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Breast Uplift (Mastopexy)

What Is It?

A breast uplift is an operation to correct sagging of the breasts—a very common problem. Usually sagging occurs after pregnancy or weight loss. The breasts at one time were larger, but have become smaller and the elasticity of the skin has not accommodated the new, reduced size. Some young women have naturally loose skin, also leading to breast sagging or ptosis, and it is recognized that all women, over time, will develop some sagginess to their breasts.

No surgery can raise the breasts as high as a fitted bra can, and a breast uplift only achieves a minor degree of increased firmness to the breasts. Enhanced firmness and upper pole breast fullness are only attainable with implants, which also increase the size of the breasts.

A breast uplift typically does not interfere with nipple sensation or the ability
to breastfeed.

Patient Examples

Click on any photo for larger version and more views of that patient.

Before Surgery Consultation

In the initial consultation, Dr. Neu will take a detailed history of the patient’s general health and about goals for surgery. The amount of looseness to the skin will be carefully evaluated. This in large part determines the type of procedure required to correct the breast ptosis or droopiness. The scar may just need to be around the areola (the pigmented area around the nipple), but more commonly there is also an extension of the scar from the areola vertically to the inframammary crease (the crease beneath the breast). Severe degrees of ptosis may also include an incision in the crease beneath
the breast.

A breast uplift can only raise a nipple up to or a few centimeters above the line of the fold beneath the breast.

A breast implant may be considered an option in conjunction with an uplift, and in minor forms of breast ptosis, a breast augmentation may totally correct the sagginess. A breast augmentation can always be considered as an option after a breast uplift.

The Surgery

A breast uplift typically is done by Dr. Neu under general anesthesia as a day surgery procedure. The nipple stays attached to underlying breast tissue at all times, and simply slides up to a higher position. The loose skin is removed and the breast is reshaped.

Skin closure is with an invisible mending underneath the skin to give the best possible scar. There are no external stitches. Staples are never used.

Resumption of Activity

Following a breast uplift, most patients can resume sedentary work within four to seven days and sports within three weeks.