Breast lift and breast reduction procedures are very similar operations that are commonly performed in an outpatient surgical facility. Both breast lift and breast reduction offer immediate relief from legitimate medical problems as well as an immediate self-image boost to women with extremely large or saggy breasts. These procedures allow a woman to have her breasts re-configured, bringing them into natural proportion with the rest of her body.
Common problems encountered in patients who have aging or enlarging breasts:
2) Stretch marks
3) Skin rashes
4) Bra strap grooving on the shoulders
5) Upper and lower back pain
What breast incisions will be used?
The type of incisions that you will have depends largely on the extent of breast deformity that you currently suffer with. Surgical options typically include the following:
1) Crescent (aka periareolar pattern): A select group of patients may only require a small peri-areolar incision that is placed at the top edge of the areola. This type of lift is more or less a small skin incision and will raise the nipple position very slightly.
2) Benelli (aka circumareolar pattern): This operation is invariably performed in conjunction with a breast augmentation. This procedure can raise the nipple position more than the crescent lift, and remove a ring of skin around the areola. However, the degree of lift is not the same as with a vertical or wise pattern lift.
3) Lollipop (aka vertical pattern): The incision is around the areola and down the front meridian of the breast in the shape of a lollipop. This type of lift allows for correction of horizontal skin excess by narrowing the breast tissue in the horizontal plane.
4) Anchor (aka wise pattern): The incisions will be the same as with a vertical lift, but will also include an incision in the infra-mammary breast fold. This type of lift allows for correction of both horizontal and vertical skin excess by narrowing the breast tissue both in the horizontal and vertical planes.
What can I expect after surgery during my breast lift recovery?
Drains: Some patients will have drains in each breast for a few days after surgery. They are typically removed within the first week.
Swelling & Bruising: For the first few days after surgery, the area may be bruised and swollen. This can be reduced but not eliminated by taking bromelain and arnica montana. If you have brusing and swelling, just remember that it will go away over time.
Dressings: Dressings should remain dry and intact. At your first post-operative visit, your dressings will be removed and you will be placed into a wireless sports bra or surgical bra. We recommend that you get fitted for this prior to your surgery.
Pain Management: Long acting local anesthesia will be placed during your procedure which will keep you comfortable for most of the first day. Post-operative discomfort can be controlled by oral pain medication. Dr. Brenner typically will prescribe Vicodan or Percocet in conjunction with a muscle relaxant such as Valium.
Showering: It is important to keep your breast dressings dry and intact. Instructions on showering and dressings will be provided to you by Dr. Brenner.
Follow-ups: Follow up appointments will be scheduled and questions should be directed to Dr. Brenner or his staff. Dr. Brenner commonly sees breast patients the day after surgery, the week after surgery, three weeks after surgery and then at progressively longer intervals. Additional appointments may be needed for some patients.
Some women experience extensive enlargement of their breasts during pregnancy, which subsequently subsides following delivery. In addition to the postpartum loss of fat tissue, swelling can cause the skin to stretch and sag. No amount of exercise will re-tighten this skin. An outpatient procedure called “mastopexy” can remove excess skin, raise the position of your nipple and areola and reduce sagging. The type of scars that result from this operation can different for each patient, and largely depends on the extent of excess skin that is present.
Breast Lift Blog Topics:
- One Stage Breast Lift and Augmentation.
- Does Breast Feeding cause Breast Sagging?
- Can I get a nipple reduction?
- Breast Surgery Recovery: 7 things to know following breast augmentation.
For women whose breasts are excessively large and do not atrophy after childbirth, a breast reduction operation may be helpful. This operation is very similar to a breast lift, except that it involves removal of a portion of the breast tissue as well. Again, the scars that are created differ from patient to patient.
Breast Reduction Blog Topics:
- What is Juvenile Breast Hypertrophy?
- Breast Reduction in Massive Weight Loss patients.
- How does the Schnur Sliding Scale predict breast reduction amounts?
- Male Breast Reduction for Gynecomastia.
- Breast Cancer in Breast Reduction Specimens.
Breast Ptosis: A condition that exists when the nipple-areolar complex has fallen below the desired level. The degree varies from mild to moderate to severe.
Macromastia: This is the condition that exists when a woman’s breast become extremely large. Also know as breast hypertrophy, Macromastia can cause significant medical problems such as rashes underneath the breasts, shoulder grooving from the weight pulling down on bra straps, and decrease or loss of nipple sensation.
Tuberous Breast Deformity: Also known as Constricted Breast Deformity, this is a condition of underdevelopment of a portion of a breast. Typically the lower half of the breast is underdeveloped and does not grow commensurate with the remainder of the breast. As a result, the nipple-areolar complex and sometimes the upper portion of the breast is misshapen. This can also occur in different degrees. The method of correction will depend largely on the severity of the deformity.