Cosmetic Surgery Tips

Breast Lift Without Moving The Nipple

The answer to that question will determine whether you need a breast lift or not. If your nipples are too high, then a breast lift may be necessary. However, if they’re already where they should be, then moving them again could cause them to look less natural.

So what is a breast lift? It’s an operation that involves removing excess skin and fat from around the breasts so that they can sit higher on the chest wall. The nipples are left in place but sometimes may need to be repositioned afterward.

There are other procedures that can achieve similar results without moving the nipple—called mastopexy or mastoplasty—but these are technically considered more invasive because they involve removing the entire nipple mound (as opposed to just excess skin).

You can also read about what to expect after a breast lift and can you get a breast lift without moving the nipple.

Breast Lift Without Moving The Nipple

A breast lift and breast augmentation are very different surgeries. However, it is fairly common for a woman to have both. The greatest determining factor is whether your breast position, size/volume or appearance bothers you. If something bothers you about your breasts, but you are not able to pinpoint exactly what, an expert breast surgeon can help you clarify your goals for a breast lift vs. breast augmentation.

Your surgeon will help to determine whether a breast lift and breast augmentation is needed to reach your desired look—or whether you need just a lift or just an augmentation. Many women need a combination of both procedures, so that’s why we always stress that your procedure must be individualized and planned around you.

When to Combine a Breast Lift and Breast Augmentation

An experienced and dedicated breast surgeon will advise you about your options and help you clearly understand the effect of various choices you might make about breast lifting and augmentation. At your consultation, your breast surgeon will often create a solution that combines a breast lift and breast augmentation. In many cases, however, one or the other is sufficient.

Since bodies are typically not symmetrical, it is also common to perform a slightly different procedure on each breast. You may need a larger implant on one side or a lift that brings both breasts into a more even alignment. The combinations and possibilities are nearly endless, especially when you get into implant types, sizes and insertion procedures.

To make your choices simpler, choose an experienced surgeon with whom you communicate well. With proper forethought about your options and careful planning to meet your needs, the satisfaction rate for both breast lifts and breast augmentation is very high.

Keep in mind that your specific breast surgery may be very different from what another woman with a similar figure might need or want, so make sure your surgeon is one who takes an interest in your individual needs and desires—and clearly explains your options for a breast lift vs. breast augmentation.

How to Decide if You Need a Breast Lift vs. Breast Augmentation

A breast lift is needed when there is extra skin or excessive sagging of the breasts due to weight loss, pregnancy and breastfeeding, hormonal changes, gravity and/or age. Another factor is skin elasticity: some women have thicker skin or skin that “snaps back” rather than stretching permanently (after weight loss, for example).

Some women’s skin may hold its shape better than others due to heredity. Lifestyle habits, like smoking and sun exposure, on the other hand, can make skin less elastic. Personal taste comes into play as well, with some women simply preferring breasts that sit higher on the chest. With all these factors in play, there is no specific age group or body type that “needs” a breast lift.

Breast augmentation provides some lift

If you have only a little sagging, and your nipple is above the level of your breast crease, breast augmentation may be used to lift your breasts—essentially “filling up” the excess, or droopy, skin (called ptosis). Often, however, the nipples will need to be repositioned higher on the breast at the same time the implant is placed to achieve a natural, perky and youthful look.

This creates a type of hybrid surgery. Top breast surgeons will offer you the surgical solution you need to achieve your desired outcome and won’t be too concerned if it’s a lift (mastopexty), an augmentation (augmentation mammoplasty) or both a lift + augmentation.

Need a lift? Check the mirror

One rule of thumb that women may use to determine if they are a candidate for a breast lift (with or without an augmentation) is “nipples below the crease.” Stand in front of a mirror and see if your nipple falls below the level of the under-breast crease. If so, you may decide to look into a breast lift and/or augmentation.

If your nipples are pointed downward, that is a common reason many women choose to have a breast lift. Remember that there is no absolute test that can tell you in advance which type of surgery you will need to achieve your goals, whether that means a breast lift vs. breast augmentation. Let an expert breast surgeon advise you at an in-person consultation.

The effect of a breast lift alone

If you are happy with your breast volume, but not the position, a breast lift alone may work well for you. In this case, your surgeon will remove excess skin and reshape the breast so that it sits higher on the chest. The result will be higher, tighter, firmer breasts.

A breast lift alone will not meaningfully change your breast size, nor will it round out the upper part of the breast (where volume is typically lost as sagging occurs). Typically, the nipple must be moved up on the newly reshaped breast mound after a breast lift in order to create a naturally youthful look.

In many cases, when you’re seeking to re-create your youthful look after breast sagging, implants (augmentation) must be used to get the desired effect that you’d like to recapture. Although only skin, not breast tissue, is removed during a lift (unless you undergo a combination breast reduction and lift), the breast may appear smaller in its new, higher chest position. For this reason, many women choose to have breast augmentation as well as a breast lift.

Breast Lift vs. Breast Augmentation: Comparing Procedures, Incisions and Scars

Breast Lift

In some cases, where little excess skin is being removed, your surgeon can use only an incision around the edge of the areola (sometimes referred to as the donut procedure) to move the nipple up and possibly decrease the size of the areola, if desired. (The areola may stretch as breasts sag and many patients request that it be made smaller.)

When more skin must be removed, your surgeon will often make an incision in the skin below the breast (in the crease) and a perpendicular one running up to the areola and around it (sometimes referred to as the lollipop procedure). In this way, your breast surgeon removes excess skin, moves the breast tissue up higher on the chest wall and reshapes it.

