c Breast Lift
 
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Breast Lift

 

The breast lift is designed to lift sagging breasts and bring the nipple from an abnormally low position to a position of optimal breast anatomy. A good candidate for mastopexy is a woman with good breast size but sagging breasts due to aging or stretching after pregnancy.

As a general rule, breast size will decrease approximately ½ to one full cup size after the mastopexy due to the tightening of the skin alone. The improved form of the formerly sagging breasts provide a significant improvement overall. The potential loss of volume can be counteracted with a simultaneous breast augmentation with excellent results.

Pre-Operative Care - Breast Lift
The Operation - Breast Lift
Post-Operative Care - Breast Lift
Frequently Asked Questions (FAQs) - Breast Lift


Breast Lift Pre-Operative Care

Routine laboratory testing is performed and photographs are taken to assess post-operative effectiveness. Mammograms are ordered in all patients 30 years of age and over in order to detect any possible abnormalities and to serve as a baseline for postoperative comparison.

No aspirin, ibuprofen, or similar drugs should be taken within two weeks of breast lift surgery. These medications can cause serious excess bleeding during and after the operation. If you have any questions about drugs you are taking, including over-the-counter preparations and natural herbs, please call the office.

Do not eat or drink anything after midnight of the night before your surgery. This prohibition includes coffee and juice in the morning. Oral medications can be taken with a sip of water.

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Breast Lift Operation

You should be at the office surgicenter or hospital at least 90 minutes prior to your scheduled surgical start time. Bring all paperwork from the office with you, as many of these papers will save time on the day of surgery.

 

You will be seen pre-operatively and markings will be drawn on your chest to guide the surgery. This is one of the most important parts of the surgery so please be patient while they are drawn. You will then be brought into the operating room and given anesthesia. Incisions will be made along the marks. In most cases this will result in a scar around the areola, then vertically down to the bottom of the breast, and then under the breast. In some cases the scar can be confined to the areola or the areola and the vertical segment. The excess skin is removed and the incisions are closed.

Drains may be placed in the breasts which will be removed within 24 hours. After closure of the incisions a fluffy dressing is placed and you will be sent to the recovery room. Most patients will go home several hours after surgery.

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Breast Lift Post-Operative Care

Keep the dressing on until seen in the office or, if you stay in the hospital one night, your room. The dressings will be changed and the drains removed. Keep exertion to a minimum for two weeks. Take the pain medicine as prescribed. The scars may be noticeable for several months but will fade dramatically in most cases by 12 months.

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Frequently Asked Questions

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What is a mastopexy or breast lift?

A mastopexy or breast lift is a surgical procedure to raise and reshape breasts.


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What are the benefits of this surgery?

Your breasts will be firmer and more uplifted giving a more youthful contour. A breast lift will enhance your appearance , however, it is important to remember that gaining or losing significant weight, the effects of gravity, and the normal aging process, will in time alter the shape of every woman's breasts.


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What are the risks associated with this surgery?

As with any surgery, there are risks such as infection, bleeding, and scarring. Dr. Moskovitz will inform you of risks prior to surgery.


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What do I need to do before surgery?

Please confirm your pre-operative appointment with our office. At this visit, you will undergo a history and physical examination and Dr. Moskovitz will be available to answer any questions you may have regarding your surgical procedure. The surgical fee will also be collected at this visit.

Preoperative laboratory tests (blood work) will be done at least one week before the operation.

If the procedure is to be done at the hospital, you will be sent to the hospital for a pre-operative interview with an anesthesiologist. The anesthesiologist will review your medical history with you and determine what type of anesthesia is most appropriate. Any laboratory (blood work) or diagnostic examinations will also be performed during this visit. A mammogram may be needed and can be done at this time also. Some of these tests can be covered by insurance as part of your annual physical. The hospital and anesthesiology fees will also be collected during this visit.

  • Please arrange to have someone drive you home and to receive postoperative surgery instructions.

  • Do not eat or drink anything, (this includes coffee, candy and chewing gum) after 11:00PM the night before surgery.

  • Avoid aspirin and smoking for two weeks before and after the surgery.


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What happens on the day of surgery?

Please wear comfortable clothing to the surgery center. You will be asked to read and sign a consent form and to change into a hospital gown.

A nurse will review your chart and confirm that all paperwork is in order. You will be taken to a preoperative holding area and the anesthesiologist will start an intravenous line in one of your arms. Before any medications are administered, Dr. Moskovitz will verify your name and the type of procedure you are having and will answer any questions that you may have. Markings will be placed on your breasts to guide the surgery. You will then be taken to the operating room where the appropriate anesthesia will be administered and the surgery will be performed. Once the surgery is complete, you will be taken to a post-operative unit where you will be monitored closely during your recovery.


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What type of anesthesia will be used?

There are several types of anesthesia but the most common forms are general, local, and monitored anesthesia care. With a general anesthetic, you will be asleep during your surgery. With a local anesthetic, you will be alert during the surgery and only the incision location will be anesthetized. With monitored anesthesia care or MAC, you will be given medications to relax you and the incision location will be anesthetized. A general anesthesia is usually given if the surgery is done in the hospital while MAC is used in the office surgery center. An anesthesiologist will carefully monitor you during surgery. This team approach minimizes risks and maximizes comfort.


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What happens during the surgery, and how is the surgery performed?

A mastopexy usually takes two to three hours to complete. The most common method involves three incisions: one incision is made around the areola, another incision is made vertically from the areola to underneath the breast and the third incision is made horizontally below the breast and follows the natural curve. Some cases do not require the below-the-breast incision while others utilize only an incision around the areola.


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How long will I be in the hospital?

Whether performed in the office or hospital, you will usually go home the same day you have surgery.


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How will I look and feel after surgery?

Your breasts will be bruised and the skin is usually quite tight. The skin will loosen and become more natural looking over the first month.


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Will there be scars?

Every effort will be made to make your scars as inconspicuous as possible, however, it is important to know that scars may remain red for months and gradually become less obvious. In order to fully tighten and reshape the breasts, mastopexy scars can be rather extensive and it I important to understand the results before surgery begins.


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When can I expect to return to work and resume normal activities?

You can expect to return to work after a week or so, depending on the type of job you have. You should avoid strenuous activities for at least three weeks and any strenuous sports for a month.

As you begin to resume normal activities, you may experience mild discomfort but severe pain should be reported immediately to the office.

You will need to wear a good support bra for the first 2 months after surgery and will need to wear long term bra support to prevent the skin from stretching again.


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