Breast Lift in Tampa

Breast Lift in TampaBreast lift or mastopexy is a common cosmetic procedure performed at Marcadis Plastic Surgery and Medical Spa. At times, breast skin and ligaments become lax and sag and causing some to feel less confident especially with certain clothes, bathing suits, or in intimate situations.

A breast lift (mastopexy) can remove the excess lax tissues, elevate and reduce the diameter of the nipple-areola, and help give the breast tissue more support.

While some patients opt to do a breast lift (mastopexy) alone, other patients desire a breast lift and a breast augmentation (augmentation mastopexy). The augmentation of the procedure is designed to give the breast more fullness or to help reshape the breast. At times reducing the breast tissue can help achieve better symmetry or to improve the appearance of the breast.

There are many personal reasons for having a breast lift (mastopexy), but probably the most common reason is sagging of the breast after pregnancy and breast feeding. Other common reasons for having a breast lift includes weight loss, aging, or the appearance of sagging that happens during breast development.

Candidates for a breast lift (mastopexy) are women that have laxity and sag of the breast tissue or a low position of the nipple-areola on the breast. All breast lift (mastopexy) require scars on the breast that go around the areola possibly vertical under that areola, and possibly horizontally along the lower breast fold.

Breast Lift Consultation:

During your consultation, Dr. Marcadis will listen to your concerns and the outcome you want to achieve. Dr. Marcadis will also discuss the advantages and disadvantages of the procedure and will go over the incision site and scars. We know that having a breast lift (mastopexy) is a very personal decision therefore, it is important that Dr. Marcadis understand your goals, desires, and expectations during your consultation. He will discuss the procedure and risks of undergoing breast lift (mastopexy) surgery. Depending on your goals, Dr. Marcadis will discuss combining a breast augmentation and breast lift (mastopexy) to reduce and correct breast ptosis (sag) and increase breast volume with breast implants.

Pre-operative appointment:

At Marcadis Plastic Surgery and Medical Spa, we take our patient’s health very seriously. During your pre-operative appointment, we will review the breast lift procedure, your goals, and expectations, and discuss your care after surgery. At this appointment, we will again review your medical history and perform routine preoperative laboratory testing.

Breast lift procedure:

A breast lift (mastopexy) is an elective plastic surgery procedure that is done under a light general anesthesia. The skin is tightened around and below the nipple-areola and any excess skin is removed. This procedure is performed in our Joint Commission (JCAHO) accredited surgical facility. The actual procedure takes about 2 hours to perform. Anesthesia is provided by board certified anesthesiologists with many years of experience and on staff at major local hospitals.

Recovery after a breast lift / mastopexy:

Immediately after surgery, a support bra is placed on you. You may resume all your normal non-strenuous activities as soon as discomfort allows. Most of our patients resume to their work about 3-5 days post surgery. Most swelling will gradually dissipate over 6 weeks. We will continue to see you during your followup until healing is assured. All recovery expectations will be discussed during your initial consultation and at your pre-operative appointment.

Call (813) 878-0089 to schedule your consultation with Dr. Marcadis to determine if a breast lift (mastopexy) is right for you. At Marcadis Plastic Surgery and Medical Spa, we pride ourselves with over 20 years of experience, professionalism and personalized patient care. Dr. Marcadis is one of the most experienced board certified plastic surgeon in the area; he is well known in the Tampa Bay area including Clearwater, St. Petersburg, Sarasota, and Orlando.

Breast Lift – Mastopexy

Procedure, Risks and Limitations

Purpose: To lift and reshape the breasts to improve contour and appearance.

Goals: To reshape the breast skin envelope to produce more youthfully shaped, better positioned, breasts that appear natural and symmetric. To help with symmetry in breast reconstruction. Your goals should reflect realistic expectations as to what is possible to achieve with surgery.

Condition: Breast laxity or ptosis (pronounced tosis) may occur with pregnancy, weight loss, aging, or as the breasts develop at puberty. An excessively large skin envelope for the amount of breast tissue present and loss of ligament support causes breast ptosis. This disproportion of skin to breast tissue may be due to stretching of the skin around the breasts, a decrease in breast volume, or a combination of these factors. The breasts begin to drop from its normal position on the chest wall giving the breast shape a less youthful contour. As the skin stretches, the areola may stretch and enlarge, and the nipples which are usually positioned just at or a little above the breast crease may begin to descend or point downward. Breast laxity may also be present to a different degree in each breast and causing asymmetry or uneven breasts.

As the breasts begin to loose its shape, it may cause some to feel a distracting self-awareness about their appearance. Correction of breast ptosis may involve reducing the skin envelope (breast lift or mastopexy), adding to breast volume with implants (augmentation), or a combination of these two techniques (augmentation mastopexy). A breast lift can give the breasts a more pleasing shape allowing one to feel more confident about their appearance.

Technique:

General anesthesia – Outpatient procedure – approximately 3-4 hours.

Incisions around nipple/areola, down to crease and possibly under breast (T shaped). This varies with the amount of skin excess.

Remove excess skin, raise nipple – areola to tighten and reposition breasts. Insert implants if desired to increase volume.

Incisions sutured and surgical tape applied. Bra, dressings placed.

