A Breast Lift, also referred to a mastopexy, is a surgical procedure designed to lift the breasts back to a more youthful position. However, there are multiple surgical techniques to achieve lifted, more youthful looking breasts. Deciding which breast lift technique is right for you depends on what type of candidate you are and your desired aesthetic goals.
The Two Questions to Consider During Your Breast Lift Consultation
When a patient comes in to inquire about cosmetic breast lift surgery there are two questions I ask them:
- Do you like the size of your breasts?
- Do you like the shape of your breasts?
The reason I start a consultation with these two questions is because the answers to these questions require a different surgical approach. If a patient feels their breasts are too large, they’re most likely a candidate for a breast reduction. If they’re too small, a breast augmentation is most likely needed. But what if they sag?
Some plastic surgeons will say, we’re going to increase the size breasts and that will take out the sag but that’s totally false. I’ve seen plenty of patients who have gone to doctors and had a breast augmentation when what they really wanted to be was lifted.
They wanted the shape of their breasts to be improved, but they didn’t want to be bigger. So the idea that increasing the size of the breasts with an implant will also lift the breasts is a falsehood. They only time you should get breast implants is if you want to go bigger. If you want a better shape, you should get a breast lift.
They Ideal Candidates For A Breast Lift May Surprise You
One of the biggest misconceptions about breast lift surgery is that it’s only ideal for older woman who having sagging breasts and are finished having children. There are actually 4 distinct groups of patients who are ideal candidates for a breast lift.
1. Young Women in Their 20’s
Some women in their early 20’s suffer with saggy or asymmetrical breasts even if they haven’t had children or large weight fluctuations. Unfortunately, this group of women have sagging breasts purely from genetics. They can be active, consume a healthy diet, but will still have sagging breasts because of genetics.
So the idea that you have to wait until after childbirth to have a breast lift is not correct. This group of women may not have children for another 10 years, but are still seeking a quality of life and a breast lift may be the right answer for them.
2. New Moms
When you have a child, your breasts will enlarge and shrink, just like your stomach. And oftentimes when the breasts shrink back down to size they become saggy. Even if you’ve had beautiful breasts prior to having children, sagging can still occur after childbirth.
3. Weight Fluctuations
Just like with pregnancy, large weight fluctuations can have the same effect on your breasts – the breasts will expand, contract, and then they become deflated in appearance.
4. Older Women
It’s no surprise that as you age, gravity can cause your breasts (and other parts of your body) to sag. Even if you’ve had beautiful breasts your entire life, you’re still not immune to the effects of gravity.
Wearing a bra will slow down the effects of gravity, but eventually your breasts will become saggy as you age. A breast lift can definitely lift and re-shape the breasts to a more youthful position, but unfortunately the results will never be as perky for this group of women compared to younger women. The reason is because aging also causes a loss of glandular breast tissue.
Some Candidates Have Better Results Than Others
Breasts are comprised of both fat and glandular tissue. Fat tissue expands and contracts when you eat too much or diet and lose weight. Glandular tissue expands and contracts when you’re having you’re having your period or during pregnancy. Glandular tissue has shape to it, whereas fat can be thought of more like quicksand.
The more glandular breast tissue you have, the more perky your breasts will be after a breast lift. Unfortunately, this is simply anatomy so it doesn’t matter who performs the breast lift. It also doesn’t mean you’ll have poor results if you have less glandular tissue. It just means the breasts won’t be as perky when compared to someone else with more glandular tissue.
Younger women and women who have recently given birth, generally have more glandular breast tissue. Whereas, women who have had large weight fluctuations or are older will have less.
The Two Breast Lift Techniques Which Provide the Best Results
There are multiple surgical techniques when performing a breast lift. At Dr. Robert Freund’s practice, we offer two options that we’ve found to provide the best results in terms of shape and lifting – The Le Jour Breast Lift and the Goes Breast Lift.
Technically, we also offer a third technique pioneered by Dr. Robert Freund called the Tear Drop Breast Augmentation Mastopexy. However, that breast lift technique also includes the placement of a breast implant. So if you’re considering only a breast lift, the Le Jour and Goes Breast Lift are the two options to consider.
Deciding which breast lift technique is right for you will depend on the location of the areola in relation to the inframammary fold.
The Göes Breast Lift Technique
The Göes Breast Lift Technique is ideal for candidates experiencing 2 specific categories of sagging breasts:
- Women whose areola is located at the same level as the inframammary fold.
- Women whose areola falls just below the inframammary fold.
The Göes Breast Lift Technique is the closest technique to a scarless breast lift. The scar is made just around the areola. If you’ve been doing your research on breast lifts, you’ll notice it’s similar to a “donut” or “doughnut” mastopexy. But unlike the donut mastopexy, the Göes Breast Lift doesn’t excise (i.e. remove) skin to create the lift. Instead, the Göes Breast Lift raises, sculpts, and stiches the breast tissue to the chest wall to create the lift. The nipple is also raised and the surrounding tissue is brought together and stitched.
Because this scar can be visible, some people tattoo round the edge of the areola and they can make the scar completely disappear.
The Lejour Breast Lift
The Le Jour Breast Lift is best suited for candidates experiencing 3 specific categories of sagging breasts:
- Women whose areola falls below the inframammary fold but wish to have a fuller, more youthful looking breasts.
- Women whose areola falls just below the inframammary fold AND the nipple points downward.
- Women whose areola is located above the inframammary fold, but the breast tissue beneath the areola sags below the fold. You may have heard of this condition during your research which is called, “psudoptosis”.
During the Lejour Breast Lift, Dr. Freund makes 2 incisions – around the areola and a straight line from the base of the areola to the bottom of the breast. This is referred to as a lollipop incision.
You might be thinking that the Goes Breast Lift technique is a better option because it’s one less incision (i.e. one less scar), but this second incision, albeit discreet, offers a benefit which you won’t achieve with the Goes Breast Lift technique – an improvement in the projection of the breasts to the point that it looks visibly fuller and larger.