Breast Lift Sacramento
Many women in Sacramento, CA are considering a breast lift. Breast lifting, also known as mastopexy, is suggested for women whose breasts have become droopy over time. Weight fluctuations, pregnancy and breast-feeding, aging, and skin type can all affect the appearance of the breast. A nice, full breast that once sat higher on the chest can turn into a low-hanging, deflated breast that needs a bra at all times to look nice.
Many women tire of the need for push-up bras or other kinds of trapeze undergarments to keep their breasts up where they belong. They long for the ability to wear a strapless, halter, or spaghetti-strap little gown. They wish they felt more confident in their appearance when taking their bras off.
Sacramento plastic surgeon Dr. Debra Johnson understands the struggles women with saggy and deflated breasts go through. She offers breast lift to recreate a perky and youthful breast shape. Breast lift can be combined with breast implant placement, if a woman desires a larger breast or more impressive cleavage.
What Breast Lift Addresses
Breast lifting becomes necessary when the skin envelope is larger than the breast volume. This can occur as a result of genetics, aging, pregnancy, breast-feeding or weight fluctuations. If the position of the nipple is still relatively centered, then sometimes just filling the skin envelope with a breast implant will correct the deflation. However, when the position of the nipple has dropped too low, then the nipple will need to be re-positioned higher on the breast, and the excess skin will need to be removed. This removal of excess skin in a breast lift creates permanent scarring on the breast.
The amount of scarring depends on the skin/volume discrepancy. Women with a lot of extra skin and particularly low nipples usually require the most skin removal, and therefore have the most scarring. Women with just a slight droopiness to the nipples have much less scarring. It is important to listen to your surgeon with regard to the amount of scarring that will occur as part of making your breasts look their best. Sometimes women demand less scarring, and the result is not as good or long-lasting.
See Before and After Photos of Real Breast Lift Patient Results
Ideal Candidates for Breast Lift
Ideal candidates for breast lift are women who are bothered by one or more of the following:
- Sagging breasts and nipples that sit below the natural breast crease
- Deflated, shapeless or flat breasts due to weight fluctuations, pregnancy, nursing or aging
- Asymmetrical breasts
- Downward pointing nipples
- Stretched out or overly large areolas
In addition, candidates should be in good physical and mental health. They should also have reasonable expectations of the surgery, be accepting of the permanent scars necessary, and be aware of the potential risks and complications that are associated with breast lift.
Dr. Johnson meets with each patient individually to determine whether she is an appropriate candidate for breast lift. During your consultation, Dr. Johnson will perform a physical examination of your breasts, paying attention to your skin quality and elasticity. She will also ask you to describe what you don’t like about your breasts and your ideal outcome. Dr. Johnson will explain the breast lift procedure, including how to prepare for surgery and what to expect during recovery. She will answer any questions or concerns you may have regarding the procedure or your results.
Breast Lift with Implants
In women whose breasts have lost much of their upper fullness, sometimes the addition of a breast implant to the lifting procedure will improve the result by adding additional “cleavage” to the breast. This can usually be done at the same time as the breast lift.
Breast Lift Procedure
Breast lifting is usually performed under local anesthesia with sedation. The procedure can require two to three hours in the operating room. Breast lift typically requires an incision that begins around the areola and continues vertically down to the breast crease. Through this incision, the breast tissue is reshaped, tightened and elevated higher on the chest wall. Internal sutures may be used to support the newly shaped breast contour. Loose, stretched out skin is removed while the remaining skin is re-draped over the breast mound. Overly large or stretched out areolas are resized and if necessary, moved higher on the breast tissue for a more natural look.
Women with mild breast ptosis may be suitable candidates for donut mastopexy, also known as periareolar mastopexy. This involves a minimal incision technique that is confined to the area around the areola. Through this incision, the skin and tissue around the areola are tightened and the areola itself is repositioned. While this technique leaves less scarring, the results are not as comprehensive; therefore, donut mastopexy is not a suitable option for women with severe breast sag.
If a patient desires implants, they can be placed through the same incisions. Dr. Johnson can discuss the pros and cons of breast implants, either saline- or silicone-filled, at the time of your consultation, and you can decide if the addition of implants is right for you.
