Breast Augmentation Mastopexy

The nipples are the part of the breast where the milk ducts end. As the breast develops during puberty, it is normal for the nipples to grow out and downward. Sometimes pregnancy and lactation exacerbates this process and the nipples end up very low on the chest. The more the breast sags, the skin and breast tissue stretch so much, it leaves the upper pole of the breast completely flat. Some women would benefit from concurrent breast lifting combined with breast augmentation to raise the nipple position while filling the upper pole respectively. Adding a breast implant to a breast lift can be done simultaneously during the breast lift or at any time after the breast has fully healed.

About the procedure

A breast lift (aka Mastopexy) is a procedure that rejuvenates the breast by raising the nipple position and removing excess skin and breast tissue that has sagged (reduction mammoplasty). The cleavage and upper pole of the breast does not change and therefore, the only way to restore upper pole fullness with with a breast implant. This procedure is called “augmentation/mastopexy,” which simply means breast enlargement with a concurrent breast lift. For those women who don’t desire a major size change, we weigh the tissue being removed during the operation and we replace that lost volume with a breast implant, which tends to nicely fill the upper poles. Below you will find before and after pictures of patients who underwent Breast Augmentation / Mastopexy (Lift). Make sure to read the picture comments as each patient’s requests are different and unique.

What to expect during a Breast Augmentation Mastopexy (Lift) consultation

During your consultation for a Breast Augmentation\ Mastopexy (Lift), you will initially meet with a medical assistant who will review the paperwork you fill out containing a full medical history. This is important information that will be used to determine whether you are a good operative candidate. Next, you will be able to discuss your observations and goals with Dr. Cocco, who will in turn give you an honest opinion and help you understand your options. This initial meeting should treated as a two-way interview. It is just as important that you agree and understand the recommendations given to you, as Dr. Cocco must feel she understands your expectations and is confident she can help you achieve your goals. Once a full understanding between doctor and patient is reached, a proposal will be generated and the decision to proceed with surgery will be made jointly.

Breast Augmentation Mastopexy Case #1

28-year-old mother of 3 children, with BMI of 25, is shown before and 3 years after breast lift and augmentation using silicone implants via an incision under the breast folds. Her goal was a moderate increase in breast size while improving the deflated shape of her breasts after childbearing. This was achieved using smooth round moderate plus profile MemoryGel® 350 cc silicone implants under the muscle. She was very happy with the cosmetic results.


What to expect after setting a surgery date

Details of the surgical process, such as instructions before and after surgery, informed consent, surgery center requirements and financial obligations will be fully discussed days to weeks before surgery. As a patient, we want you to feel positive about your upcoming surgery, including being comfortable with your surgeon and confident of your decision to move forward.

What to expect after Breast Augmentation Mastopexy surgery

Everybody heals differently. Rest assured, the aftercare will be personally directed by Dr. Cocco. There will be a series of postoperative appointments scheduled for the following year and it is important that you follow all instructions for optimal healing. Even though the results will be immediately appreciated, it takes time for bruising and swelling to subside and the process of scaring in the tissues and skin to fully mature. Sometimes special bras or garments are used to help guide the way the tissues heal. We are happy to walk you through the process and look forward to meeting you in consultation.

To find out if you are a candidate for this procedure, contact our office to make an appointment to be evaluated in person and given a professional opinion.

Dr. Cocco | Jennyfer Cocco, MD

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