Breast Lift (Mastopexy): raises and reshapes sagging
breasts, nipples are repositioned and areolas are made
smaller. Results are more perky, and youthful breasts.
Sometimes a modest size implant is also used to create a
fuller and firmer breast. No smoking is highly recommended for
this procedure.
Frequently Asked Questions:
Q: Can you get a lift without implants?
A: Yes. This involves removing skin in much the same way as
a breast reduction, but without removing any breast tissue to
go with it.
Q: Can you get a lift just with an implant?
A: Yes. In patients who do not have excessive sagginess,
this is done very frequently and will require evaluation by
Dr. Wallace to determine if you are a candidate for this. As a
general rule if your nipple is not more than 2 centimeters
below the fold this is at least a consideration.
Q: What about the scars? Where are they and do they go
away?
A: The scars for a mastopexy vary greatly from an inverted T
somewhat similar to a breast reduction to just the scars for a
breast augmentation to one that just goes only around the
nipple. Exactly what kind of scar and how much you can expect
it to fade will depend upon your exact situation and will be
discussed thoroughly in your consultation with Dr. Wallace.
For more information, see the breast augmentation FAQ's.
Q: I have heard of the Button lift operation. What is
that about?
A: The Button lift is an operation that accomplishes the lift,
with or without an implant using a scar around the areola and
a transverse scar. There is no vertical scar. We have been
using this operation for since 1993 and much more commonly for
the last 3 years. In my experience it is very good for many
patients as the absence of a vertical scar really improves the
post op appearance. Also the option of a small implant is
attractive for many patients. Patients generally qualify for
this operation by having enough sag such that the top of the
areola is at or below the inframammary fold. We have been VERY
happy with the post op results with this operation and
recommend it for most lift patients. It has also proven very
long lasting.
Q: I have heard of the Biggs-Graff operation. What
is that about?
A: Dr. Thomas Biggs of Houston, one of my professors during
residency, popularized an operation invented by Dr. Graff of
Brazil that involves moving some of the bottom pole tissue up
behind the nipple and securing it there with a strap of
pectoral muscle. A short vertical scar and no transverse scar
results. In our experience, this is the best lift operation
for people who don't need an implant and who have a bulky
lower breast that remits itself to being repositioned upward.
Also this operation lasts much longer than some other types of
lifts.




