Breast Lift Surgeryin New York City

Breast droop is characterized and classified to four general types to aid in formulating the best breast lift technique:

• Glandular Ptosis Or Pseudoptosis
  The breast gland droops down below the inframammary fold, but the nipple-areola is positioned above the crease
• Grade I Ptosis
  Both the gland and nipple droop slightly below the breast crease
• Grade II Ptosis
  Gland and nipple droop more significantly below the crease
• Grade III Ptosis
  The most severe form, associated with the nipple-areola at the lowest aspect of the drooping breast

In addition to the positional factors listed above, these must all be considered when choosing the best breast lift approach:

• Breast skin inelasticity
• Areolar size
• Glandular density
• General breast shape
• Degree of deflation

In the mildest forms, a circumareolar mastopexy, with an incision confined to the areola, is appropriate.

In certain cases with more moderate droop where breast implants will also be used, the circumareolar approach may also be appropriate. In situations where the breast droop is moderate and additional shaping, elevation and restoration of projection are required, a circumvertical mastopexy, with a lollipop incision around the areola and a vertical line beneath it, will yield the most pleasing shape.

In cases of the most severe breast droop and deflation where the most "lifting" is required, a breast lift that employs a circular incision around the areola, a line progressing vertically to the crease, and a limited incision within the crease may be indicated. In any case, only the shortest incisional approach will be undertaken to achieve the desired results.

If additional breast volume is desired, particularly in the restoration of the breast upper pole in the region above the nipple that tends to deflate postpartum or after weight loss, a breast lift can be combined with breast augmentation with the simultaneous placement of breast implants to further enhance the breast shape and balance.

Areolar reduction is commonly performed with mastopexy or breast lift. The final areolar size is chosen to be proportional with the perkier more lifted breast shape and position.

Women with breast ptosis (droop) due to pregnancy, loss of breast volume following weight loss, or developmental shape or position issues are the best candidates for mastopexy for breast lift.

Short scar breast lift incisions are preferred. Incisions can be circumareolar, lollipop, or inverted T. The choice of incisions will be informed by the amount of lifting in the amount of skin tailoring required.

Most breast lift procedures do not have an effect on one’s ability to breastfeed.

Breast reduction and breast lift go hand in hand. A breast lift is almost always performed along with a breast reduction.

While sensory change is possible, areolar sensitivity decreases are less common after most breast lifts.

Breast lift using radio frequency assisted lipectomy (RFAL) technology, known as BodyTite (BreastTite) is a promising scarless technique. Compared with more classical surgical breast lift, the effects are much more modest.