Mastopexy Gallery

A mother of 2 in her mid-40s who is bothered by the asymmetry of her breasts and axillary lipodystrophy.  She is shown before and again, 18 months after left mastopexy and bilateral axillary liposuction.  Scars will typically continue to fade for 2 years or longer.

A 23 yo who is shown before and again, 7 ½ months after a cosmetic breast reduction.  She was a 36 D cup and had proems with neck and back pain,  She did not meet the criteria for coverage of her surgery from her insurance carrier and decided to proceed on a cosmetic basis. She is 5’5” and 160 lbs and had the removal of 190 grams of tissue from each breast to reduce her to a C cup.  Her symptoms have resolved and she is thrilled with her new shape and size.  Scars typically will become thicker and redder for 6 weeks and then will fade and improve over the next 2 years.  A superior pedicle/ inverted T scar was used.  The actual position of the nipple was raised very little with most of the “lift” being in the lower breast.

A woman in her later 30’s who is bothered by a deflated and drooping appearance of her breasts after pregnancy.  She is 5’  1 ½” and 120 lbs and is shown before and again, 2 months after partial subpectoral placement of 350 cc Sientra round smooth high strength gel high profile silicone implants combined with an inverted “T” mastopexy ( breast lift). Tattoos have been blurred for her privacy.

A woman in her early 50’s who had transaxillary placement of silicone gel implants with 325 cc high profile implants 10 years before by another plastic surgeon. She had gained a few pounds since that time and now sel that her 36 DDD cup is too large for her frame and wished to have her breasts reduced in size and lifted. She is shown before and again, 4 ½ months after removal of the breast implants along with the removal of another 262 gms from her right breast and 282 gms from her left breast to bring her down to a C cup.

A mother of 2 in her early 40’s who is bothered by a deflated appearance of her breasts after pregnancy. She described herself as a 34 A cup before surgery and wished to be a full B-C cup but still natural in appearance. She has breast ptosis, with her nipples being lower than her breast fold. She is shown before and again, 18 months after an augmentation mastopexy. She had Mentor high profile 325 cc silicone gel micro-textured implants placed in a dual plane position through an inframammary incision and combined with a periareolar round block mastopexy using a Gortex suture to prevent spreading of the areola.

Discussion: when the breasts are “loose” after pregnancy, a smooth implant is more likely to shift to the side. Although aggressive textures such as the Allergan texture have a higher association with Breast Implant associated anaplastic large cell lymphoma (BIA-ALCL) it is much less common in the less aggressively textured implants such as the Mentor and Sientra devices, and many surgeons feel that texture still has a place in decreasing the risk of implant shifting in carefully selected cases such as this. At 18 months, her implants have remained soft and stable and have not shifted laterally or inferiorly. She has maintained volume in her upper breasts.

A woman in her early 50’s who is bothered by drooping and the size of her breasts. She described herself as a 34 DD-G cup before surgery and had probems with grooving and irritation of the shoulders, back pain, a rash under the breasts in the warmer months, and difficulty exercising due to the size of her breasts. She is a runner and wished to be closer to a middle C cup. She also felt that her breasts were out of proportion to her frame and was a size 6 in pants and a size 10-14 in tops She is shown before and again, 7 ½ months after bilateral breast reduction including liposuction of mild lipodystrophy in her anterior axilla that would show in an off the shoulder dress. She is 5’ 7 ½ “ and 157 lbs and had a superior pedicle/ Short T scar techinique with the removal of 421 gms of tissue from her left breast and 381 gms of tissue from her right breast, along with Power assisted liposuction of the anterior axilla using the S. A.F.E. technique. Her symptoms have resolved and she is thrilled to be able to run without her breasts getting in the way. Scars will typically continue to fade and improve for 2 years or more after surgery.

A mother of one in her late 40’s who is bothered by a drooping appearance of her breasts as well as the size. She describes herself as a D cup and wished to be a C. She is shown before and again, 14 months after a mastopexy with the removal of around 200 gms of tissue from each breast to bring her down to a C cup, using a superior/medial pedicle and an short T scar technique.

A mother of 4 in her late 50’s who wears a 36D bra and is bothered by back and shoulder pain as well as feeling that her breasts are two big for her frame. She also has some fat deposition in her anterior axillary area. She is shown before and again, 4 ½ months after a superior medial pedicle breast reduction along with S.A.F.E. ( Suction Aspiration and fat equalization) liposuction of the axillary fat deposits (“axillary lipodystrophy”). We can expect her scars to continue to fade and improve for the next 20 months, but she is already thrilled with her new shape and size.

A mother of 3 in her early 40’s who has breast fed all 3 children and wants her breast to be fuller and less droopy- She still wishes to have a natural appearance and wants to look like her padded c cup bra that she wears now but without the padding. She is shown before and again, 7 months after a vertical mastopexy (“lollipop scar breast lift” ) and 350 cc round, textured, high profile silicone gel implants placed in a dual plane position. Texture was chosen to decrease shifting and dropping of the implants with time, but the implant company with the least aggressive texture (Mentor) was used to decrease the risk of possible problems seen with the more aggressive textures. “Dual plane” means that the implant is under the muscle above but just below the breast down below. This gives the benefits of a subglandular approach with the tendency of the implant to settle more with the breast but still giving the benefits of a subpectoral approach with better coverage of the implant above, lower risk of capsular contracture, easier to perform a mammogram, and better “aging” of the breasts. Her scars will typically continue to fade and improve for 2 years after surgery.