Women from Santa Monica, Los Angeles, throughout Southern California and across the country come to me for breast lift surgery when they want to restore a youthful shape to sagging breasts. Aging and gravity cause the natural suspensory ligaments of the breasts to stretch, which can lead to sagging, even for those with smaller breasts. Breastfeeding can cause the internal breast tissues to shrink, which can leave the breasts flatter and droopier, and weight loss can also produce a deflated breast appearance. All of these problems are addressed by a breast lift, or mastopexy, which not only lifts, but reshapes the breasts.
If you live in or around Santa Monica and breast lift surgery is something you're considering, I am happy to meet with you and answer all of your questions. Request a consultation or call my office at (310) 576-3635 to schedule your appointment.
This patient in her 50's presented to my office wanting fuller and perkier breasts. Since she had naturally fuller breasts and did not want a huge size increase, I recommended fat grafting instead of implants for a natural and low-maintenance result.I performed a vertical...
This patient is a 39 year old female who was seen for breast augmentation, a breast lift and abdominoplasty. I recommended fat grafting to the breasts instead of implants as she had a fair amount of breast tissue already, and fat grafting to the upper breasts would be a low maintenance way t...
After multiple pregnancies and previous breast surgery by another surgeon, this 37-year-old woman came to my office for corrective surgery. I recommended a Mommy Makeover procedure that included complex breast revision surgery and a tummy tuck with power-assisted liposuction of the flan...
This patient, age 50, came to my practice because she was interested in breast and body procedures that could improve her appearance after pregnancy and weight loss. She did not want to lose breast size, but was interested in reshaping.I performed a personalized Mommy Makeover procedure that incl...
This patient, age 44, returned to my practice for a tummy tuck after her positive experience with corrective breast surgery. For this procedure, I performed a full tummy tuck that included tightening of the abdominal muscles. I enjoy renewing my patients' bodies after pregnancy with...
Every breast lift I perform is customized to meet the physical, emotional, and lifestyle needs of the patient. I spend a great deal of time in consultation thoroughly going over all aspects of the surgery, to be sure that the woman understands her options, and to guide her in making the best choices for her desired outcome.
Breast lift surgery helps women to once again feel confident about their breasts, often after a long period of feeling self-conscious. Many women, particularly mothers, will combine their breast lift surgery with a tummy tuck (abdominoplasty) to correct sagging and laxity in the abdomen. Another common combination is breast augmentation and breast lift, for women who want larger, as well as perkier breasts.
Watch as Dr. Cohen answers common questions about breast lift. Including average recovery time and incision types. Watch Video
Each different patient will require a different amount of lifting to restore her breasts to the ideal shape and position. Other variables include the amount of remaining breast tissue, the elasticity of the skin, and the size and position of the areolas. Please note that all of the techniques I use keeps the nipple and areola completely attached to the underlying breast tissue. Although it can rarely be necessary in the most extreme cases, I have never removed a nipple as a free nipple graft during my years in private practice.
For some women with minimal sagging, conical shaped breasts, or oversized areolas, I can add an implant and remove a modest circle of skin from around the border of the areola to achieve the desired results. This is called a peri-areolar or circumareolar mastopexy, and can be a great, minimally scarring technique in the right patients. If it is used inappropriately, where a more extensive technique is necessary, it can lead to distortion of the breast or worsening of the areolar scars. It is important to have an experienced surgeon who knows when (and when not) to use a circumareolar mastopexy.
For patients with more extensive drooping, I may have to do a much greater degree of tailoring of the skin and underlying tissue to create a round, youthful, uplifted breast. This usually involves an incision which encircles the areola, then descends vertically to the breast fold, sometimes called a lollipop incision. If even more skin removal is necessary for the best breast shape, a scar under the breast might be necessary as well, resulting in an “anchor” or “inverted-T” scar.
If a patient has enough breast tissue already, I can perform these procedures without implants. If the patient desires to be larger or has too little tissue for an optimal result, more volume can be added with an implant, or in certain cases fat grafting is also an option. Fat grafting to the breast involves removing fat with liposuction from an area of the body where it is not wanted, processing the fat to remove impurities, and re-injecting the fat into the breasts to give them extra fullness and soft tissue padding.
As mentioned above, when a woman's breast tissue has shrunk significantly, or she had little native tissue to begin with, a breast implant may be placed during the breast lift to create the desired volume and shape. This procedure is called an augmentation-mastopexy, and combines breast lift and breast augmentation techniques. Patients with diminished tissue can also choose to undergo a fat grafting procedure, during which I can remove unwanted fat from another area of the body and use it to add fullness to the upper breast.
If a patient has asymmetrical breasts, or is larger than she wants to be, tissue can be removed at the time of the lift. This is generally a more modest version of a breast reduction, and usually leaves the majority of breast tissue intact.
If the tissues are thin or weak, I may recommend the use of Strattice™ or Seri®, which are soft tissue reinforcement materials that provides support and can help maintain results.
After surgery, most women can get back to light activities and office work within a week. I provide detailed information about the surgery, aftercare, and resuming specific activities at the pre-op appointment.