Breast lifts are often requested by patients after weight loss, breast feeding, age-related progressing breast sagginess, or because of poor connective tissue strength. A breast lift, or also called mastopexy, corrects ptosis (sagging/drooping) of the breast. Most women seeking a breast lift are looking for natural, youthfully shaped, and appropriately sized breasts, which are similar in shape and appearance to what they used to have when they were younger, or before pregnancy. Although the cup size of your breast will not change (unless you request this) your breast shape, and its enhanced projection will make it appear more youthful. A breast lift can either be performed as a single procedure or in combination with a breast reduction or breast augmentation.
AM I A CANDIDATE FOR A BREAST LIFT?
Patients requesting a breast lift seek out the procedure to enhance the appearance of the breasts for the following reasons:
breast volume loss after pregnancy or breastfeeding
breast volume loss and sagginess from weight changes
age related ptosis of breasts
improvement of loss of elasticity
improving elasticity loss and shape
Sometimes a lift might be required in addition to a breast augmentation to achieve
the shape a patient is looking for. Patients who are looking for an upper pole fullness of
their breast, might be unhappy with the result post-operatively since the breast lift could not achieve the fullness they desired. These patients may benefit from a combined procedure, a breast augmentation and breast lift.
The “most beautiful” or “ideal” breast shape for you is UNIQUE to you and your own tastes, body, and current breast shape. It is important to put the plan for breast reshaping in context with your overall physiognomy (that is height, weight, abdomen and chest wall shape) in order to create the optimal body contour and image. The size, shape and position of the breast mound, and the relationship between the breast to the nipple-areola complex are important variables. The desirable breast size and shape, necessarily will be different from one individual to the next. No matter if a breast reduction, a breast augmentation, a breast lift is desired or a combination of the latter 2, there are different surgical techniques which address the differing surgical goals.
COMBINED PROCEDURE BREAST AUGMENTATION AND BREAST LIFT
Therefore it is essential It is essential to define your wishes and expectations pre-operatively in order to recommend and perform the right surgical procedure for you.
Some patients are undergoing a combined procedure, having a breast augmentation and a breast lift performed at the same time. Depending if the breast implant is being placed above or below the breast muscle (pectoralis muscle), the recovery will be faster or lengthier. Performing a simultaneous breast lift and breast implant augmentation carries some specific risks related to wound healing, asymmetry, shape, biofilm, capsular contracture, and potential small revisions. A combined breast lift and augmentation can be performed safely and successfully. If you would like to learn more about your breast lift options contact the Frankfurt office of Dr Bianca Knoll to set up your consultation.
WHAT ARE THE DIFFERENT BREAST LIFT TECHNIQUES?
There are different breast lift techniques to surgically treat ptosis, or sagginess of the breast; popular breast lift techniques include the inverted T shape techniques, the conventional vertical scar methods, and circumareolar techniques. A newer addition to the breast lift is a breast lift with autoaugmentation.
There are many surgical breast lift techniques that are used.They may be divided in to 3 groups:
1. Breast lift techniques that rely on the skin envelope of the breast to form the new shape. These techniques are often associated with unpleasing wide scars from tension, or puckering of the tissue, with little projection of the central mound of the breast and a flat widened breast shape. In addition there is a less predicable change in breast shape over time.
2. ”Internal support“ techniques (developed in the 1980’s). Here the breast skin is draped over a sculptured and reinforced mound with much less skin tension, yielding a much finer scar. In addition, the breast shape is improved with shorter scars.
3. The breast lift with autoaugmentation technique builds on the previous breast lift techniques and has significantly enhanced breast projection and superior pole of the breast fullness (signs of a more youthful breast shape). This is accomplished by further rearrangement of the breast tissue without relying in placement of the breast tissue under the chest wall muscle (pectoralis major muscle) in order to achieve this projection. With this approach excellent results are achieved, without causing concerns related to the detection and treatment of breast cancer. As all women are at some risk of breast cancer, tissue placed below a natural barrier to cancer, spread (the pectoralis muscle) is more of a concern, as it may be more difficult to detect growth, and may be more difficult to treat effectively.
