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Breast Surgery Breast Lift

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A breast lift is a surgical procedure, during which your plastic surgeon restores a breast to a more youthful position and form.  This usually includes one or more of the following:

  1.  raising the nipple
  2.  reshaping the breast mound
  3.  raising the breast mound

The medical term is mastopexy.  Drs. Pellegrino and Perrotta routinely perform mastopexies as outpatient surgery, and they usually do so in the certified, nationally-accredited operating room located inside their Salisbury office complex.

For women who also desire to have their breasts enlarged or desire permanent fullness of the upper poles of the breasts, the doctors also insert breast implants during the mastopexy procedure.

On the other hand, if your breasts are larger and heavier than you would like or cause you back and shoulder pain, a breast reduction might be more appropriate for you.

before and after patient photos


Candidates for Mastopexy

  • Women with sagging breasts due to past pregnancies, genetics, weight loss  or maturity
  • Women with sagging of the breasts too severe to be corrected by insertion breast implants alone (minor cases of droopiness can be corrected with breast enlargement)
  • Women whose nipples are too large, too low, pointing out or pointing in.
  • Women with breasts that are uneven in size and/or shape
  • Women who have undergone partial mastectomy (lumpectomy) and radiation therapy for breast carcinoma and, as a result, have a breast with abnormal shape and/or a nipple in the wrong location and/or a longer, more droopy breast on the opposite side of the chest (asymmetry).
  • Women who have undergone complete mastectomy and reconstruction for breast carcinoma and have a more droopy breast on the opposite side (asymmetry).

The Goals of a Breast Lift

  • Higher, more youthful breast contours
  • Perky, shapely, lifted breasts
  • Nipple-areolar complexes in a more desirable size and location
  • Increased self-confidence
  • Symmetry

Initial Consultation for a Breast Lift

Drs. Perrotta and Pellegrino have developed a sensitive and discreet process for preparing you for breast lift surgery.  Your consultation is important because you and your plastic surgeon must be “on the same page” regarding the results you want.  This is why Dr. Perrotta or Dr. Pellegrino will devote as much time as necessary to discuss your individual goals and needs with you.

Dr. Pellegrino or Dr. Perrotta performs a focused physical examination to provide preliminary recommendations and determine whether you would also benefit from breast enlargement or breast reconstruction or whether breast implants alone might take care of the sagging problem.

Once the doctor determines his surgical plan, our aesthetic coordinator will produce a written quote  which lists all costs of your proposed surgery so that there are no surprises.  At that time, an appointment is set for your pre-op visit.

Pre-Op Visit

Much is covered during your pre-op visit. Your surgeon will explain the surgical technique to you and thoroughly inform you as to what you can expect, including any potential complications. Note that all procedures involve some risk, but major complications from a breast lift are rare.

Dr. Perrotta or Dr. Pellegrino will then obtain a more complete medical history from you and perform a final pre-op physical examination. Your chest will be measured, and your vital functions will be checked to ensure that you are physically fit for surgery.

Prior to releasing you from your pre-op visit, your doctor and our staff will give you detailed instructions for the time leading up to your surgery, as well as for the time immediately following it.

The Mastopexy Procedure

Drs. Perrotta and Pellegrino perform breast lifts on an outpatient basis under IV sedation and local anesthesia or general anesthesia.

The design of the incisions varies but usually includes an incision around the nipple-areolar complex.  Beyond this, and depending on your anatomy and the severity of droop, there can be some variability.  If your surgeon determines a donut mastopexy is best for you, you will not need any other incisions.  If he determines a lollipop lift is for best for you, he will need to make another incision extending from the circular incision around the nipple areola complex down to the fold under the breast.  If he determines an anchor scar is needed, he will add a curved, horizontal incision along the fold.

In most cases, our surgeons raise the nipple-areolar complex, remove the excess skin, and reshape the breast, which together provides a more pleasing contour and youthful position.  Again,  he will also insert an implant if the patient desires larger breasts as well.  If she desires smaller ones, he simply removes some tissue during the process.

After he closes the wounds, the surgical team applies the dressings and either a specialized bra or ace bandages.

Post-Op Recovery

You can go home the same day wearing the dressings and the bra or aces.  You will leave the bra or aces intact until you are instructed to change the dressing.

Any initial discomfort is easily controlled with oral pain medication.  You can resume light activities in about 5-10 days.

After your procedure, you will follow up with us several times so that we can monitor your healing.

Breast Lift Before and After Photos

Click here to see our Breast Lift Before and After photo gallery.

We are grateful to our patients for granting us the privilege of posting their before and after photos on our website. While we greatly value their privacy, we also salute their eagerness to share their life-changing results with other individuals considering plastic surgery.  Every patient on this website has enthusiastically provided his or her written consent for us to show the world his or her results. No one is under obligation to do so.


Contact us today to schedule a Breast Lift consultation.