by Dr. Steven Wallach
As a patient grows older, the breasts begin to sag. They will sag more with large weight fluctuations. Similarly hormonal changes during pregnancy cause the breast to become engorged. After childbirth is complete, the breasts deflate. This is analogous to a balloon that is blown up to capacity. The air slowly leaks out of the balloon and the skin of the balloon becomes weaker.
It really depends upon what the breasts look like and what the patient desires from the surgery. If the patient wants more volume and the breasts do not sag too much, then a breast implant through a small incision may be all that is required to make the breasts look better. On the other hand, if the patient wants a lift and no increase in volume, then a limited incision breast lift technique can be employed. This includes vertical breast lift operations, which limit the incisions to a lollipop appearance (a circle around the border of the areola and a vertical line from the lower border of the areola to the inframammary fold). Sometimes the incision can be limited to the area just around the areola.
I usually instruct patients to delay having a breast lift until they have completed their child bearing. The breasts will go through the same changes as they did with other pregnancies. The breasts may or may not stay “lifted,” so it is probably best to wait.
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New York, NY
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