Home » Breast Lift (Mastopexy)

Breast Lift (Mastopexy) in Houston, TX

From pregnancy and breastfeeding to weight fluctuations and aging, there are a number of reasons you may look in the mirror one day and realize that gravity has not been your friend. If it’s time to seek help, Christopher Hankins, MD and Premier Plastic Surgery will restore breast volume and lift with mastopexy surgery. Our office happily serves the residents of Houston, Pearland, Lake Jackson and the surrounding areas of South Houston.

Many women experience deflation and ptosis of their breasts as a result of the aging process or pregnancy. If the loss of breast volume is causing you to be uncomfortable with your appearance, either an augmentation with an appropriately selected breast implant or a breast lift (mastopexy) is an excellent cosmetic surgical procedure. If you are one of the many women who feel uncomfortable about the loss of breast volume (fullness), sagging breasts, drooping breasts, or the size or symmetry of your breasts and are looking for a cosmetic surgical solution, Dr. Hankins can help.

In the before and after section of the website, you will see several patients who have had their breast deflation and ptosis corrected with an appropriately selected breast implant only.  There are many women who do not want any scars on their breasts and as a result, receive breast augmentation only. Other women do not desire to be augmented at all and are treated with a breast lift procedure only.  Still others fall somewhere in between and may be treated with augmentation mastopexy. Every case is unique and treatment is therefore tailored to the patient’s goals and desires.

Who is a Candidate for Breast Lift Surgery?

At Premier Plastic Surgery, Dr. Hankins’ patients typically desire breast lift (mastopexy) surgery due to:

  • Loss of breast volume and sagging due to aging
  • Loss of breast volume and sagging due to pregnancy
  • Loss of breast volume and sagging due to breastfeeding
  • Improvements in self-confidence and body image

In younger women, the breast is shaped so the nipple is at or slightly higher than the crease below the breast, the inframammary fold. The upper surface of the breast has a gentle concave contour, whereas the bottom of the breast in profile has a convex contour. There is ample fullness in the upper pole of the breasts.

During pregnancy and in the postpartum period, the breasts swell to produce milk, which results in stretching of the ligaments which attach the dermis (skin/tissue) of the breast to the pectoralis fascia, or the connective tissue layer immediately above the pectoralis major muscle.

Reduction in the size of the breasts occurs as the fatty tissue and glandular component of the breasts involutes following discontinuance of breastfeeding. With shrinkage of the underlying tissue of the breasts, the skin envelope becomes deflated, resulting in a progressive descent of the position of the nipple with respect to the chest wall. When the position of the nipple falls below the inframammary fold, a condition known as ptosis develops. Depending on the degree of tissue loss and skin laxity, the volume deficit may be compensated for with an implant. Or, in more severe cases, excision of the excess skin either with or without an implant.

If you are concerned about any of these conditions affecting your breasts, schedule a breast lift consultation with Dr. Hankins.

Breast Lift Surgical Approaches

There are a number of surgical approaches for a breast lift, or mastopexy, procedure. Dr. Hankins will examine you and discuss the best approach to correct and improve your breasts and restore them to their original shape and position on your chest wall.

Slight Drooping

Correction of this deformity is highly individualized according to the needs of the patient. In the case of slight drooping of the breast, a breast augmentation may be needed to restore the fullness in the upper pole of the breasts. (See breast augmentation for more information).

Extreme Drooping

For breasts that are extremely droopy, a reduction of the breast envelope must be carried out to restore a pleasing shape to the breasts. Each patient is different and a customized approach to restore the patient’s breasts to their original shape will be planned. If a breast reduction is needed, Dr. Hankins will discuss this procedure with you. To learn more, see breast reduction surgery.

Incision Types

Breast Lift PearlandDr. Hankins can perform mastopexy with a variety of techniques. These options include:

  • Lollipop Lift: The most common approach creates a circular incision around the areola and a vertical line down to the lower breast crease.
  • Anchor Lift: Beginning with a lollipop lift, anchor lift uses an additional horizontal incision along the lower breast crease to tackle more severe breast sagging. This is the most common type that we perform.
  • Donut (or Benelli) Lift: This is a less invasive approach to breast lift that prioritizes raising the position of the areola while tightening some breast skin. However, the trade off is that the breasts can appear flatter.
  • Crescent Lift: The incision is restricted to the perimeter of the top half of the areola. It is only recommended to patients with early or mild breast sagging. It can elevate the nipple areolar complex 1 – 2 cm.

