Breast/Nipple Lift Surgery (Mastopexy)

What is a Breast Lift?

Breast Lift surgery, or Mastopexy, is a surgical procedure where the breast is restructured because they have lost their original shape and appear to sag or have a deflated appearance. Pregnancy and breast-feeding play a big role in this process, but the breasts can be affected as we age through loss of skin elasticity, gravity, and weight loss. In all cases there is an element of volume loss that contributes to the sagging or downward pointed nipples.

Breast Lift Procedure

At Nouveau Jeunesse, we perform breast lift surgery using tumescent technique, using minimally scarring techniques (the crescent technique and a modification of the La Jeure procedure). Liposuction of the breast can be performed in conjunction with the breast lift to remove the unwanted areas of fatty breast, usually the part called the "axillary tail", which hangs over the upper front side of the bra. After Dr. Johnsonn has removed excess breast skin, the nipple and areola are shifted to a higher position. The areola, which in a sagging breast may have been stretched, can also be reduced in size. At Nouveau Jeunesse, we have found that often both repositioning of the nipple and volume replacement are necessary to achieve optimal results. Frequently, we will perform a 2-stage rejuvenation of the breast, utilizing a breast lift and BreastPure™ stem cell augmented fat transfer to the breast. This is because while breast lift alone may adequately reposition the nipple, there is still a significant loss of volume in the upper portion of the breast and occasionally the bottom portion as well. The fat transfer restores the natural contours to the breast, which breast lift alone cannot achieve.

Breast Lift Recovery

After the procedure, the surgical areas will be covered in dressing and a support bra will be given to the patient to wear. This will help minimize swelling and support the breasts as they heal. Initial recovery may include swelling and slight discomfort at the incision sites and in area surrounding the nipple. It is quite common to experience discomfort and this can be controlled with medication. Average healing time may take between 5 to 10 days at which time any sutures will be removed. You will be able to return to work at this time. It is advisable not to engage in any vigorous exercise or activity within 4 to 6 weeks after your procedure.

Once the "envelope" of the breast has been corrected, fat transfer using stem cell-augmented fat can be used to "fill the envelope" and correct the volume loss. This is especially appreciable in the flattened upper portion of the breast in most cases. This step can be performed at 4-6 weeks after the breast lift. The end result is a slightly smaller breast but with a significantly improved shape and feel, removing years of aging of the breasts and returning the shape to a more youthful, fuller contour.