The nipple is also generally moved up to a new position for a perky-but-natural look. The breast crease effectively hides one part of the scar and the areola’s edge hides the other. The scar from connecting the two incision sites will typically fade to a thin line over time.

Breast augmentation

If you get breast implants without a lift, you may have the same incision pattern as above. In some cases, saline implants can be inserted through a small incision under the arm, around the edge of the areola or in rare cases, through the belly button—and filled after placement. The implant is placed into a “pocket” (or space) made for it, either under or over your chest muscle.

Decisions about placing the implant above or below the muscle, and about the type (saline or silicone), shape (high profile, low profile, teardrop and others) and size of implant require careful thought. Your surgeon can advise you and help you determine the best course to get the results you desire from your breast surgery.

Proper timing of breast lift vs. breast augmentation

If you need both a breast lift and breast implants, both procedures are typically done at the same time. However, in some cases, the procedures may be done as two separate surgeries. For either or both surgeries, it’s ideal to wait until you have finished childbearing and are at a stable weight before having the procedure.

Changes in your body weight may negate the benefit received from a breast lift or augmentation, causing renewed sagging. Keep in mind that, depending upon your age, breast implants may not last a lifetime and breasts will continue to sag with age, even after a breast lift.

Making the Right Choice for You about Breast Surgery

When you are ready to learn more about whether to choose a breast lift vs. breast augmentation in your specific case, contact Cohen/Winters Aesthetic & Reconstructive Surgery in Bergen County. We offer a consultation to help you learn about your options.

Scarless Breast Lift

The adage that good things come to those who wait is never more appropriate than when talking about scarless surgery. After years of waiting for an effective method of tightening and eliminating sagging skin without scalpels and scars, Dr. Gilbert Lee and Dr. Michael Rossi have endorsed the InMode BodyTite RFAL system for performing a thigh lift without the usual incisions and a lengthy recovery.

A breast lift typically involves an incision around the nipple extending downward to the breast fold and under. Some women are uncomfortable with the idea of a visible breast scar and are dissuaded from undergoing a breast lift because of it.

Scarless Breast lift

One of the most common problem areas for women is sagging flappy upper arms. Loss of skin elasticity, excess fat and sagging skin of the upper arms have earned the less-than-affectionate nickname “batwings”. This area is highly resistant to exercise. The only option for correction until this point has been a surgical procedure called a brachioplasty or arm lift. This procedure involves an incision along the inner upper arm that typically extends from the armpit to the elbow. The lengthy scar can be obvious and has actually been a deterrent for patients to move forward in upper arm reduction.

Now there is a scalpel-free and scarless option to correct batwings. Changes Center for Scarless Surgery is San Diego’s single destination for correction of upper arm sagging without incisions. With the assistance of the InMode Radio-frequency system, you can now benefit from upper arm reduction with surgery-like results and without a single incision.

Why Choose Scarless Breast Lift?

Scarless Breast lift

Changes Plastic Surgery & Spa now offers a Scarless Breast Lift procedure that ensures a woman can reshape and lift the breasts and leave the treated area scarless. Our Scarless Breast Lift treatment leverages the newest technology to guarantee a woman can rejuvenate the breasts without having to go under the knife.

There are many reasons why a woman may consider a traditional breast lift, including:

  • Proven Results: A breast lift is the only option for restoring breasts to a youthful and proportional position.
  • Increased Self-Confidence: Various studies have indicated that a breast lift procedure may help women boost their self-esteem through an improved body image.
  • Improved Breast Symmetry: Asymmetrical breasts can be corrected during a breast lift.

A Scarless Breast Lift offers the same benefits as a standard breast lift procedure but eliminates the need for incisions on the breast. The incisionless breast lift requires no scalpels so there are no scars, and each Scarless Breast Lift procedure is performed by San Diego’s top plastic surgeon Dr. Gilbert Lee.

How Is a Scarless Breast Lift Performed?

During an incisionless Breast Lift, our providers will use Inmode Radio Frequency Assisted Lipolysis (RFAL) system for advanced skin tightening. The RFAL system leverages a tiny cannula that creates an electric current beneath the skin’s surface with an external electrode. Then, a highly controlled thermal field coagulates subcutaneous fat and heats fibrous septa (fat cells) and papillary dermis, which tightens the breast tissue. This helps raise the breasts and bolster their firmness.

The Scarless Breast Lift is performed under local anesthetic and patients can go home after the procedure. Patients are instructed to support their breasts for the following 4-6 weeks in a lifted position using athletic tape in order to maximize the effectiveness of the tissue shrinkage. Scarless Breast Lift patients can resume normal activities immediately and resume exercise in approximately one week.

Are You a Good Candidate for an Incisionless Breast Lift?

An incisionless Breast Lift procedure represents a great treatment option for women who want to restore breast shape after pregnancy and breastfeeding. With an Scarless Breast Lift, a woman can repair stretching and sagging of the breasts that may occur after pregnancy. A Scarless Breast Lift may also serve as an ideal option for a woman who through the natural aging process has seen her breasts fall and would like a more lifted, perky breast silhouette. For women who have always had asymmetrical breasts, a Scarless Breast Lift may be appropriate for lifting the position of one breast to match the other. During your consultation, our providers will review your desired improvements and determine if a Scarless Breast Lift is the best treatment option for you.

Can You Get A Breast Lift Without Moving The Nipple

The surgeon will make 1 to 3 surgical cuts (incision) in your breast. Extra skin, and sometimes some breast tissue, will be removed and your nipple and areola may be moved.

What To Expect After A Breast Lift

Your breasts will be swollen and bruised for about two weeks. You’ll likely feel pain and soreness around the incisions, which will be red or pink for a few months. Numbness in your nipples, areolae and breast skin might last for about six weeks.

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