The Vertical Mastopexy is a technique used to reshape and restore the breasts and can be used for medium to significant reduction. The Vertical Mastopexy uses a technique called a ‘Lollipop Incision’ developed by the surgeon Madame LeJour in Europe in the 1990s.
What is a mastopexy?
A mastopexy, or breast lift, is a surgical procedure that lifts and reshapes sagging breasts by removing excess skin and tightening supporting tissue. Since a breast lift will not alter breast size, this surgery is sometimes combined with a breast augmentation or reduction procedure.
What are the risks of mastopexy?
While there are risks with any surgical procedure and anesthesia, risks specific to the mastopexy procedure include: A change in sensation to the nipple or breast. Breast contour or shape irregularities. Asymmetry. A partial or total loss of the areola or nipple.
How long does a mastopexy procedure take?
The mastopexy procedure is typically performed on an outpatient basis. The procedure normally takes one to three hours. The surgical approach will depend on the size and shape of the breasts, as well as the amount of excess skin and sagging.
How much does a mastopexy cost?
Since mastopexy is considered a cosmetic procedure, it's not usually covered by insurance. The average cost of a mastopexy is around $10,000 to $14,000, plus anesthesia and operating room fees. There are many different surgical techniques used to perform a mastopexy.
What are the different types of mastopexy?
Types of Breast LiftsCrescent Breast Lift. Usually recommended for those with only minimal sagging, the crescent breast lift requires just one incision that runs halfway along the top outer edge of the areola. ... Peri-Areolar Breast Lift. ... Vertical Breast Lift. ... Anchor Breast Lift.
What is vertical breast lift?
Vertical Breast Lift Technique. The vertical, or "lollipop" breast lift is suitable for women with mild to severe ptosis. This technique removes unwanted excess skin and reshapes the entire breast, leaving easily hidden scars. To begin, a somewhat key hole shaped incision is made above and around the areola.
Is a mastopexy the same as a breast reduction?
A breast lift, also called a mastopexy, involves more reconstruction to the outer tissues, and the breast tissue itself is not lifted. During the procedure, your surgeon will remove excess skin and tighten the skin and tissue around the area, raising the breasts.
Is a mastopexy a breast lift?
A breast lift (or mastoplexy), is a surgical procedure performed on women who have sagging breasts due to pregnancy, significant weight loss, or genetics. The procedure involves: Elevating the breast tissue to a higher position on the chest wall. Repositioning the nipple-areolar area.
How painful is a breast lift?
While discomfort or pain after surgery is to be expected, women usually mention that breast reduction or breast lift surgery is a lot less painful than what they expected. Generally people comment that it's more 'discomfort or pain limited to the incisions', rather than pain within the breasts or over the chest.
How long does it take for nipples to heal after breast lift?
When will breast lift incisions be fully healed? Your breast lift incisions should begin to close and heal within the first 1 – 2 weeks after surgery, during which time it is important to keep the area clean and not submerge the incisions.
When does pain stop after mastopexy?
2-3 days following their breast lift surgery, most patients report mild to moderate pain. The pain should ease off after that and your plastic surgeon can prescribe pain medication to relieve your discomfort.
Which is more painful breast lift or reduction?
Because a breast lift is typically less invasive than a breast reduction, it is generally less painful and has a shorter recovery. Loss of sensation to the nipple area is a risk with either procedure but is pretty rare with a lift.
What are the disadvantages of a breast lift?
What are the risks of breast lift surgery?Anesthesia risks.Bleeding or hematoma formation.Breast asymmetry.Breast contour and shape irregularities.Changes in nipple or breast sensation, which may be temporary or permanent.Deep vein thrombosis, cardiac and pulmonary complications.More items...
What happens during a mastopexy?
Mastopexy, also called a breast lift, is an operation where a surgeon repositions your nipple higher on your chest wall. They also remove any excess skin and tighten the surrounding tissue.
Do breasts drop after breast lift?
Remember that a breast lift does not slow the aging process. Eventually, the breasts will drop years after a breast lift simply because the aging process has continued.
