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 Hinsdale
Dr. Geldner 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 complimentary consultation.
This 37 year old had a transaxillary submuscular breast augmentation with saline implants 14 years ago. She has aged and her breasts changed shape....View More
This 60 year old woman came to me with a few concerns. She had prior subglandular breast augmentation many years before, and the left...View More
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...View More
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...View More
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...View More
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...View More
This 34 year old wanted a breast augmentation. She had very asymmetric breasts. We performed periareolar breast augmentation; We used...View More
This 42 year old had breast involution and ptosis. She had a vertical mastopexy and simultaneous subpectoral breast augmentation with Allergan...View More
This 37 year old came to us with asymmetric breasts and desired breast augmentation. She wanted saline implants. On the right side, we...View More
This young woman presented to me with a history of submuscular periareolar breast augmentation with saline implants. After childbirth, her breasts...View More
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 patients’ expectations.
“I highly recommend Dr. Geldner if you want an honest and thorough opinion about plastic surgery. Dr. Geldner asks the important questions.”
~ Patient Review
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