Breast Lift Recovery

Mastopexy is an outpatient procedure. You should prioritize resting and relaxing for the first few days until you feel well enough to resume normal activities. You can return to work one to two weeks later. After surgery, you will receive a compression garment that you should wear at almost all times. Not only does this help to hold your breasts in their new position, it also significantly reduces swelling and bruising for an accelerated healing time. Some patients may require drains to expel excess fluids.

Take prescribed pain medication as necessary to manage lingering discomfort. Although Dr. Hankins schedules follow-up appointments to check on your progress, the stitches are dissolvable, so they do not need to be removed.

Breast Lift Testimonials

Dr. Hankins and his entire staff are absolutely phenomenal. I lost 115 lbs after having gastric sleeve surgery 6 years ago and I’ve had two children. I was in desperate need of a “mommy makeover” my breast were literally skin flaps and I had so much excess skin in my abdomen from the weight loss. I was truly depressed because I worked so hard to lose weight but still wasn’t comfortable looking at my body in the mirror. Dr. Hankins performed a breast lift with no implants and a tummy tuck and the results have been life changing. I am no longer suffering with self image issues. His attention to detail and beside manner made me so comfortable and Jean and other staff members were readily available at any time to answer any and all questions I had.

Breast Lift Costs

The price of breast lift depends on the extent of the breast drooping, the techniques used to lift the breasts, and whether the procedure is combined with other surgeries. Dr. Hankins can provide a complete quote after examining your breasts and listening to your preferences during a consultation. Because breast lift is an elective surgery, it is not covered by health insurance plans, but we do accept financing plans to help you pay for your surgery in installments.

Breast Lift FAQs

Will my breasts look bigger after breast lift?

In a word, no. The purpose of a breast lift is to elevate your existing breast tissue to achieve a more youthful presentation and appealing shape. The size of your breasts will not change, however. If you are interested in increasing your breasts’ volume in addition to lifting them, Dr. Hankins can combine breast augmentation with breast lift for amazing results.

When will I see the results of my breast lift?

As soon as the dressings are removed, you will be able to see the results from your breast lift. However the final results will not be manifest for several weeks thereafter, allowing for the total resolution of postoperative swelling. The scarring process normally stabilizes at 6-12 months at which point the scar reaches a point of tissue equilibrium. We have a post surgical scar protocol in place that patients can take as an additional option in their postoperative care which helps minimizes the appearance of the scars. This typically starts at two weeks post operatively.

Can a breast lift be done with breast augmentation?

Yes, this procedure is known as an augmentation mastopexy in medical terms. This is a very common procedure the implant is used to restore upper pole fullness to that breast to address changes of the breast profile that commonly occur in postpartum women. The vast majority of cases, this can be done as one stage however in complex cases sometimes this needs to be done as a two-stage procedure. A limiting factor in how large of an implant can be used is the necessity for the ability to remove redundant skin in order to left of the breast. In the case that the implant is so large that the skin envelope is completely stretched out with no tissue redundancy, it is not possible to lift the breasts. We emphasized that during the patient’s consultation so if they want really large implants it may not be possible to perform a mastopexy at the same time. In the case that the patient once a left with an implant, and Celexa a large size, we tell the patient that we will place the largest implant that can be inserted into the breast pocket after the skin envelope is reduced.

Does a breast lift leave scars?

Yes, a breast lift normally leaves a circular scar around the areola as well as a vertical scar. The scar in the inframammary fold below the breast can either range from a few centimeters to several centimeters depending on the amount of redundant skin.

How painful is a breast lift?

Because we use anesthesia during the procedure, you won\u2019t feel any pain at all. During the recovery process, you may feel some discomfort but this is readily controlled with pain medications that we prescribe for our patients. Gentle tissue handling, as is practiced by Dr. Hankins, helps to minimize postoperative pain and discomfot.

What should I avoid after my breast lift procedure?

After your breast lift, you will want to avoid strenuous activity and heavy lifting for the first six weeks. You\u2019ll also want to avoid sleeping on your stomach, smoking, and drinking alcohol or eating junk food. The impact of a good healthy diet, adequate sleep and in general taking good care of yourself cannot be over emphasized.

How soon after pregnancy can I have a breast lift?

A good with him in 6 months after cessation of pregnancy and when there was no longer any milk flow. If there is persistent milk flow, this can be treated by her primary care physician to bring this under control prior to surgery. To proceed with surgery would place the patient at an increased risk of infection. As this is an elective procedure no avoidable risk is worth taking.

Should I expect to have scarring after breast lift?

