“If your breasts have deflated and drooped, this operation may be for you.”
Common name – Breast Lift with Implant.
Technical name/also known as – Augmentation Mastopexy.
Benefits of a Breast Lift
Some women have low nipple position and stretched skin. This can be due to weight changes, pregnancy, or “genetics.” Many women are happy with the appearance of their breasts in a bra, but feel differently when the bra comes off. If you imagine a cup of cheerios in a sandwich sized Ziploc bag, then imagine a cup of cheerios in a gallon sized Ziploc bag, it looks as if there is less cereal in the gallon sized bag, even though the volume of cheerios is the same. The idea with a breast lift is that the breast skin is made smaller, giving the illusion of a larger breast even though breast volume does not change. The nipple is also brought into the correct position, giving an overall more pleasing shape to the breast.
How it is done
This surgery repositions the nipple to a higher position on the breast and removes excess skin. The areola is often made smaller. This surgery can sometimes be combined with a breast augmentation to make the breast larger in size. Two types of breast lift are offered: the inverted T or anchor scar or the vertical or lollipop scar. You will find which is right for you at your consultation.
The nipple position is corrected and the breast restored to a more youthful shape. This rejuvenation can be done without an implant, but size is not changed unless an implant is placed.
Permanent scars are a tradeoff. Sensation to the nipple can change. A drain may or may not be used.
Who pays for this
This is a cosmetic procedure, paid for by the patient.
My Post-Operative Bra Suggestions
Please click this link for suggested bras to be worn after surgery.
What to expect
Length of operation
3 hours (depending on the extent of procedure).
General anesthesia, you will be asleep and monitored the entire time.
In or out patient
Outpatient surgery, you will go home the same day.
The change in shape of the breast comes with a trade off for permanent scars. These are located around the areola (the colored skin around the nipple), vertically from the areola down to the fold, and may also include a scar in the fold itself. Nipple sensation may change or be absent after surgery. Women who want to breastfeed after this operation may be unsuccessful.
Risks of procedure
All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise. Risks include pain, bleeding, infection, damage to nearby structures, need for other procedures, recurrence of skin laxity, dissatisfaction with appearance, asymmetry, seroma, sensory changes including permanent loss of sensation, temporary or permanent changes in facial movement, wound healing delays requiring wound care, deep vein thrombosis, and pulmonary embolus. A complete list of risks will be discussed with you before surgery.
“I love seeing the change in women when they are happier with the reflection in the mirror. The changes can be seen inside and out.”
– Dr. Danielle DeLuca-Pytell
While we are under social distancing and shelter at-home instructions, I am offering virtual consultations for new patients interested in meeting with me.
You can do this from a computer (via an invitation) or a smartphone (via an invitation and the Google Meet app).
There are four parts to the consultation:
1. Arrange a consultation by phone or email,
2. Download the new patient forms. Click here.
After you fill them out, you can either fax or email them to me.
3. Once the consultation is arranged, a meeting invite will be sent to you with the link for the consultation. At our prearranged time, follow the link to our secure and private consultation.
There, you and I will have time to talk about your goals, medical history, and all about the procedure.
While the examination is limited to observation in two dimensions, I should be able to determine whether or not you are a candidate for surgery.
4. If you are indeed a surgical candidate, you will be contacted by Andrea, my patient coordinator, to get a surgical quote (or if insurance-based, your expected out of pocket costs), and an opportunity to hold a surgical date.
You will also be given a follow-up visit to confirm with your exam that you are a candidate and preoperative visit time for us to prepare you for surgery.
I hope to virtually see you soon!
Your Next Step!
Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.
Our phone number
Give our office a call Monday to Thursday, 9am to 5pm, Friday 9am to 3pm.
Our email address
Please also email us anytime with questions you have.
Quick Contact Form
Before and After Gallery
When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.
If healing proceeds as expected:
Rest at home (princess treatment) 2 weeks (no housework or exercise). Outsource housework a while you rest. Walk around the house, but do not work out. Rest with your head up and sleep with your neck extended (to avoid creasing) for the first two weeks.
Return to gentle exercise and household chores at two weeks, but no heavy lifting or strenuous activity for six weeks. May cover scars with makeup once scabs are gone. May resume work if it is sedentary. May color hair at three weeks after surgery.
Return to full activity 6 weeks after surgery.
Returning to Work
This depends on the type of work that you do. Many women can return to sedentary work at three to four weeks, though not everyone is ready to return to work by then. Surgery affects different people differently. If your work is more strenuous, six weeks off work may be needed.
Time until final appearance
6 months to one year.
Length of results
Should be long-lasting, but breasts can increase or decrease in size with weight changes. Pregnancy or other hormonal changes can also increase breast size. As time passes, elasticity worsens and skin can stretch giving the appearance of droop again. Changes with age are expected.
Smoking and Surgery
If you smoke, it is imperative that you quit six weeks both before and after surgery. To better understand why, please click this link:
This operation can be challenging as it is the right balance of making the breast bigger but the breast skin envelope smaller. Compared to each operation separately, augmentation mastopexy has a higher rate of complications.
It will take time for the breast size and shape to settle. I usually recommend waiting until at least 3 months after surgery to be sized and shop for new bras. A list of bras that can be worn after surgery are available here. The scars can stay red for up to a year after surgery then fade as time goes on. Scar care will be discussed.
if you color your hair, do so right before surgery as you will not be able to color your hair until three weeks following the procedure. Plan to bring a scarf with you to the hospital on the day of the procedure as well as dark glasses to camouflage your temporarily swollen appearance on leaving the hospital.
See what her patients have to say about their surgical experience.
Follow the link to read some of the many letters received by Dr. Danielle DeLuca-Pytell.
When you visit the office for your appointment, we will talk about the side effects and risks of this procedure.
You will have the chance to ask any questions you might have.
Don’t forget: it is your body! There is no such thing as a bad or silly question!