Breast Lift New York City
Choosing a Breast Lift
A breast lift (technically known as “mastopexy”) is a surgical procedure that raises and firms the breasts by removing excess skin and remodeling and repositioning the breast tissue on the chest wall into a more youthful position. Breasts naturally sag due to a loss of skin elasticity caused by pregnancy, breastfeeding, weight loss, aging and genetics. A breast lift can restore a more youthful contour to your breasts. It accomplishes this by rearranging the breast tissue and nipple-areolar complex (NAC) in a higher position on the chest wall. In doing this the breast is reshpaed so that it has a tear drop appearance with good projection from the chest wall. Fullness in the upper pole of the breast is also restored with the procedure.
Am I a Good Candidate for a Breast Lift?
You are a good candidate for mastopexy if you would like your breasts to have a more youthful and uplifted position on your chest. You may feel that your breasts have lost volume or become more elongated. You may also notice that your nipple-areolar complexes point downward or fall below the crease of your breasts.
Ideal breast lift candidates must be in good health, live in New York City (or be willing to travel), and be motivated to follow Dr. Cangello’s pre-operative and post-operative instructions. This includes wearing a support bra with no underwire while your breasts are healing. For the best results, you should also be close to your ideal weight and your weight should be stable.
You must also have realistic expectations for the surgery. A breast lift will not change the size or shape of your breasts. If you want your breasts to look fuller, Dr. Cangello may suggest breast augmentation in addition to the mastopexy.
The Consultation: Creating Your Plastic Surgery Plan
Your mastopexy journey begins with a consultation with Dr. David Cangello in our New York City office. Dr. Cangello will discuss your medical history and the results that you want from your breast lift. For your surgery to proceed safely, you need to be honest about your allergies, medications, personal habits, and previous surgical procedures. You will also need to tell him if you are planning to get pregnant or breastfeed.
Dr. Cangello will ask about your goals for your breast lift and the look you hope to achieve. He will conduct a physical examination, which includes taking measurements of your breasts. Dr. Cangello will then describe his surgical approach to the breast lift, which will depend on the extent of sagging.
Scarring is often a concern. Dr. Cangello will explain his surgical plan and the amount of scarring you can expect. As much as possible, scars will be hidden around the areola and within the folds of the breast. Scars will not be visible if you’re wearing a bikini top.
Dr. Cangello will answer your questions and explain how to prepare for your breast lift, as well as what you can expect in your post-operative care.
Preparing For a Breast Lift
Dr. Cangello is committed to achieving the best results possible. During your initial consultation, he will create a pre-operative plan for you to follow. This plan is designed for your unique needs, to make sure that you have the best outcome possible. Your pre-op plan may include changes in diet and other habits that impact your health. You will be advised to avoid ANY nicotine-containing products for at least two to four weeks before and after surgery.
Dr. Cangello will also give you instructions for the days before your surgery. These include stopping certain medications and supplements. You will also be told not to eat beginning at midnight on the day of your surgery.
Finally, Dr. Cangello will explain your post-operative plan. He will give you prescriptions to fill prior to surgery and ask you to find someone to drive you home following surgery.
Where Will the Surgery Be Performed?
Your breast lift (mastopexy) surgery will be performed at Dr. Cangello’s New York City office. He has a fully accredited (AAASF) state-of-the-art operating room on-site. Our operating room facility is truly second to none in New York City. You are encouraged to ask for a tour of the operating facility when you come in for your consultation.
Types of Anesthesia
Breast lift (mastopexy) surgery generally takes 2-3 hours depending on the size of your breasts and degree of ptosis (sagging). The procedure will be performed using general anesthesia and a local tumescent anesthesia to reduce the risk of bleeding during surgery. You will not feel any pain or remember the surgery. Dr. Cangello only uses exceptionally experienced board certified anesthesiologists, not certified nurse anesthetists (CRNAs) for care of his patients during surgery.
Breast Lift Surgery Techniques
The surgical technique will depend on the degree of sagging and the size of your breasts, including the amount of skin excess. Dr. Cangello will determine which surgical approach is best for you. The four types of surgeries are:
Crescent Mastopexy. This is the least invasive breast lift and it is reserved for patients who need only the smallest amount of lifting or repositioning of the nipple-areolar complex. A small “crescent shape” of breast skin and tissue is removed from the top of the areola. This lifts the nipple a very small amount. The downside to this procedure is that the areolar size can not be reduced with this type of lift, and in fact the areola often ends up slightly larger in size and sometimes elongated (like an oval, as opposed to round). The advantage is that this procedure results in the least amount of scarring on the breast (a scar that goes around half of the circumference of the areola).
Benelli Mastopexy. This is also known as a “donut lift” or a “circumareolar lift.” In this case, a “doughnut-shaped” incision is made around the areola. Excess tissue and skin are removed and the areola is resized (smaller when necessary) and reshaped so that it is round. The remaining breast tissue is tightened and sutured around the areola. This procedure is best performed on women who need only a very small degree of lift of the nipple-areolar complex (not more than a couple centimeters) and who do not have excessive breast skin. The advantage of this procedure is that the scar is concealed nicely as it is only around the circumference of the areola. There is no other scar on the breast skin. The disadvantage is that if this lift is not chosen to be performed on the best candidates, it can result in a flat shape to the breast. For this reason it is critical to have a plastic surgeon who truly understands breast aesthetics as Dr. Cangello does.