After Breast Lift Surgery
Dr. Johnson will provide you with a detailed list of instructions to follow during your recovery. Generally, patients need to take two weeks off from their normal routine (e.g., work, exercise) to heal well. Bruising, soreness and swelling are normal during the initial recovery period. These post-surgical effects subside over time. You will be placed in a soft bra at the end of your surgery and you will wear it until well-healed. Your breasts will take some time to achieve their final “look,” usually two to three months, but scars will require six to 12 months to soften and fade as much as they will. You should be careful with sun exposure for the first year after surgery, putting sunscreen on your breasts before you put on your bathing suit.
Barring further pregnancy or significant weight fluctuations, the breast lift should be fairly long-lasting. It is unusual for a woman to notice a return of significant “droopiness” to her breasts over time after breast lifting. However, it is still important to provide moderate support to the breasts by wearing a bra whenever you are standing up (except on the special occasions when you want to wear some spaghetti straps!). However, your new bra will certainly not need to be industrial-strength. Light support for the breasts will protect your investment and keep your breasts looking youthful longer.
Breast Lift Cost
The cost of breast lift varies patient by patient. The final cost of your breast lift procedure will be based on the details of your procedure, including the incision that will be used and whether implants will be placed. Dr. Johnson can provide you with an accurate cost of your breast lift procedure during an in-office consultation.
Breast Lift FAQs
What are the benefits of a breast lift?
Breast lift reverses sagging and restores a youthful profile by elevating the breasts on the chest. Sagging can occur as a result of pregnancy, changes in weight or simply the passage of time. Breast lift can also help restore symmetry, when ligaments have relaxed to a greater extent in one breast compared to the other. And, the procedure can return low or downward-pointing nipples to a natural position and appearance.
Will a lift increase the size of my breasts?
Increasing the size is not a primary goal, and because the surgery involves excision of loose skin and fat, your breasts may appear slightly smaller after the procedure. Because of this, many women choose to have breast implants placed in conjunction with breast lift.
What if I intend to have more children?
Pregnancy and nursing are two of the factors that cause the breasts to sag, and so it is a good idea to wait until you are reasonably sure you won’t have more children before having a breast lift.
Are the results permanent?
You’ve turned back the clock with your breast lift, but you haven’t stopped the normal processes of aging. You can be confident, however, that your breasts will look perky and youthful for a long time, in the absence of a new pregnancy or dramatic changes in weight. The smaller your breasts, the more likely that you’ll retain your youthful profile.
Will I have scars?
Breast lift involves an incision and removal of skin, so some scarring is inevitable. Dr. Johnson always uses the least invasive techniques, resulting in the shortest scars. For most breast lift procedures, there will be a scar around each areola and a vertical scar that reaches under the breast. She will discuss with you steps you can take during the recovery process to ensure that that your incisions heal quickly and cleanly, minimizing the appearance of scars.
What is recovery like?
The breasts may be tight, swollen and bruised for a few weeks, and it usually takes two to three months for the final shape to settle in. Scars will require 6-12 months to mature. During your recovery you can expect the usual discomforts of surgical recovery, including pain and sometimes localized numbness.
Dr. Johnson will prescribe medication to relieve pain, and provide guidance on ways to limit your physical activity. For example, you should not raise your arms, so even shampooing your hair is not advisable until the incisions heal. Sponge baths are a recommended alternative. At night, you’ll want to sleep on your back with pillows elevating your upper body.
Although you will need to avoid most physical stress, walking is recommended as a practical way to reduce your risk of developing a blood clot. Walking and drinking plenty of fluids can also help reduce swelling of the breasts.
Why Choose Dr. Debra Johnson for Breast Lift
Working with a qualified plastic surgeon is key to obtaining beautiful and successful results with breast lift. Dr. Johnson has established herself as a top plastic surgeon in Sacramento. Thousands of women who are unhappy with the shape and position of their breasts have turned to her for breast surgery. You can view her before-and-after gallery to see results from past breast lift patients.
Some of Dr. Johnson’s qualifications include:
- Board certified plastic surgeon
- Over 29 years of experience
- Former president of the American Society of Plastic Surgeons (the largest plastic surgery specialty organization in the world)
- Regularly trains other ASPS members on the latest and most advanced techniques
- Received the prestigious California Society of Plastic Surgeons Presidential Award for Exemplary Service
To learn more about breast lift or the other breast enhancement procedures Dr. Johnson offers, contact her Sacramento office. Please call (916) 929-1833 or email us today.