Dr Efraim vd Walt - Mastopexy

Mastopexy (known as a breast lift) is a body contouring procedure that lifts and tightens the breasts by trimming away loose skin and surgically tightening the healthy tissue to result in a more youthful and healthier look. This cosmetic breast surgery is performed for women who have lost breast firmness, size, and shape and who are experiencing breast drooping due to aging and gravity, as well as weight loss or pregnancy. By using the latest methods, Dr. Efraim can choose the appropriate technique based upon the degree of sag present, keeping in mind the desired result.

Ideal Candidates

You may come to Dr van der Walt wanting implants only, but after a formal assessment, you may discover that breast lift surgery is better. The reason is due to the amount of sagging that is shown. Breasts that have lost elasticity typically need skin removal and tightening surgery to reduce skin looseness and bring the breasts to a perkier position. If you have nipples that droop downward and your breasts sag significantly below the creaseline, a mastopexy (breast lift) can dramatically improve their appearance. If you are contemplating a breast lift, you need to be in good health and at a good weight.

Surgical Technique

A breast lift usually takes 1-2 hours or more and is performed while the patient is under general anesthesia. The duration of this treatment is dependent on the nature of breast size and sagging. The surgical technique used for a breast lift typically falls into two categories — the technique is defined by the size, location, and nature of the incision. Dr Efraim uses two methods:

    This option often gives great contouring. Sometimes this incision will have a small extension resulting in a “j” or “l”-shaped scar.
    Also known as the inverted-T, this incision starts as a lollipop but extends along the breast crease. This option gives the most space to allow major changes to the breast. Despite the scar, the surgery achieves good results.

The incision is first completed, and any loose, unhealthy skin is excised along with fat and tissue that is not wanted. The skin is then tightened and the breasts are positioned higher and lifted so they appear healthy and younger. In most situations, the size of the areola is reconstructed and reduced to be symmetric with the new placement and shape of the breast. At this point, an implant or a fat transfer can be placed in the breast if this was discussed with Dr. Efraim ahead of surgery. If the lift is the only procedure being performed and if size and shape are a worry, augmentation surgery with implants can be implemented at a different date.

What To Expect

Recovery for any type of breast lift is more extensive than surgery with implants only. After the procedure, you will wear a medical compression bra to diminish swelling. A thin tube is also inserted near the location of the incision to help with excess fluid leakage that can often occur after mastopexy treatment.
The drains are usually removed on the first post-operative day. You may shower, as the dressings are waterproof. You will come to Dr Efraim’s rooms after one week to remove the dressings.After surgery, the swelling usually goes away within about a week.
Aesthetic results after a breast lift surgery are noticeable after a few weeks as the breasts take their higher placement on your bustline. Your breasts will feel and appear natural, and you will feel perkier and healthy overall.

Frequently Asked Questions

During your initial appointment, Dr. Efraim will pay attention to your wants and goals before creating your personal treatment plan. Following that, he can provide you with a quotation that will include everything, except medication and costs involved should a complication occur. When done well, a breast lift will significantly enhance your physical appearance so it is important to concentrate on having a skilled surgeon with years of training, like Dr. Efraim, rather than prices.

Whether you should have a breast lift, implants, or both depends on your specific goals. Oftentimes, a breast lift will enhance the form and fullness of your breasts with no need for implants. Dr. Efraim will evaluate your physical condition and also listen to your goals at your consultation, then make a decision whether you would benefit from implants, a lift, or an augmentation, plus a lift.

Generally, the nipple-areola complex will be moved up in the breast lift. If your areolas are excessively large or stretched, then Dr. Efraim can incorporate an areola reduction in your surgery. This may be discussed during your appointment so he can choose the ideal incision pattern to use in your breast lift.

With good care following surgery, your results can last for several years. Your breasts will still age normally, which means you could start to see loose and sagging skin in time. Factors, such as significant weight loss or gain, can change your results; therefore, it is best to stay at a steady weight following your breast lift. Pregnancy or breastfeeding following a breast lift may also alter your results, which is why Dr. Efraim suggests patients wait until they are done having kids to get a breast lift.

A lift may improve asymmetry in your breasts if they are different in size, firmness, or level of sagging. Dr.Efraim will evaluate the appearance and condition of your breasts in your consultation and talk about how a lift will be able to help. In your lift surgery, he will adjust the tissue so your breasts are equal in position and size for symmetry.