Many women wish to regain the youthful shape and contour of their breasts. These women complain that loss of skin elasticity, gravity and other factors such as weight loss, pregnancy and breast-feeding have changed the shape and firmness of their breasts. Discontent with their saggy or droopy breasts, women want to know what they can do to have a more “perky” and firm breast shape. When women consult with Dr. Mills about a breast lift or mastopexy, they are generally looking to accomplish one of two things (or a combination of both). The first goal is to replace the fullness in the upper pole of the breast that they have lost. In this case, an implant is typically required to achieve your desired results. (Refer to section on breast augmentation.) The other goal that women typically have is to lift the nipple that may have started to droop. If you fall into this second category of women, you are likely a good candidate for a breast lift to enhance the shape and contour your droopy breasts.
Breast Lift Procedure
There are varied incisional approaches for lifting the breast, including the crescent, standard and flip-flop mastopexy. During your consultation, Dr. Mills will evaluate your case individually and suggest how to best meet your goals. If you are a good candidate for a breast lift, Dr. Mills will determine which approach would be best based upon how much your nipple needs to be lifted and how much upper pole fullness is needed. Typically, Dr. Mills makes an incision around the nipple-areolar complex and in the crease just under the breast.
He repositions the nipple-areolar complex higher and removes any excess skin, reshaping the breast’s contour. If a patient is additionally looking to add breast volume, Dr. Mills might also suggest placing breast implants. However, Dr. Mills usually prefers to place the implants in a staged manner with a second surgery to allow for better wound healing, safety and minimal scar appearance.
Breast lift surgery can help you achieve a shapelier, more feminine figure. View our before and after photo gallery to view our results. If you would like more information about the breast enhancement procedures we offer, please contact Aesthetic Plastic Surgical Institute today.
GalaFLEX® Scaffold for Soft Tissue Reinforcement
The reoccurrence of breast drooping is an issue that some women experience in the years following mastopexy. For these individuals, the lift achieved with surgery is often able to create an ideal appearance initially; however, weak and/or insufficient soft tissue in the breasts often fails to withstand the effects of gravity and various other factors, generally leading to breast re-sagging much sooner than anticipated.
For many women who show signs of weakened breast tissue and/or need soft tissue support at the time of breast lift surgery, Dr. Mills can utilize an advanced technique known as the GalaFLEX® scaffold to help prevent the reoccurrence of breast sagging after the mastopexy procedure. Made from a bioresorbable polymer that is completely compatible with the body, the GalaFLEX® scaffold is a surgical device that not only helps reinforce tissue areas requiring additional strength and support, it also provides a lattice-like framework that encourages collagen to build and blood vessels to develop to form new, stronger tissue. Over the course of approximately 18-24 months, the bioresorbable scaffold will slowly and safely degrade through hydrolysis – the process of breaking a material down via water – leaving behind regenerated breast tissue that can be up to three to five times stronger than the original tissue.
In Dr. Mills’ experience, the GalaFLEX® scaffold has proved to be an excellent solution for combating the reoccurrence of breast drooping in many breast lift patients who need soft tissue reinforcement, ultimately helping to extend the results of their procedure.
What to Expect
During your consultation and other pre-operative visits, Dr. Mills will review your shape and personal goals. Two weeks prior to surgery, you will meet with our pre-operative patient coordinator, who will review all instructions with you and guide you through all of the necessary laboratory tests and health screenings. If you are a smoker, you will be advised to quit smoking at least four weeks prior to surgery and not to resume for at least two weeks after surgery. Additionally, you will be advised which medications (including aspirin and ibuprofen), herbs and potions that you need to cease taking from two weeks prior to surgery to two weeks after your surgery. This appointment will also be a time for you to ask any final questions. We want you to be physically and mentally ready for surgery, so that you have an optimal recovery period and great surgical results.
On your surgery day, you should allow approximately 5 – 6 hours for pre-operative surgical admission, surgical time and post-surgical recovery. During your surgery and recovery, you will be in the hands of our experienced surgical team, which included Dr. Mills, a nurse anesthetist, a registered nurse and surgical technician. We ask that you have a responsible adult accompany you to and from the surgery center. This individual should be accessible by phone during your surgery and should be at our facility when you are ready for discharge. After your surgery, you will need to have someone care for you for the first 24 hours.
