Breasts can lose elasticity due to development, pregnancy, or weight loss. This loss can lead to breast lacking fullness and shape leading to sagging. Breast lift or mastopexy surgery is the procedure used to correct this. By tightening loose skin and shaping/removing droopy breast tissue the breast regains its firmer, perky appearance. Breast implants are often added to this surgery to obtain a more defined cleavage and fullness at the top of the breast.
There are several options for the lift or scar involved. This depends particularly on the amount of excess skin and the relative position of the nipple. In many instances the scar itself can be camouflaged by using permanent makeup.
As time passes, pregnancy, nursing, excessive weight loss and gravity have adverse effects on women's breasts causing them to lose their elasticity, firmness, and shape and begin to sag. A breast lift is a procedure that corrects this condition using a combination of removing excess breast skin. If desired, implants may be used to restore breasts to their natural shape and size.
The best candidates for a breast lift (Mastopexy) are healthy, women who are realistic about the result they would like to achieve. A breast lift can enhance your appearance and your self-confidence. The best results are achieved on women with small, sagging breasts due to loss of skin elasticity secondary to pregnancy and / or nursing, or weight loss.
Possible complications of the surgery include bleeding and infection following surgery, which may cause scars to widen, (poor healing and wider scars are common in smokers). The procedure can also leave you with different positioned nipples, or a change in feeling in the nipple or breast.
A breast lift, also called a "mastopexy," may be perfect for women whose breasts have lost their shape and firmness. If factors like pregnancy, nursing, and the force of gravity have caused your breasts to lose elasticity, you may be left with stretched skin and less volume. To learn which type of mastopexy technique is best for your condition, make an appointment with Dr. Hochstein for a consultation visit. During this time, he may suggest a crescent-shaped, anchor-shaped, or a Benelli lift variation to help bring your breasts to a more youthful appearance. (A lift is not considered permanent, considering that weight fluctuation and aging may naturally take a toll on its shape; however, it is still successful toward improving the condition of sagging breasts.)
Mastopexy can take up to four hours to complete. It is usually performed with general anesthesia, although it depends on the technique used. For women who show only mild signs of sagging, or what is called "ptosis," partial mastopexy may be all that is needed. This technique involves a crescent-shaped, or "S-shaped," incision above the areola; moving the nipple upward into a new location. But for Miami breast lift patients who possess severe signs of sagging, an anchor-shaped lift, or a mastopexy, may be the best bet. It is designed to actually create a new breast envelope through the repositioning of the nipple and the reshaping of the breast. Although a full mastopexy leaves patients with heavy scarring, it is the most-commonly performed procedure for women needing a dramatic lift. The anchor-shaped incision starts at the base of the areola and vertically descends to where the breast meets the rib cage; a horizontal crescent-shaped incision is then created where the breasts meets the rib cage, before it is sutured.
Similar to the crescent-shaped incision, the Benelli lift involves making an incision solely along the areola. It entails the removal of a donut-shaped piece of tissue around the areola border. Sometimes a little more tissue is removed above the areola to compensate for a lifting effect when it is sutured; comparable to the crescent. This may result in flatter and rounder breasts in the end. The Benelli-Lollipop lift is similar to the Benelli lift; however this technique may be more effective on women who have medium ptosis. With straight incisions that run from under the areolae to the breast crease, the lollipop is a good option for patients who may have too much sagging for the Benelli and not enough for a full mastopexy. In general, scars around the areola fade faster than in other areas like the breast crease.
Please feel free to contact our office if you have any questions about the benefits of breast lift surgery, or if you would like to make an appointment with Dr. Hochstein for a consultation visit.
Breast reduction surgery is an operation which not only improves appearance but also greatly improves the patient's quality of life. Women with large, sagging breasts develop neck, back, bra strap area pain which limits their ability to be active and enjoy life. Some patients even develop severe irritation underneath the breast.
After breast reduction surgery all of these symptoms are alleviated. Patients are able to exercise and be active. This makes weight loss easier and allows the ability to perform activities which were prohibited prior.
During breast reduction with lift surgery the excess droopy breast skin, fat, and breast tissue are removed and the remaining tissues are shaped to create a firmer, smaller, and better shaped breast with improved symmetry. The surgery is typically performed under general anesthesia and is not associated with significant postoperative pain and recovery should take no more than a week.
Due to various reasons, some men develop female-like breasts ("gynecomastia") as a result of excess tissue and fat in the chest area. This is oftentimes first noticed during the adolescent years when young men go through puberty. These individuals may feel insecure and/or embarrassed of this problem and refuse to remove their shirt when in public, such as at the beach or poolside.
Some of the common causes of gynecomastia include hormone imbalance, drug abuse, use of steroids, and certain prescription drugs. Also, it is important to note that gynecomastia is not only present in overweight men; it can also affect those who are otherwise in good physical shape.
Typically, men who experience gynecomastia attempt to reduce its appearance through diet and exercise; however, most of the time they end up making the appearance more evident due to the enlarged pectoralis muscle. In order to reduce the chest size, men opt to undergo a surgical procedure, "gynecomastia surgery" (male breast reduction surgery). This can involve liposuction to remove stubborn fatty tissue and/or excision of the tissue and skin.
During an initial consultation, Dr. Hochstein can thoroughly examine the patient and determine the most appropriate treatment.
There is a moderate amount of discomfort associated with the liposuction and excision of gynecomastia in men. It should be well controlled by oral pain medications and should be expcted to last 2-3 days. It is always a good idea to have someone drive you home and stay with you at least for he first night of surgery.
There is some bruising and swelling associated with this surgery. In fact early on you are likely to see no difference at all as the swelling more than makes up for the amounts removed. It is helpful to apply cooling packs for the first 48 hours and to avoid salt intake while drinking plenty of water. I usually instruct my patients not to see much of a change for the first 2 months and that the final result is not known until 6 months. This is a surgery with an extremely low complication rate but should be monitored for any fluid accumulation afterwards.
I like for my patients to resume normal activities as soon as they feel up to it. Resuming work can be done as early as the next day or the day after as the discomfort from this operation tends to be short lived. The stitches are all under the skin and dissolving so that within 3 weeks my patients are able to begin going to the gym to work out. You should also avoid exposing the scars to the sun for at least six months. Sunlight can permanently affect the skin's pigmentation, causing the scar to turn dark. If sun exposure is unavoidable, use a strong sun block. A good rule of thumb is that if the scars have not lost their pink color yet the sun should be avoided.
Miami Florida is home to world renown and board certified plastic surgeon Leonard M. Hochstein. Specializing in all forms of breast augmentation, breast reduction, breast lifts, and breast revision, Dr. Hochstein also specializes in delivering the service and quality you deserve.
Conveniently located 20 minutes South from Fort Lauderdale International Airport and 20 minutes North from Miami International Airport, Dr. Hochstein welcomes patients from as far away as Australia, Europe, Canada , South America, and the Caribbean.
This website was designed to keep patients up to date with the latest information and techniques regarding breast implants. Feel free to explore the site and return to see updates as they are made.
We also encourage you to visit Dr. Hochstein's other website www.lhochsteinmd.com for information concerning other procedures you may have interest in.
Leonard M. Hochstein, M.D.
585 NW 161st Street
Miami, FL 33169
Tel: (305) 931-3338
Fax: (305) 931-3324
Monday 9:30 - 5:30
Tuesday 9:30 - 5:30
Wednesday 9:30 - 5:30
Thursday 9:30 - 5:30
Friday 9:30 - 4:00
Dr. Hochstein is on call 24 Hrs a day.