Because incisions are necessary to perform breast lift, you should expect to have some scarring following the surgery. Fortunately, Dr. Hankins takes a gentle, deliberate approach to surgery, using techniques that are known to result in scars that become faint with time. He also positions incisions around natural lines and folds where they hide easily. Most women agree that having perkier, higher breasts is worth the mild scarring.

How should I prepare before my breast lift?

As with any surgery, maintaining or losing weight as specified at your visit, maintaining a good healthy diet, avoidance of smoking for 6 weeks before and after surgery and avoidance of alcohol and junk food. The impact of taking good care of yourself such as getting proper rest and exercise cannot be over emphasized. After surgery, weight training should be avoided for six weeks after surgery, but walking is both permitted and encouraged.

How long do breast lift results last?

Most of Dr. Hankins’ patients can expect to see the results of breast lift surgery for 10 or more years. While breast lift can reverse the signs of aging, it cannot stop the aging process altogether. Eventually, breast skin gets looser and drooping resumes. So long as you are still a good candidate for elective surgery, you can choose to repeat the surgery in the future to re-elevate your breasts. It is advisable to wear a bra to maximize the longevity of the procedure as gravity works 24/7/365.

How long does a breast lift take?

The whole procedure takes between two to three hours. After that, you will be taken to the recovery room to be gently woken up from anesthesia.

Am I a good candidate for a breast lift?

The only way to conclusively make that determination is on the basis of a history and physical examination. In general terms, if the BMI of the patient is appropriate, the skin quality and soft tissue are good, you can reasonably expect a good result from a breast lift. If the tissue quality is poor, the longevity of the results may be shortened. This can be helped with the addition of an absorbable mesh that acts as a hammock for the breast tissue that is repositioned.

Are there different types of breast lift techniques?

Yes, these vary primarily by the scarring pattern and the pedicle of tissue that supports the nipple areolar complex. Those patients with a minimum of excess skin may be able to qualify for a vertical scar procedure whereas those with a greater degree of skin redundancy will require a typical Wise ( keyhole pattern or anchor scar) for removal of the excess skin and proper repositioning of the breast tissues. Some surgeons have attempted to apply a vertical scar breast lift to patients with excess skin and this results of gathering of skin below the breast, which is less than ideal. In the case that a Wise pattern is required, the horizontal scar in most instances is hidden beneath the breast itself along the inframammary fold. Dr. Hankins will examine your breasts and determine the right procedure for you.

Home » Breast Lift (Mastopexy)

Breast Lift (Mastopexy) in Houston, TX

From pregnancy and breastfeeding to weight fluctuations and aging, there are a number of reasons you may look in the mirror one day and realize that gravity has not been your friend. If it’s time to seek help, Christopher Hankins, MD and Premier Plastic Surgery will restore breast volume and lift with mastopexy surgery. Our office happily serves the residents of Houston, Pearland, Lake Jackson and the surrounding areas of South Houston.

Many women experience deflation and ptosis of their breasts as a result of the aging process or pregnancy. If the loss of breast volume is causing you to be uncomfortable with your appearance, either an augmentation with an appropriately selected breast implant or a breast lift (mastopexy) is an excellent cosmetic surgical procedure. If you are one of the many women who feel uncomfortable about the loss of breast volume (fullness), sagging breasts, drooping breasts, or the size or symmetry of your breasts and are looking for a cosmetic surgical solution, Dr. Hankins can help.

In the before and after section of the website, you will see several patients who have had their breast deflation and ptosis corrected with an appropriately selected breast implant only.  There are many women who do not want any scars on their breasts and as a result, receive breast augmentation only. Other women do not desire to be augmented at all and are treated with a breast lift procedure only.  Still others fall somewhere in between and may be treated with augmentation mastopexy. Every case is unique and treatment is therefore tailored to the patient’s goals and desires.

Who is a Candidate for Breast Lift Surgery?

At Premier Plastic Surgery, Dr. Hankins’ patients typically desire breast lift (mastopexy) surgery due to:

  • Loss of breast volume and sagging due to aging
  • Loss of breast volume and sagging due to pregnancy
  • Loss of breast volume and sagging due to breastfeeding
  • Improvements in self-confidence and body image

In younger women, the breast is shaped so the nipple is at or slightly higher than the crease below the breast, the inframammary fold. The upper surface of the breast has a gentle concave contour, whereas the bottom of the breast in profile has a convex contour. There is ample fullness in the upper pole of the breasts.

During pregnancy and in the postpartum period, the breasts swell to produce milk, which results in stretching of the ligaments which attach the dermis (skin/tissue) of the breast to the pectoralis fascia, or the connective tissue layer immediately above the pectoralis major muscle.