“I just had my 6-month post-op with Dr. Mills. The results are better than ever and I’m very happy, ecstatic actually! I absolutely LOVE my results!”*
You will have an office visit the day following your surgery, as well as several post-operative visits within the first week. These appointments are extremely important and we encourage you to come to our office daily for the first week or so, for additional help with your post-operative regime. Upon returning the day after surgery, Dr. Mills will remove your surgical dressing. You will be advised to wear a sports bra for three months to support the breasts, which is very important, as your breasts will need extra support as they heal. After this initial visit, you will be able to shower. Additionally, Dr. Mills will suggest that you use oxygen to breathe post-op (6 hrs/day for the first 2 weeks) because he has noted better scars and healing with those patients who have used oxygen.
You will return to our office at one week, two weeks and one month to remove sutures and to change surgical tape. In the first couple of weeks, Dr. Mills will continue to monitor your progress and advise you in your post-operative regime and instructions. It is exceptionally important that you come to all recommended post-operative visits in order to minimize post-operative complications and achieve optimal results .
The most common complications associated with a mastopexy are bleeding, scarring, infection, asymmetries, changes in nipple or breast sensation (both temporary and permanent), and adverse reactions to anesthesia.
Dr. Mills looks forward to meeting with you in consultation to put together a custom surgical plan that best meets your needs. Should you have any questions in the meantime, please feel free to email our patient coordinator through our contact us page. We want to make sure that you are well informed about this and any other procedure. Dr. Mills wants this to be a great experience for you and we will do everything we can to serve your needs.
You can expect:
- To drive after you are completely off your pain medications, which is usually about 3 – 5 days.
- To resume normal activities after about a week.
- To avoid strenuous and/or upper-body workouts for the first 3 – 4 weeks after surgery.
- To visit our office post-operatively at one day, 1 week, 2 weeks, 1 month, 3 months, 6 months and 1 year. (We also recommend annual follow-up visits.)
- To perform monthly self-breast examinations.
- To see your final results at about 12 months, after your skin and tissues have relaxed and the scars subside.
Frequently Asked Questions
How much time should I take off of work?
While recovery time may vary, you should generally expect to take one week off for an administrative or desk-type job.
Can Dr. Mills do a breast lift and augmentation at the same time?
Dr. Mills usually prefers to do these surgeries at separate times to allow for better wound healing and minimize the appearance of scars. Recently he has been utilizing some new tools that can be used during surgery to allow him to do the placement of implants and a lift at the same time for some patients. He will be able to tell you when he examines you if you are a candidate for the combined procedures.
When can I work out again after surgery?
You can generally do low impact aerobics after about 3 weeks after surgery. You should not do higher impact aerobics for at least 3 months after surgery. Dr. Mills does not want your breasts to be bouncing while they are healing.
How long after my surgery can I go in a hot tub or pool?
When you immerse your scar into water, you lessen the tensile strength (e.g. natural skin strength), causing the scar to widen. With normal healing, your tensile strength returns to 70% after about 3 weeks and 90% after 8 – 10 weeks post-surgery. Dr. Mills discourages swimming or hot tubs for the first 10 weeks after surgery. Other than getting in the shower, you should avoid any immersion in water during this time.
How long after my surgery can I sunbathe topless or go in a tanning bed?
You should stay out of the sun and artificial tanning lights for anywhere from 6 – 12 months (and maybe even longer). When premature scars are exposed to the sun (or tanning bed lights), they will tan at a different rate than the surrounding skin and become redder or darker. This pigment can become permanent, like a tattoo. You should keep your scars out of the sun, until the scars are no longer red, indicating that the scar has matured. Again, this healing process typically takes anywhere from 6 – 12 months. Healing rates depend highly on skin thickness. The chest typically takes longer to heal since it is thicker skin.
Schedule Your Consultation
We look forward to meeting you in consultation to develop a surgical plan that best suits your needs. Please contact our patient coordinator to schedule your one-one-one consultation. Dr. Mills wants this to be a great experience for you and his staff will do everything we can to serve you.