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Choosing the Right Procedure

Perhaps you want your perky, pre-pregnancy breasts back, or are looking to increase the fullness in your breasts, or both. At The Center for Cosmetic Surgery, Drs. Wolfe, Vath and Steinwald specialize in all types of cosmetic breast surgery

Breast Lift (Mastopexy)

Many patients are happy with the size of their breasts, but don’t like the shape. Breasts can sag after childbearing or significant weight loss. In some cases, the breast will change during menopause. Some women’s breasts are relaxed or misshapen based on genetics. Breast lift, or “mastopexy” surgery restores a relaxed breast to a more youthful, perky position on the chest. Breast lift surgery removes excess skin from the breast and surgically reshapes the breast gland. The majority of the extra skin is in the lower portion of the breast, but skin is also removed around the areola, reducing the areola size in the process if necessary. There are many different techniques which can be used successfully to lift the breast. Vertical lifts leave a scar around the nipple and straight down to the inframammary fold. Additional incisions in the fold may be necessary in patients who have more significant degrees of laxity. Most patients feel that their breast appears smaller after a breast lift, even though no tissue is removed. This is because the lift re-shapes the tissue into a smaller, more compact form.

Final shape is the most important consideration, but the degree of visible scarring is also critical. Scars tend to start as fine, pink lines that gradually fade over 12-18 months. In many patients, these scars are difficult to see once they fully mature. Most women feel that a fine, well-healed scar is a reasonable trade for youthful, attractive breasts.

Breast Lift with Augmentation

It is a common misconception, among patients and surgeons alike, that a large implant will “lift” the breast. In fact, the extra weight of a large implant tends to make the breast sag even more. An implant simply increases the size of the breast that is being treated — a patient who starts with a small, relaxed breast will simply end up with a big, relaxed breast.
In patients with relaxed breasts that are also too small, a combination of augmentation and mastopexy is the treatment of choice. The implant fills out the breast, while the lift removes excess skin, reshapes the gland, and reduces the areola size if necessary. Although some surgeons chose to separate the two procedures, it is quite safe to combine the two. The result is a single-stage procedure with a very high success rate, lower costs, less anesthetic risk, and less time off work.

When you come in for a complimentary consultation with Dr. Vath, Dr. Wolfe or Dr. Steinwald, they will listen carefully to your concerns and desires. You and your surgeon will create a fully customized surgical plan to get you the best result possible. Our surgeons have collectively performed thousands of breast surgeries in their careers. They are truly experts in the field, and you can feel at ease knowing that you are in excellent hands.