Reduction in the size of the breasts occurs as the fatty tissue and glandular component of the breasts involutes following discontinuance of breastfeeding. With shrinkage of the underlying tissue of the breasts, the skin envelope becomes deflated, resulting in a progressive descent of the position of the nipple with respect to the chest wall. When the position of the nipple falls below the inframammary fold, a condition known as ptosis develops. Depending on the degree of tissue loss and skin laxity, the volume deficit may be compensated for with an implant. Or, in more severe cases, excision of the excess skin either with or without an implant.

If you are concerned about any of these conditions affecting your breasts, schedule a breast lift consultation with Dr. Hankins.

Breast Lift Surgical Approaches

There are a number of surgical approaches for a breast lift, or mastopexy, procedure. Dr. Hankins will examine you and discuss the best approach to correct and improve your breasts and restore them to their original shape and position on your chest wall.

Slight Drooping

Correction of this deformity is highly individualized according to the needs of the patient. In the case of slight drooping of the breast, a breast augmentation may be needed to restore the fullness in the upper pole of the breasts. (See breast augmentation for more information).

Extreme Drooping

For breasts that are extremely droopy, a reduction of the breast envelope must be carried out to restore a pleasing shape to the breasts. Each patient is different and a customized approach to restore the patient’s breasts to their original shape will be planned. If a breast reduction is needed, Dr. Hankins will discuss this procedure with you. To learn more, see breast reduction surgery.

Incision Types

Breast Lift PearlandDr. Hankins can perform mastopexy with a variety of techniques. These options include:

  • Lollipop Lift: The most common approach creates a circular incision around the areola and a vertical line down to the lower breast crease.
  • Anchor Lift: Beginning with a lollipop lift, anchor lift uses an additional horizontal incision along the lower breast crease to tackle more severe breast sagging. This is the most common type that we perform.
  • Donut (or Benelli) Lift: This is a less invasive approach to breast lift that prioritizes raising the position of the areola while tightening some breast skin. However, the trade off is that the breasts can appear flatter.
  • Crescent Lift: The incision is restricted to the perimeter of the top half of the areola. It is only recommended to patients with early or mild breast sagging. It can elevate the nipple areolar complex 1 – 2 cm.

Breast Lift Recovery

Mastopexy is an outpatient procedure. You should prioritize resting and relaxing for the first few days until you feel well enough to resume normal activities. You can return to work one to two weeks later. After surgery, you will receive a compression garment that you should wear at almost all times. Not only does this help to hold your breasts in their new position, it also significantly reduces swelling and bruising for an accelerated healing time. Some patients may require drains to expel excess fluids.

Take prescribed pain medication as necessary to manage lingering discomfort. Although Dr. Hankins schedules follow-up appointments to check on your progress, the stitches are dissolvable, so they do not need to be removed.

Breast Lift Testimonials

Dr. Hankins and his entire staff are absolutely phenomenal. I lost 115 lbs after having gastric sleeve surgery 6 years ago and I’ve had two children. I was in desperate need of a “mommy makeover” my breast were literally skin flaps and I had so much excess skin in my abdomen from the weight loss. I was truly depressed because I worked so hard to lose weight but still wasn’t comfortable looking at my body in the mirror. Dr. Hankins performed a breast lift with no implants and a tummy tuck and the results have been life changing. I am no longer suffering with self image issues. His attention to detail and beside manner made me so comfortable and Jean and other staff members were readily available at any time to answer any and all questions I had.

Breast Lift Costs

The price of breast lift depends on the extent of the breast drooping, the techniques used to lift the breasts, and whether the procedure is combined with other surgeries. Dr. Hankins can provide a complete quote after examining your breasts and listening to your preferences during a consultation. Because breast lift is an elective surgery, it is not covered by health insurance plans, but we do accept financing plans to help you pay for your surgery in installments.

Breast Lift FAQs

Will my breasts look bigger after breast lift?

In a word, no. The purpose of a breast lift is to elevate your existing breast tissue to achieve a more youthful presentation and appealing shape. The size of your breasts will not change, however. If you are interested in increasing your breasts’ volume in addition to lifting them, Dr. Hankins can combine breast augmentation with breast lift for amazing results.

When will I see the results of my breast lift?

As soon as the dressings are removed, you will be able to see the results from your breast lift. However the final results will not be manifest for several weeks thereafter, allowing for the total resolution of postoperative swelling. The scarring process normally stabilizes at 6-12 months at which point the scar reaches a point of tissue equilibrium. We have a post surgical scar protocol in place that patients can take as an additional option in their postoperative care which helps minimizes the appearance of the scars. This typically starts at two weeks post operatively.

