dr. Geldner will evaluate the patient’s medical history, breast size and shape, skin quality, and overall health to determine if a breast lift is appropriate. Dr. Geldner will also discuss the desired results and explain the surgical options, potential risks, and benefits. This thorough evaluation ensures that the patient and Dr. Geldner have a mutual understanding of the expected outcomes, leading to a more satisfactory surgical experience.

Recovery after a breast lift typically involves a period of discomfort, swelling, and bruising, which can be managed with prescribed pain medications and proper post-operative care. Immediately following the surgery, the patient will need to wear a surgical support bra or an elastic bandage to minimize swelling and support the breasts as they heal. It’s normal to experience some degree of swelling and bruising, which usually subsides within a few weeks.

Most patients can return to work and light activities within one to two weeks, but it is crucial to avoid strenuous exercise, heavy lifting, and any activities that may put strain on the chest area for about four to six weeks. This restriction helps prevent complications and ensures optimal healing. Dr. Geldner will provide detailed instructions on how to care for the surgical site, manage drains if placed, and recognize signs of potential complications, such as infection or unusual swelling.

Patients should attend all follow-up appointments with Dr. Geldner to monitor progress and ensure proper healing. During these visits, Dr. Geldner will check the incisions, remove any stitches if necessary, and address any concerns the patient may have. Adhering to the post-operative guidelines, such as wearing the support bra continuously and avoiding smoking and alcohol, can significantly enhance the recovery process and the overall results of the surgery.

While a breast lift can provide long-lasting results, it is essential to understand that the effects of gravity, aging, and lifestyle factors such as weight fluctuations and pregnancy can impact the longevity of the results. The surgery effectively reshapes the breasts to a more youthful position, but it cannot stop the natural aging process. Over time, it’s possible for the breasts to begin to sag again, although they will always be firmer and more elevated than they would have been without the surgery.

Maintaining a stable weight is crucial for preserving the results of a breast lift. Significant weight gain or loss can alter the breast shape and affect the surgery’s outcomes. Leading a healthy lifestyle that includes a balanced diet and regular exercise can help in maintaining a stable weight and enhancing the longevity of the breast lift results. Additionally, wearing a supportive bra, especially during physical activities, can help to minimize the effects of gravity on the breasts.

It’s important for patients to have realistic expectations and to discuss their goals thoroughly with Dr. Geldner. Understanding that while a breast lift can greatly improve breast appearance, it does not provide a permanent fix, can help in maintaining satisfaction with the results. Follow-up consultations with Dr. Geldner can address any concerns and, if necessary, discuss the possibility of future touch-up procedures to maintain the desired breast shape and position over time.

Reviews

“I highly recommend Dr. Geldner if you want an honest and thorough opinion about plastic surgery. Dr. Geldner asks the important questions.”
~ Patient Review

Learn More About
Breast Lift

Watch a presentation that explains the procedure, preparation and recovery details.