Limitations of procedure: Results of a breast lift may be limited by factors we cannot change.

Asymmetry is always present to some degree in everyone before and after surgery. Breasts will never be identical in size or shape.

Scars associated with breast lift are long, permanent and possibly may be quite noticeable out of clothing. Scar thickness is unpredictable.

Final breast position, shape or size cannot be guaranteed and may not have the exact appearance that you desire.

Surgery will not stop the aging process and your skin and breast support ligaments may continue to loose its elasticity. This is variable from person to person. Occasionally some patients will desire a second breast lift as tissues loosen with time.

A breast lift cannot eliminate all stretch marks.

Upper chest fullness and breast size will not be improved without implants.

Your goals for breast appearance may only be partially met.

Alternatives to breast lift:

Breast lift is a purely elective procedure and is not required for functional reasons.

After considering the risks/benefits you many decide that a breast lift surgery is not for you.

Support garments or a change in clothing style may give you the desired change in appearance without surgery.

Weight gain may modify or improve breast shape slightly.

Breast enlargement with an implant alone may improve mild degrees of breast sagging with fewer scars.

Breast lift may be combined with breast enlargement or breast reduction if you are an appropriate candidate.

Tradeoffs and Side Effects: Normally expected to occur to varying degrees with every breast lift:

Discomfort, bruising, and swelling.

Altered nipple sensation possible (usually temporary).

Scars – possibly large with unpredictable thickness.

Smaller areola diameter (usually desirable)

Firmness may be noted within breast tissue and usually improves.

Implants (if used) may cause additional problems including additional surgery for as long as you have the implants. Cost, restricted activities, potential for complications.

Cancer:

No known increase or decrease in cancer after breast lift.

Mammograms may be recommended before or after the operation to establish a baseline for later reference.

After surgery you should continue to have cancer checkups with your primary doctor.

Risks and possible complications: Although the complications associated with breast lift (mastopexy) are uncommon, all surgery carries some uncertainty and risk. In extremely rare instances this may even include death, disability and deformity. Most complications that develop will improve without treatment or are treatable.

Some complications may require additional surgery and cost to you.

The complications most specific to breast lift include but are not limited to:

Anesthesia risk – Administering of any type anesthesia required for surgery involves risk.

Delayed bleeding – New bleeding can occur for up to 10 days after surgery causing a pocket of blood (hematoma) to collect under the skin. This may require an immediate procedure to evacuate the blood. Late bleeding is associated with high blood pressure, anti-inflammatory medications (including aspirin), alcohol intake, exertion or straining after surgery.

Infection – Treatment with antibiotics or additional surgery may be necessary.

Delayed healing / skin necrosis – Incision separation or poor blood supply to the skin can cause delayed healing and increased scarring – requires dressing changes and possibly skin grafts. Fat necrosis may result in prolonged drainage and frequent dressing changes. Smokers have a greater risk of skin loss and wound healing problems.

Large and thickened scars – Thickness of the scars are unpredictable. Occasionally very thick hypertrophic or keloid scars can form requiring scar revision, scar injection, or other treatment with varying degrees of improvement.

Asymmetry – One breast will always be different than the other breast before and after the operation. Occasionally additional surgery may be desired for improved results.

Nipple areola changes – Temporary or permanent sensory changes or numbness of nipple can occur.

Implant complications (if used) – Includes: Capsular contracture  – up to 25% – May cause abnormal firmness, shifting of implant out of position and require additional surgery for best results. Implant deflation – requires surgical removal and replacement. Infection – requires antibiotics and possibly drainage and removal of implant. Implant rippling may be visible. Diagnosis of breast cancer may be delayed – can occur if appropriate mammograms are not obtained.

Unhappy with breast shape – Breast appearance may not be exactly what you desired preoperatively. This may be due to inherent limitations caused by your anatomy, skin characteristics, breast shape, overcorrection or undercorrection of skin envelope or nipple position, or to unrealistic expectations about what surgery can accomplish. Sometimes additional surgery can improve the results. Broad, not precise, appearance goals allow for the most successful surgical outcome.

* It is very important that during the preop consultation you are certain about the expected result and ask for additional information if you are uncertain.

* Even though the risks and complications noted above occur infrequently they are the ones that are specific to breast lift or are of the greatest concern. Other unforeseen risks and complications can occur.

* Any complications that develop can result in additional surgery, time off work, hospitalization, and expense to you. Additional surgery including touchups, revisions or complications requiring an operating facility would incur additional facility fees.

* Insurance may cover breast lift and complications in some instances. Preauthorization may be required prior to surgery.

* No guarantee – the practice of medicine and surgery is not an exact science; although good results are expected, there cannot be any guarantee, or warranty, expressed or implied, by anyone as to the results that may be obtained.

* Breast cancer screening after surgery remains the responsibility of your primary care physician.

Do not take anti-inflammatory medications such as aspirin, ibuprofen, naproxin, herbal medications or diet pills for at least 2 weeks before and after surgery to help avoid bleeding problems. Tylenol (acetaminophen) is permitted. If you are unsure about your medication, please check with us.

NO SMOKING or other tobacco or nicotine products for at least 2 weeks before and after surgery.

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