Can a breast lift be done with breast augmentation?

Yes, this procedure is known as an augmentation mastopexy in medical terms. This is a very common procedure the implant is used to restore upper pole fullness to that breast to address changes of the breast profile that commonly occur in postpartum women. The vast majority of cases, this can be done as one stage however in complex cases sometimes this needs to be done as a two-stage procedure. A limiting factor in how large of an implant can be used is the necessity for the ability to remove redundant skin in order to left of the breast. In the case that the implant is so large that the skin envelope is completely stretched out with no tissue redundancy, it is not possible to lift the breasts. We emphasized that during the patient’s consultation so if they want really large implants it may not be possible to perform a mastopexy at the same time. In the case that the patient once a left with an implant, and Celexa a large size, we tell the patient that we will place the largest implant that can be inserted into the breast pocket after the skin envelope is reduced.

Does a breast lift leave scars?

Yes, a breast lift normally leaves a circular scar around the areola as well as a vertical scar. The scar in the inframammary fold below the breast can either range from a few centimeters to several centimeters depending on the amount of redundant skin.

How painful is a breast lift?

Because we use anesthesia during the procedure, you won\u2019t feel any pain at all. During the recovery process, you may feel some discomfort but this is readily controlled with pain medications that we prescribe for our patients. Gentle tissue handling, as is practiced by Dr. Hankins, helps to minimize postoperative pain and discomfot.

What should I avoid after my breast lift procedure?

After your breast lift, you will want to avoid strenuous activity and heavy lifting for the first six weeks. You\u2019ll also want to avoid sleeping on your stomach, smoking, and drinking alcohol or eating junk food. The impact of a good healthy diet, adequate sleep and in general taking good care of yourself cannot be over emphasized.

How soon after pregnancy can I have a breast lift?

A good with him in 6 months after cessation of pregnancy and when there was no longer any milk flow. If there is persistent milk flow, this can be treated by her primary care physician to bring this under control prior to surgery. To proceed with surgery would place the patient at an increased risk of infection. As this is an elective procedure no avoidable risk is worth taking.

Should I expect to have scarring after breast lift?

Because incisions are necessary to perform breast lift, you should expect to have some scarring following the surgery. Fortunately, Dr. Hankins takes a gentle, deliberate approach to surgery, using techniques that are known to result in scars that become faint with time. He also positions incisions around natural lines and folds where they hide easily. Most women agree that having perkier, higher breasts is worth the mild scarring.

How should I prepare before my breast lift?

As with any surgery, maintaining or losing weight as specified at your visit, maintaining a good healthy diet, avoidance of smoking for 6 weeks before and after surgery and avoidance of alcohol and junk food. The impact of taking good care of yourself such as getting proper rest and exercise cannot be over emphasized. After surgery, weight training should be avoided for six weeks after surgery, but walking is both permitted and encouraged.

How long do breast lift results last?

Most of Dr. Hankins’ patients can expect to see the results of breast lift surgery for 10 or more years. While breast lift can reverse the signs of aging, it cannot stop the aging process altogether. Eventually, breast skin gets looser and drooping resumes. So long as you are still a good candidate for elective surgery, you can choose to repeat the surgery in the future to re-elevate your breasts. It is advisable to wear a bra to maximize the longevity of the procedure as gravity works 24/7/365.

How long does a breast lift take?

The whole procedure takes between two to three hours. After that, you will be taken to the recovery room to be gently woken up from anesthesia.

Am I a good candidate for a breast lift?

The only way to conclusively make that determination is on the basis of a history and physical examination. In general terms, if the BMI of the patient is appropriate, the skin quality and soft tissue are good, you can reasonably expect a good result from a breast lift. If the tissue quality is poor, the longevity of the results may be shortened. This can be helped with the addition of an absorbable mesh that acts as a hammock for the breast tissue that is repositioned.

Are there different types of breast lift techniques?

Yes, these vary primarily by the scarring pattern and the pedicle of tissue that supports the nipple areolar complex. Those patients with a minimum of excess skin may be able to qualify for a vertical scar procedure whereas those with a greater degree of skin redundancy will require a typical Wise ( keyhole pattern or anchor scar) for removal of the excess skin and proper repositioning of the breast tissues. Some surgeons have attempted to apply a vertical scar breast lift to patients with excess skin and this results of gathering of skin below the breast, which is less than ideal. In the case that a Wise pattern is required, the horizontal scar in most instances is hidden beneath the breast itself along the inframammary fold. Dr. Hankins will examine your breasts and determine the right procedure for you.

SCHEDULE CONSULTATION

-->