Do nipples work after breast lift?
A common concern among breast lift patients is if they will lose nipple sensation following surgery. In almost all cases, any change in nipple sensation is only temporary and will usually resolve within 6 to 8 weeks following the breast lift procedure.
Do breasts drop after breast lift?
Remember that a breast lift does not slow the aging process. Eventually, the breasts will drop years after a breast lift simply because the aging process has continued.
Can I naturally lift my breasts?
Since breasts don't have muscle, you can't firm up breast tissue with exercise. However, beneath the breasts are fibrous connective tissue and muscles that can be exercised to improve the overall appearance of your chest. Various chest exercises are recommended to improve not only muscle strength, but posture as well.
How can I fix my sagging breasts naturally?
Natural Remedies for Sagging BreastsPosture: Poor posture causes breasts to hang by their own weight, placing tension and pressure on breast tissue which results in sagging. ... Exercise: Not only can chest exercises like pushups, bench presses, arm curls, and swimming improve muscle strength, they improve posture as well.More items...
What is Benelli mastopexy?
A Benelli mastopexy refers to a method of pursestringing the outer dermal circumference with a strong nonresorbable suture. This maneuver eliminates the tension placed on the areola by a donut mastopexy.
How can I prevent breast lift scars?
Like silicone sheets, embrace dressings are silicone-containing bandages. These are applied right after your surgeon closes the incisions. The embrace dressing will help pull the edges of the incision together to minimize scar tissue buildup. They're worn every day for up to 12 months.
How much does a mastopexy cost?
How Much Does Mastopexy Cost? Most breast lifts are considered cosmetic surgeries. Health insurance companies usually don't cover them unless they are done as part of a mastectomy reconstruction. According to the American Society of Plastic Surgeons, the average cost for the procedure is around $4,693.
Can your nipples still get hard after breast lift?
Do your nipple still get hard after breast implants? Nipples have smooth muscle which erect the nipples when a woman is feeling cold of stimulated. A breast augmentation does not affect these muscles. Sometimes sensation to the nipples can change after breast surgery.
Do you lose a cup size with breast lift?
Typically, a breast lift (medically referred to as mastopexy) reduces bra size by one cup. However, this is usually not the result of volume loss. When excess skin and sagging breast tissue are removed or repositioned, cup sizes are naturally reduced. For many women, this is a good thing.
What is a non invasive breast lift?
Nonsurgical breast lifts means that no cuts or incisions are involved. You also don't have to be put under general anesthesia. Nonsurgical procedures are arguably safer because they don't pose the risks that a mastopexy might such as: infection. bleeding.
Can I go without a bra after breast lift?
Most patients can go braless after about six weeks, but it should be on special occasions and not daily to maintain optimal results. If you are considering a breast lift and breast augmentation procedure, Dr. Michael Hakimi is a board-certified plastic surgeon in Beverly Hills, CA.
What is Vertical Mastopexy?from cosmeticium.com
This procedure has been developed to improve the sagging breasts aesthetically. The saggings are eliminated and the breasts are reshaped to give them a younger appearance. Excess skin is removed and the areola is moved to an upper position depending on the situation. As a result of the procedure, the patients’ self-confidence is improved by having more upright breasts, and they can wear clothes such as bras and swimsuits more comfortably.
Why is Vertical Mastopexy More Advantageous than Its Other Types?from cosmeticium.com
Apart from vertical mastopexy, there are also different breast lifting techniques. However, vertical breast lifting has different advantages over these techniques. These advantages are generally as follows.
What is a Gore-Tex periareolar suture?from plasticsurgerykey.com
The insertion of the Gore-Tex periareolar suture is a key step toward achieving a stable nipple–areolar diameter in the long term. The use of absorbable sutures tends to permit late stretching of both the areola diameter and the periareolar scar. The areolar inset is first divided into four major and then an additional four minor quadrants with a marking pen. Reciprocal markings are performed on the NAC itself to match the inset markings.
