Breast Lift Consultation

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Breast Lift Surgery in Miami, Florida

Breast lift surgical procedures are performed under general anesthesia at our state-of-art outpatient facility just north of Miami, Florida. Local anesthesia with intravenous sedation may also be used in some circumstances. Depending on which breast lift technique is used, the surgical procedure could take anywhere from two to five hours. Prior to breast lift surgery, the lines of incisions, the new nipple location, and remainder of the surgical plan is outlined on the breasts. After speaking with the anesthesiologist, the patient is brought to the operating room. Once the patient is asleep, local nerve blocks and a bleeding reduction medication are administered.

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Standard Breast Lift Surgery

Miami breast lift surgeon Dr. Sam Gershenbaum uses a "keyhole" pattern or "anchor" shaped incision. The incisions made during breast lift surgery extend in three different directions:

1. Entirely around the areola (the pigmented area around the nipple)
2. From the areola in a vertical direction down the crease under the breast
3. Horizontally along the fold or crease under the breast extending for a variable length

The greater the amount of lifting, the longer the horizontal portion of the scar will be. Excess skin is removed and sculpted from the inner and outer quadrants of the breast and from the area above the nipple. The remaining breast tissue and nipple are relocated in a keyhole pattern and the incisions are closed.

Dr. Sam Gershenbaum does not use clips or staples to close the skin. All incisions are closed with sutures predominantly below the surface of the skin to avoid cross-hatching suture marks and to optimize the chances for the finest scars.

A conservative size breast implant, or "auto" augmentation to preserve fullness in the upper portion of the breast, may also be performed at our Miami center along with the standard breast lift procedure. This additional procedure utilizes a portion of breast tissue still connected to the chest wall and its blood supply. This segment of tissue is then passed up and under a two-inch bridge of pectoralis muscle and secured.

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Different Breast Lift Surgery Techniques

With a circumareolar-vertical or "lollipop" incision technique, the skin is elevated and the excess is removed from around and under the areola.  The resulting scar extends completely around the areola and vertically down to the crease under the breast. A conservative size breast implant, or the "auto" augmentation technique, may also be performed with a breast lift to enhance the fullness in the upper portion of the breast.

With a circumareolar or "Benelli" breast lift surgery (sometimes referred to as a "donut" mastopexy), the skin is elevated and the excess is removed from around the areola only. The resulting scar extends completely around the areola. Similarly, a small breast implant may be placed to enhance the fullness in the upper portion of the breast.

Standard breast augmentation, with saline or silicone implants, may be performed with any of these breast lift procedures to increase the cup size of the breasts. Following breast lift surgery, a light dressing, a support bra and/or ace bandage are applied.

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