Breast Lift in Orlando, Florida
What is a Breast Lift?
Breast lift surgery is designed to improve the shape of sagging breasts, helping to restore a more youthful, perky contour and breast shape. For some women, the changes in the breast shape are a result of pregnancy, weight changes or simply time and gravity. For others, the breast shape has always tended to be droopy. By tightening the skin of the breast and re-positioning the nipple to a higher location, the breast lift procedure can create a more attractive breast shape. It’s important to realize the difference between breast augmentation and a breast lift. An augmentation uses an implant to increase the size and fullness of the breast. A breast lift does not use an implant. With a lift, the breast size stays approximately the same, but the breast gland is re-positioned above the level of the breast crease. A combination procedure of breast lift and breast implant can also be considered, particularly if the breasts have lost significant volume after pregnancy or weight loss, or if the round, full “implant look” is desired. Alternatively, if the breast size is a little on the large side, a size reduction can be performed at the time of the breast lift.
“Dr. Fiala is a Wonderful Doctor! This proceedure has been life changing! From our very first consult a few years ago, my Husband was so comfortable with Dr Fiala and the way he wanted to proceed with this surgery. He first deflated my old implants, and let my body heal itself, then he removed the old implants removed the scar tissue & repaired the right breast pocket. And then reduced and lifted the breasts. I am SO happy with the results ! I look thinner, Younger.” Read more of Dr. Fiala’s Testimonials here »
What kind of breast lifts does Fiala Aesthetics perform?
There are 3 main patterns of breast lift, depending on how much droop there is to correct. The one with the shortest scar is known as the “donut” lift, also called the Benelli or circumareolar lift. This design works for women who just need a minor degree of lift – about 1 – 1.5 inches, or who wish to have the areolar size reduced, if it is overly large. In this operation, there is no scar down the front of the breast, or in the crease. This lift is commonly combined with a breast augmentation, for women that would like a small degree of elevation of the nipple-areola at the time of their augmentation. Since it has the smallest incision, it is also the mildest of the lifting operations.
For intermediate cases, a “vertical mastopexy” is performed. This permits a greater degree of elevation and tightening of the breast than the donut lift. In this situation, the incision still goes around the nipple-areolar complex, but now extends down the front of the breast. There is no horizontal incision in the crease.
For cases where there is a lot of stretched-out breast skin, and high degrees of breast ptosis (droop), the traditional “inverted-T” mastopexy is used. This design includes the horizontal incision in the crease as well.
For patients with recurrent skin stretch after a prior lift, or thin, stretchy skin after a large amount of weight loss, Dr. Fiala may recommend the addition for Galaflex mesh to your lift, to help the lifting effect last much longer.
Additionally, if liposuction in the lateral chest area near the armpit is needed, this can usually be performed at the same time.
Not typically. Since the operation doesn’t involve any modification of the pectoral muscle, the recovery is usually quite quick. Patients are back to work after approximately one week. You will have to limit your activities until the incisions are well healed, especially for the first few weeks.
Yes. Dr. Fiala can remove a little bit of the breast tissue at the same time as performing the breast lift surgery. In some cases, liposuction of the breast can also be used for this purpose. Or, if you currently have breast implants, they can be removed or switched to a smaller size.
I’d like my breasts to be about a cup size larger, and also need a lift. Is this possible? What about fat grafting?
Yes. Fat grafting to the breasts can be performed, using fat that has been liposuctioned from another area. This can be used to give a one cup size increase. Alternatively, a small implant can be used. Implants tend to give more projection and upper pole fullness than fat grafts do. If you are looking for more fullness in the upper portion of the breast, you may wish to consider a small breast implant at the same time as your lift.
Unfortunately, time and gravity march on for all of us. Women who have stretchy tissue that allowed breast droop to develop in the first place will tend to have some recurrence of this over time. However, their breast shape is always better than if they had never had the operation, and better than their unoperated friends. Most women will have a significant improvement for between 5-10 years. A second surgery can be performed, if needed. Recently, Galaflex mesh has been shown to help prevent the skin in the lower portion of the breast from re-stretching. This can be placed when a full lift is performed.
Currently, there’s no skin-tightening method that works to tighten up the skin significantly without surgery. The breast lift, with or without implants or fat grafting, is the only available method for significant breast skin laxity. It’s definitely a trade-off: incisions for a perkier, uplifted shape. If you are very scar adverse, it may be better to not have surgery at this time.
Unfortunately, smoking of any sort – vaping, e-cigs, marijuana – significantly increases the risk of major complications. These can affect how the skin of the breast heals, and can lead to necrosis of tissue, wound infection and incision breakdown. It’s best to quit totally, for about 8 weeks prior to surgery.
I'd like to have a full breast lift along with my tummy tuck and flank liposuction? Is this possible?
Our general rule of thumb, for safety’s sake, is to try to keep the total length of anesthesia under 6 hours for body contouring cases. If the tummy tuck and liposuction would take about 4 hours, and the full breast lift might take 3-4 hours, for a total of 7 – 8 hours, then that’s really too much to do safely at one time. We would recommend dividing it up into two procedures.