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Breast Lift

Text, photos, and videos by Dr. Forley

In some cases, a breast lift or mastopexy is indicated without altering the size of the breast. A more uplifted appearing breast with fewer scars can be achieved surgically with short scar techniques so that visible signs of the procedure are minimized. Lesser degrees of breast sagging can be improved without scars using the innovative BodyTite radiofrequency (RF) non-excisional skin tightening procedure.

Is This For Me?

Consultation

Preparation

Procedures

What to Expect After Procedure

Stages of Recovery

Potential Risks and Complications

Minimally Invasive Options

Is This For Me?

You should consider a breast lift if:

  • You are happy with the size of your breasts but don’t like their sagging appearance.
  • You are having breast implants to improve the size of the breasts but the nipple position needs to be raised.
  • You already have breast implants but your breasts have sagged following pregnancy, weight loss, or the effects of gravity with the passage of time.

The Consultation

Dr. Forley will ask you to describe what concerns you most about the appearance of your breasts. He will enquire as to your history of pregnancies and childbirth, weight gain or loss, and the presence of any breast disease in you or your immediate family. An important part of the conversation will be to determine if you are primarily concerned with the sagging of the breasts or if you are also thinking about increasing or decreasing their size. During your breast exam, Dr. Forley will carefully measure your breasts and perform a dimensional analysis to determine the breast lift procedure that would suit you best. He will discuss the components of the procedure as well as the options for incision locations that will be used to accomplish your goals. If you have the indications for a scarless breast lift, Dr. Forley will also review the minimally invasive BodyTite radiofrequency skin tightening procedure as an alternative to traditional surgery.

The minimum breast lift scar is one that encircles the areola. In some cases this will be extended vertically to the fold under the breast in the shape of a lollipop. In extreme sagging, an additional scar may be required within the fold under the breast forming what is known as the “anchor” scar to enable better lifting and contouring. If you expressed an interest in altering the size of your breasts to complement your breast lift, Dr. Forley will also discuss enhancing the volume of your breasts with breast implants or in making them smaller with a breast reduction. You will be able to get a realistic idea of what can be achieved with breast lift surgery from the before and after photos you will be able to view during your consultation.

Preparation

A complete review of the surgical plan as well as instructions for you to follow before and after surgery will be covered during your pre-operative appointment two weeks prior to your surgery date. Details of the procedure itself and the planned location of the scars will be discussed. Routine blood tests and a mammogram will be obtained in preparation for your surgery. We will provide you with a program of vitamins and supplements to optimize your healing and recovery. Photographs will be taken and kept strictly confidential.

The Procedure

Prior to your breast lift, Dr. Forley will make several measurements and mark specific areas of your breasts to use as guidelines during your surgery. The anesthesiologist will then review with you the twilight/sedation technique that is utilized exclusively in our Joint Commission accredited office-based surgery facility. During the procedure, an island of breast tissue carrying blood supply and sensation to the nipple is created to enable rotation of the nipple and areola into the desired upward location. Excess skin is removed and suture techniques are then used to lift and shape the surrounding breast tissue to achieve the desired form. Your breasts will be carefully compared in the sitting position to assure as much symmetry as possible and any additional adjustments will be made before final closure.

What to Expect After Your Procedure

In some cases, a drain may be used for the first 24 hours to minimize any bruising. You should sponge bathe after surgery and may shower after 72 hours. You will need to wear a soft bra without underwire for the first 3-4 weeks.

Dissolving stitches are used and placed beneath the skin so removal is not necessary. A mild to moderate feeling of soreness can be expected during the first few days after surgery and is alleviated by your prescribed pain medication. A sensation of tightness or fullness from swelling as well as some bruising may develop but will gradually diminish over the first 7-10 days.

The Stages of Recovery

  • Day of surgery: Breast Lift surgery is usually performed as an outpatient procedure in our accredited office-based surgery facility.
  • Bruising and swelling resolve: 7-10 days with continued softening of the breasts occurring up to 6 months.
  • Return to work, social activity: 5-10 days.
  • Aerobic or strenuous activity: 3-4 weeks but light exercise is possible after 2 weeks

Strenuous exercise or aerobic activity that increases your pulse over 100 during the first two or three weeks may increase your blood pressure and could result in bleeding.

Potential Risks and Complications

Surgical procedures have inherent risks such as bleeding, infection, loss of sensation, and thickened scar tissue formation but these only occur in a very small percentage of cases. We will give you more detailed information about these and other rare risks in our written information and encourage you to discuss any which concern you during your consultation.

Minimally Invasive Options

An alternative to traditional breast lift surgery can be considered in patients with minor degrees of sagging. Using the BodyTite radiofrequency (RF) non-excisional skin tightening procedure, an improvement in laxity of the breast and drooping of the nipple is possible without scars.

5 MYTHS ABOUT A BREAST LIFT

01 I will lose sensation in my nipples.

Loss of nipple sensation is extremely rare with breast lift surgery. All techniques utilized for the surgery are designed to preserve the nerves that provide branches to the areola and the nipple.

02 Only a breast lift will correct a low lying nipple.

In some cases, the forward projection delivered when a breast implant is placed results in the elevation of a drooping nipple to a sufficient degree that a breast lift procedure is not required.

03 I will have additional scars if I want to reduce the size of my breasts at the time of my breast lift.

If a reduction in the size of the breasts is planned to accompany the breast lift surgery, it can usually be performed without any additional incisions or scars.

04 A breast lift will prevent my breasts from sagging in the future.

Many factors may affect the longevity of a breast lift result. The combination of lifestyle, breast size, weight changes, and gravity will ultimately determine the recurrence of sagging that may necessitate a revision in the future.

05 A breast implant must be used if I want to improve the flattening of the upper part of my breast at the time of my breast lift.

Breast implants provide a predictable way of treating the concave appearance of the upper part of the chest that frequently accompanies sagging breasts. However, in some cases fat grafts can be injected to restore sufficient contour at the time of the breast lift instead of relying on an implant.

Before & After Photos
Videos
In the Media
Blogs

MORE PATIENT EXAMPLES

  • Before & After Breast Reduction Set1 thumb1
  • Before & After Breast Reduction Set2 thumb2
the Guide to the Top 5% New York Physicians in more than 30 Specialties Castle Connoly Top Doctor Dr. Bryan G. Forley Plastic Surgery, Fifteen Years Tatler Beauty and Cosmetic Surgery Guide 2008 VogueBeauty drs.feelgood

New York Super Doctors

Annual guide to the top 5% of New York City Physicians.

Doctors are selected from ballots sent to over 18,000 New York City physicians. Identifies those doctors held in highest regard by their peers. Dr. Forley has been listed annually since 2008.

Castle Connolly Guide-Top Doctors: New York Metro Area

The authoritative guide to finding highly qualified physicians throughout the New York region. Doctors are selected based on nominations by their peers and reviewed by Castle Connolly’s physician-directed research team.

TATLER

UK-based Tatler discussed Dr. Forley in its 2008 Beauty and Cosmetic Surgery Guide as one of the "A-list of cosmetic surgeons"..."who are at the top of their game"...and whose "innovations are shaping the art of cosmetic surgery around the world." It was noted that Dr. Forley’s "discreet Upper East Side clinic is perfect for women and men in search of minimally invasive natural-looking surgery.

Vogue

Julia Reed writes that Dr. Forley, "disarms me by asking what I might like to have done. Nothing, I say, sure that I mean it. And then he shows me before and after books of tiny little neck lifts, subtle browlifts involving tiny little incisions well hidden within the hairline. In ten years, he assures me, I’ll be thinking about it. I actually like him. And I fear he may be right."

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