Vertical Scar Mastopexy. This is also known as the “lollipop lift.” A lollipop-shaped incision is made that encircles the areola and goes from the bottom of the areola vertically downward over the lower hemisphere of the breast and stops at the inframammary crease or fold. Skin and tissue are removed from the lower part of the breast and around the areola. The remaining breast tissue is repositioned higher on the chest wall and reshaped into a more cone-like shape to improve projection.
Anchor Mastopexy. This surgery is recommended for women with the most significant sagging. This incision is similar to the vertical scar mastopexy, with an additional incision along the breast crease to form an anchor shape. This is the most extensive breast lift and allows tissue to be tightened in both vertical and horizontal directions.
Once the incisions are made and the excess skin and tissue are removed, sutures are used to close the incisions and hold the newly shaped breast tissue together to create a tighter, more uplifted breast.
The Recovery Process
You will wake up with a surgical dressing over your incisions and will be wearing a post-surgical bra or compression garment. Your breasts may feel achy, swollen or bruised following the surgery. Dr. Cangello will prescribe pain medication to keep you comfortable.
Most patients are able to return to work after a few days to one week and to full activity after four weeks. During this recovery period, you will need to sleep only on your back and to avoid bending and lifting. You must wear a surgical support bra for six weeks after surgery. Once your healing is complete, you can begin wearing bras of your choosing with or without and underwire.
Please call our New York City office at 212-644-4416 to set up a consultation and learn how you can benefit from a breast lift.
Is there anything I should do to prepare for my surgery?Dr. Cangello’s staff will provide you with a list of instructions to prepare you for your surgery. For example, you may have to stop certain medications. You can not use any nicotine products (smoking, patch, gum). You can not eat or drink anything after midnight the day before your surgery, etc. Aside from following these instructions, one of the best things you can do for yourself is to be well rested. It’s normal to be anxious leading up to your procedure. But being well rested and as relaxed as possible will serve you well in your recovery. You should also try to eat as healthy as possible and get as much protein as possible in your diet. This will help with the healing process. Aside from these things there is really nothing special you have to do! It’s also very important that you wait for at least 6 months after giving birth or breast feeding, whichever is more recent, before having breast surgery.
Can a breast lift (mastopexy) be done in combination with other procedures?The answer is yes. It is very common for women to have a breast augmentation at the time of breast lift. Not all women chose to do this. But a significant proportion of women can benefit from having a breast implant placed in addition to having the lifting procedure. The implant can provide fullness to the upper pole of the breast in women who have very atrophied breast tissue due to aging, weight loss, genetics or after having children. The lift itself will restore some fullness to the upper pole of the breast, but it may not be sufficient to meet the patient’s aesthetic goals. Women may also opt to have an abdominoplasty or tummy tuck as part of a “mommy makeover” at the same time as breast lift surgery . Liposuction is another procedure that is commonly combined as part of the mommy makeover.
Is a breast lift procedure painful?We always tell our patients that pain is subjective and varies from person to person depending on a number of factors. However, on the whole, patients do not find breast lift surgery (mastopexy) to be a particularly painful surgery. There may be some soreness to the breasts for a few days. Usually by around post operative day 3 patients are not taking any pain medication if they even had to take any at all. We often find patients wanting to return to full active function because they feel so good sooner than the healing process will allow them to. It’s important to remember that no matter how good you feel, healing for all wounds takes 4-6 weeks. So you should not over do it before then.
Can I breastfeed after a breast lift?There is a very good chance you can breast feed after a breast lift, however there is a slight chance that the ability to breast feed may be diminished. This depends mainly on the technique used for the breast lift. Different breast types require different techniques for lifting. You should plan to discuss with Dr. Cangello the technique he will use on you after he has examined you.
What will the scars be like?Your scars will depend on the type of lift performed. There are three types of scarring patterns with breast lift surgery. The scar can go only around the areola. This is referred to as a circumareolar or “donut” scar. It can go around the areola and also have a component that is a vertical line from the bottom of the areola down to the breast crease. This is known as a circumvertical or “lollipop” scar. And the third type of scar pattern is known as the “Wise” or “anchor” pattern which is the lollipop scar plus a scar along the inframammary fold (breast crease). Essentially, women who need less of a lift can have the donut or lollipop scar, but when significant excess breast tissue and skin are present, an anchor type scar is used. Dr. Cangello is meticulous about his closure of the incisions and just as meticulous about after care and scar care. So you can expect scarring to be as minimal as possible in his hands.
How long does a breast lift last?This depends on a number of factors. Weight gain or addition of a breast implant at a later procedure can lead to earlier recurrence of breast ptosis or sagging because the breast gets weighed down by both of these things. Pregnancy can cause significant changes in the breasts that could shorten the longevity of the results. These factors aside, you can generally expect the lift to last several years.
How long is the surgery?This depends on the type of lift performed. The surgery can last from one and a half to three hours. If other procedures are combined with the lift, such as breast augmentation, you may expect the procedure to go a little longer.
When can I return to work and how long is the recovery process?Full recovery in terms of being able to exercise takes about four to six weeks. Often patients are worried about taking time off from work to have breast lift surgery. If you work an office type job that does not require physical labor you can usually go back to work within a few days.
Why does choosing a Board Certified Plastic Surgeon matter?A surgeon certified by the American Board of Plastic surgery has to undergo rigorous training in the field of both cosmetic and reconstructive plastic surgery. In addition they have to pass very difficult oral and written examinations to verify their proficiency in the field. Unlike surgeons who undergo cosmetic training alone, plastic surgeons also have extensive experience with reconstruction of the entire body. So they are the most qualified to deal with any untoward event that may occur as a result of having breast augmentation. They are also the most qualified to have in depth understanding of the anatomy involved when performing the procedure.