Breast Lift (Mastopexy) in St. Louis
Breast Lift (Mastopexy) is a surgical procedure performed to raise and reshape sagging breasts. Many women elect to have this procedure after having children or losing a considerable amount of weight and their breasts have lost their shape.
- The surgeon will remove excess skin and reposition the nipple and areola to a higher position. This procedure takes 1-2 hours and is performed in an operating room as an outpatient.
Side Effects from Breast Lift Surgery
- Temporary bruising, swelling, soreness, numbness.
- Back to work in 1 week.
- More strenuous activity 1 month.
- Fading scars several months to a year.
Breast Lift Estimated Cost
- Crescent Lift $3500 and up
- V-T Mastopexy $8000 and up
Price based on O.R. time used. The price includes surgeon’s fee, hospital and anesthesia.
Am I a good candidate for a breast lift?
You may be a good candidate for breast lift surgery if you have one or more of the following conditions:
- Breasts that lack substance or firmness
- Nipples and areolas that point downward, especially if they are positioned below the breast crease
Sometimes these conditions may be inherited traits. In certain cases, the breasts may have developed differently so that one breast is firm and well positioned while the other is not. There may be differences in the size of your breasts as well as their shape. Breasts that are large and heavy can be lifted, but the results may not be as long-lasting as when the procedure is done on smaller breasts.
A breast lift can be performed at any age, but plastic surgeons usually recommend waiting until breast development has stopped. Pregnancy and breast-feeding may have significant and unpredictable effects on the size and shape of your breasts. Nevertheless, many women decide to undergo breast lift surgery before having children and feel that they can address any subsequent changes later. Since the milk ducts and nipples are left intact, breast lift usually will not affect your ability to breast-feed; however, you should discuss this with your plastic surgeon.
Your Personal Consultation with Dr. Rottler
During the consultation, you will be asked about your desired breast shape and size. Your plastic surgeon will discuss with you how your nipples and areolas will be repositioned. You should mention anything else about your breasts that you would like to see improved. This will help your surgeon to understand your expectations and determine whether they realistically can be achieved.
How will Dr. Rottler evaluate me for breast lift surgery?
Dr. Rottler will examine your breasts, taking measurements and photographs for your medical record. The size and shape of your breasts, the quality of your skin, and the placement of the nipples and areolas will be carefully evaluated.
You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take. It is important for you to provide complete information.
You should tell your plastic surgeon if you plan to lose a significant amount of weight, particularly if you have noticed that your breasts sag or become smaller with weight loss. Your surgeon may recommend that you stabilize your weight before having surgery.
Will my insurance help cover the cost of surgery?
Breast lift, as an aesthetic (cosmetic) procedure, generally is not covered by insurance. Under certain circumstances, however, insurance coverage may be available. For example, if a breast reconstruction after mastectomy is performed, the opposite breast may need to be modified for symmetry. Many factors determine your eligibility for coverage, including the specific terms of your insurance policy. A letter of predetermination may be required by your insurance company prior to surgery. Your plastic surgeon or a staff member in your surgeon’s office will discuss these matters with you.
How a Breast Lift Is Performed
Individual factors and personal preferences will determine the specific technique selected to lift your breasts.
Where are the incisions placed?
A common method of lifting the breasts involves three incisions. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision is horizontal beneath the breast and follows the natural curve of the breast crease.
After the plastic surgeon 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 be reduced in size. Skin that was formerly located above the areola is brought down and together beneath it to reshape the breast.
The nipples and areolas remain attached to underlying mounds of tissue, and this usually allows for the preservation of sensation and the ability to breast-feed.
What are some variations to the common breast lifting technique?
There are many variations to the design of the incisions for breast lift. The size and shape of your breasts, size of your areolas, and extent of sagging are factors that will help your plastic surgeon determine the best technique for you.
In some instances, it may be possible to avoid the horizontal incision beneath the breast. Sometimes a technique may be used that avoids this horizontal incision as well as the vertical incision that runs from the bottom edge of the areola to the breast crease. If you are a good candidate for a modified technique, your plastic surgeon will discuss this with you.
If you and your plastic surgeon have decided that it is desirable to enlarge your breasts at the same time as they are lifted, this will require insertion of breast implants. If this is an option that you wish to consider, your surgeon will review the necessary information with you and may provide you with a brochure on breast augmentation.
I understand that every surgical procedure has risks, but how will I learn more so that I can make an informed decision?
The subject of risks and potential complications of surgery is best discussed on a personal basis between you and your plastic surgeon, or with a staff member in your surgeon’s office.
Some of the potential complications that may be discussed with you include bleeding, infection and reactions to anesthesia. Following a breast lift, sometimes the breasts may not be perfectly symmetrical or the nipple height may vary slightly. Minor adjustments often can be made at a later time. Permanent loss of sensation in the nipples or areas of breast skin may occur rarely. Revisionary surgery may sometimes be helpful in certain instances where incisions may have healed poorly. You can help to lessen certain risks by following the advice and instructions of your plastic surgeon, both before and after surgery.
How should I prepare for surgery?
Depending on your age, or if you have a history of breast cancer in your family, your plastic surgeon may recommend a baseline mammogram before surgery and another mammographic examination some months after surgery. This will help to detect any future changes in your breast tissue. Following a breast lift, you will still be able to perform breast self-examination. Breast lift will not increase your risk of developing breast cancer.
If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Your surgeon will provide you with additional preoperative instructions. Breast lift surgery is usually performed on an outpatient basis. If this is the case, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night.
- View Breast Lift Before & After Patient Photos
- View Breast Lift with Implants Before & After Patient Photos