What is anchor lift?from cosmeticium.com
This method which is called anchor lift and inverted T lift is the most invasive breast lifting procedure among all the procedures. It is mostly preferred when there are cases of very severe breast sagging and is applied together with breast reduction. Although this method provides effective results in severe sagging, it is known that the vertical mastopexy method gives better results at some newly developed points.
How thick is the dermis of the periareolar inset?from plasticsurgerykey.com
The dermis of the periareolar inset is incised full thickness down to the parenchyma, 3 to 5 mm within the outermost circumference of the areolar skin inset. This provides a 3- to 5-mm dermal cuff in preparation for the periareolar Gore-Tex suture insertion (▶ Fig. 23.5 ).
What is Fig. 23.3?from plasticsurgerykey.com
Fig. 23.3 (a,b) “Cookie cutter” marking or areolar diameter and periareolar incision.
How thick are the flaps on the mastopexy?from plasticsurgerykey.com
The flaps are approximately 1-cm thick leaving a robust blood supply to the overlying skin (▶ Fig. 23.8 ). This maneuver allows for easy approximation of the medial and lateral skin pillars over the central imbricated glandular tissue. Inferiorly, the gland can be elevated off the underlying pectoralis major muscle and sutured down again 1 to 2 cm higher if the inframammary fold (IMF) needs adjustment. This can also improve lower pole shape at the IMF for a more rounded profile if there is any tendency for dog-ear formation to occur (▶ Fig. 23.9 ).
What is a Gore-Tex periareolar suture?
The insertion of the Gore-Tex periareolar suture is a key step toward achieving a stable nipple–areolar diameter in the long term. The use of absorbable sutures tends to permit late stretching of both the areola diameter and the periareolar scar. The areolar inset is first divided into four major and then an additional four minor quadrants with a marking pen. Reciprocal markings are performed on the NAC itself to match the inset markings.
How thick is the dermis of the periareolar inset?
The dermis of the periareolar inset is incised full thickness down to the parenchyma, 3 to 5 mm within the outermost circumference of the areolar skin inset. This provides a 3- to 5-mm dermal cuff in preparation for the periareolar Gore-Tex suture insertion (▶ Fig. 23.5 ).
What is vertical mastopexy?
Vertical mastopexy resolves many of the issues that plague periareolar techniques. While the periareolar approach causes widening of the transverse diameter and flattening of the front of the breast with a marked tendency for areolar dilation in the long term, the addition of a vertical skin excision helps to narrow the breast diameter transversely and increases conical projection of the breast mound. Imbrication of the lower pole of the breast pushes breast tissue into the center of the breast mound creating central and upper pole fullness, which can be useful in those patients not desiring breast augmentation.
What is Fig. 23.3?
Fig. 23.3 (a,b) “Cookie cutter” marking or areolar diameter and periareolar incision.
How thick are the flaps on the mastopexy?
The flaps are approximately 1-cm thick leaving a robust blood supply to the overlying skin (▶ Fig. 23.8 ). This maneuver allows for easy approximation of the medial and lateral skin pillars over the central imbricated glandular tissue. Inferiorly, the gland can be elevated off the underlying pectoralis major muscle and sutured down again 1 to 2 cm higher if the inframammary fold (IMF) needs adjustment. This can also improve lower pole shape at the IMF for a more rounded profile if there is any tendency for dog-ear formation to occur (▶ Fig. 23.9 ).
Where is the displacement of the breast medially and laterally to mark the vertical incision lines from below the?
Displacement of the breast medially and laterally to mark the vertical incision lines from below the new areola to a point 1 to 2 cm above the inframammary fold.
How to imbricate the lower pole of the breast?
The deepithelialized lower pole is imbricated using a running 3–0 Vicryl suture on a taper pointed needle. This maneuver infolds the lower central breast parenchyma into the center of the breast mound to some degree, creating autoaugmentation. Leaving a layer of deepithelialized dermis on the lower glandular triangle is critical to allow the sutures to hold well enough without tearing through breast fat (▶ Fig. 23.7 ).
