Breast Uplift (Mastopexy)
in Orange County; serving surrounding areas
including Newport Beach
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A breast uplift (mastopexy) is performed as an outpatient.
There are three basic types- either a crescent shaped
removal of breast skin only above the areola. This
I frequently perform in conjunction with a breast
enlargement in someone whose breast are ptotic (droopy
because of pregnancy or weight loss). Separately,
it can even be done under a local anesthetic in
the office. This
lifts the nipple-areola up to one inch only. It
does not reshape the breast. The scars usually heal
well but can be red, raised and spread and in a
small amount of the patients can even elongate the
areola.
The second, more extensive uplift is one that results
in a scar around the areola("donut uplift"). The
areola is marked smaller. This is performed under
general anesthesia administered by an MD anesthesiologist
as an outpatient. The main
negative is that this may result in a minimal uplift/reshaping
of the breast and may result in a flattening of
the breast with bad scars and stretched out areola.
The final or full uplift (mastopexy) results in
a scar at least around the areola, down the breast
and possibly even around it (like an anchor type
and as in a breast reduction). This is done as an
outpatient under general anesthesia administered
by an MD anesthesiologist.
Minimal breast tissue is removed and primarily skin
with reshaping of the breast and uplifting it. The
procedure takes about two hours and the patient
is placed into a bulky bandage for about five days
and then into a bra which she wears day and night
for two weeks.
Light activity is permitted after several days and
full activity after two weeks. The pain is usually
minimal.
The usual complications like infection, bleeding,
loss of sensation can occur but are minimal. Scarring
is the main negative and the scars heal well in
about 80% of the patients (flat, minimally spread
and white). In 20% though, the scars are red, raised
off the surface and the scars are spread.
Something can be done to minimize them though. Usually,
breast sensitivity or the ability to breast feed
is not interfered with.
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