4. Peri-arolear breast lift techniques that are usually performed to correct minor degree of ptosis or to adjust small height asymmetries between the 2 areola
It is the goal of Dr Bianca Knoll to give you the most effective and safe operative approaches to achieve the desired improvements in breast shape, that you seek. Most of Dr Bianca Knoll’s breast lift with autoaugmentation procedures can be performed safely in an ambulatory setting. Depending on your general health, and your personal comfort, an overnight stay in the hospital might be preferred. Dr Knoll and her team will be happy to provide you with further information about your breast lift procedure and answer your questions during your consultation in our office.
HOW WILL THE SCARS OF A BREAST LIFT LOOK LIKE?
The visibility of your scars does not only depend of the incision made, but also on the individual genetically determined healing and scarring, and surgical technique reducing tension. Most of Dr Knoll’s breast lift procedures are performed using a „lollipop“ incision.
The „anchor“ incision is made around the areola, vertically down, and horizontally along the breast crease.
The „lollipop“ or „keyhole“ incision is made around the areola and vertical down.
A periareolar incision or „donut lift“ is made just around the areola.
Dr Knoll offers a variety of different breast lift surgery methods to limit the visibility of scars resulting from your breast lift as much as possible, and also offers advice for your post-operative care. Although many steps can be undertaken to decrease the visibility of a scar, it is important to understand, that in most patients, the scars of a breast lift will be noticeable.
If you would like to learn more about your breast lift options contact the Frankfurt office of Dr Bianca Knoll to set up your consultation.
WHAT TO EXPECT UNDERGOING A BREAST LIFT
A breast lift is usually performed under general anesthesia as an outpatient surgery and takes about 3-4 hours. Depending on your general health and your personal comfort you may prefer an overnight stay in the hospital. After your surgery you will have some swelling and bruising, which gradually subsides within the following weeks. During that time Dr Knoll and her team will see regularly in her Frankfurt office to accompany you during the wound healing process. Although most patients do not describe their post-operative course as very painful, you will be limited in your physical activities during your immediate post-operative period to ensure adequate wound healing. The success of the procedure is clearly dependent on the meticulous planning, a patient’s realistic expectations, aesthetic sense of your surgeon, and skilled surgical performance of your surgery. Patients are often concerned about visible scarring. Most breast lift procedures of Dr Knoll are conducted in a „Lollipop“ – type pattern. Although the incisions will be closed tediously and precise, the incisions still might be noticeable depending on the individual healing and scar formation.
BREAST LIFT RECOVERY
A breast lift is not described by our patients as very painful. Most of our patients describe more a burning or pulling sensation after their mastopexy procedure. During your post-
operative recovery you will wear a support bra for about 6 weeks, and you will see Dr Knoll in her Frankfurt office regularly for dressing changes and check ups. The vast majority of our breast lift patients will undergo their surgery without using any drains. Initially the breasts will be swollen and bruised.The amount of bruising and swelling can vary from patient to patient, but Dr Knoll’s office will provide you with helpful pre and post-operative care information to allow you an optimal recovery. Dr Bianca Knoll and her staff will have your best interest at heart, and will do everything they can to have your surgery go well, and your recovery proceed smoothly, safely and with the least amount of discomfort possible.
We are happy to provide you with further information about the breast lift and answer your questions during your consultation in Dr Bianca Knoll’s office.
BREAST LIFT COSTS
The costs of a mastopexy may vary depending on the complexity, surgical technique used, length of the procedure and the details involved. Usually there are 3 different costs associated with surgery: the surgeon’s fee, hospital fee, and anesthesia fee.
Dr Bianca Knoll’s office in Frankfurt will provide you with a detailed cost proposal including all these 3 different costs after your consultation. The best thing to do is to come in to see Dr Knoll for a consultation. You will be thoroughly examined and provided with all the information you will need to make an informed decision. You will also receive further information about any type of preoperative testing required and additional information about your breast lift procedure. If you wish to have additional information or would like to schedule a consultation please contact the office of Dr Bianca Knoll, we will be happy to assist you.
We understand that it can be impartial for some of our out of town/ international patients to travel to Frankfurt for an initial consultation. For this reason, Dr. Knoll offers online consultations. By submitting a series of photographs, information about your desired outcome, and a little about yourself, we can start to determine if you are a good candidate. Though a virtual consultation starts the conversation, it does have it’s limitations and does not replace the need to be seen in person for a traditional consultation to finalize plans for a procedure.