Cosmetic Surgery New York: Photos: Before and After: Breast Lift: Mastopexy
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This patient was in her mid thirties and felt that her breast shape made her look old. She had stretch marks on breast and abdominal skin following pregnancies.
Mastopexy led to substantial reshaping. Notice that the breast volume asymmetry that existed pre-operatively remains here as not effort was made to reduce the larger, left breast.
There is some hyper-pigmentation in the patient's scars.
This girl of 22 wanted her breasts to be "perkier" and had no concern regarding the side effects of scars from mastopexy.
The nipple is now at the point of maximum breast projection.
These scars are not unusual for 4 months post-operative and should fade further over the next year. The patient was unconcerned about them.
This woman of 43 was concerned about her "ptosis," (droopiness), and also about the volumetric asymmetry between the breasts.
Following right mastopexy and minimal left breast reduction, the breasts are dramatically reshaped, but the left breast remains slightly larger.
Young scars are typically pink or purple and stand out from the surrounding skin in fair patients. These are shown at 3 1/2 month post-op to illustrate the scars before they have had time to fully fade.
This 35 year old mother of two wished for her breast shape to be more as it was before childbearing. She was happy with the size of her breasts.
This illustrates the result 1 year after mastopexy, displaying mature scars that are acceptable to this patient.
Better projection and a more youthful nipple position are the result of the surgery.
This woman of 44 years wishes to address both the sag of her breasts and the volume asymmetry.
Good symmetry and reshaping are both accomplished with mastopexy (and minimal reduction on her right). The peri-areolar scars are a bit "hypertrophic" (elevated in places).
Pre-operatively with downward cast nipple.
Post-op restoration of projection and nipple prominence.
This woman undergoing abdominoplasty wished to have her breasts just made slightly more projecting.
Mastopexy lifting just the tissues below the nipple in this case.
Note that the peri-areolar incision goes only part way around. This is because only trivial nipple/areolar elevation was needed in this case. The benefit from this operation, (important to this patient while perhaps not to others) was to simply relieve the "sag" of the lower breast pole.
This patient of 30 years sought elevation of the breasts and diminution in the diameter of the areolae.
A few months after mastopexy, the shape has been achieved, but the scars are still quite obvious. Note that the areolae are reduced but not precisely symmetrical.
A breast that looks fuller and more youthful is seen post-operatively in profile.
This patient enjoyed the fullness of her breasts, but was upset with the matronly nipple-areolar position.
All the breast mass was kept and the breast simply reshaped with mastopexy. (These scars are 3 1/2 months old.)
Although these scars will fade more with time, no woman should entertain mastopexy if she has doubt about her willingness to accept permanent scarring.
This 32 year old felt that her breasts had become "flat" following pregnancies. She did not seek an increase in breast volume.
Mastopexy produced a bit more subtle change in this case, but one that was consistent with the patient's expectations.
Loss of projection and nipple position seen from the side before surgery.
An important rejuvenation of breast shape is here accomplished with a short, superficial procedure.
This woman of 39 had substantial loss of breast volume after breast feeding 2 children. Her skin was thin and had stretch marks.
Breast lift was accomplished through a combination of submuscular breast augmentation and mastopexy.
The patient felt the volume and projection of her breasts post-operatively was a reasonable approximation of her state before pregnancy.
This young woman of 30 felt that her breast shape made her look old. She volunteered that her mother had similar breast shape when she was young.
Placing the nipple at an appropriate focal point on the central breast satisfied this patient's wishes. Note that there is some hyper-pigmentation in the scars of this African-American patient.
Another illustration of the "trade" in mastopexy. One must accept some surface scar to achieve significant changes to breast shape.
This 44 year old was disturbed by the shape and the "emptiness" of her breasts. She had true nipple ptosis (nipple below the breast crease), but this was very mild.
Volume and projection were created with a submuscular breast augmentation and "peri-areolar" mastopexy allowed the minimal elevation needed for the nipples.
In Dr. Godfrey's opinion, peri-areolar mastopexy with augmentation is an over-used operation. Patients must be selected carefully for this if bad shapes are to be avoided.
The woman of 52 had lost breast fullness and prominence over the years and wished to return to the more "buxom" look of her youth.
Nipple position was righted with mastopexy and volume added with breast augmentation.
Over time the scars became quite pale in keeping with the patient's skin type.
This 45 year old patient was made to look much older than her stated age by her breast contour.
Mastopexy has lifted the lower breast a long way.
While mastopexy can give gratifying new prominence to the central and lower breast, it should not be expected to produce lasting fullness in the upper breast.
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