Sacramento Breast Lift Specialist
Dr. Donald Hause
Dr. Donald Hause, a board certified plastic surgeon, is well-known for his unique approach to breast lift procedures. His Sacramento breast lift patients enjoy beautiful results. In the paragraphs below, Dr. Hause describes this breast enhancement procedure.
Why Breast Sagging Occurs
In some patients requesting breast enhancements, the tissue of the breast has become lax and saggy. The medical term for this condition is breast ptosis. This can occur with age and as a common consequence of pregnancy, nursing and/or weight fluctuations. Breasts progressively hang lower and lower on the chest with loss of upper breast projection (perkiness), elongation and flattening. In some cases, the nipples point straight down.
In women who desire simply to lift their breasts into a more youthful position and contour, a technique called Lejour (after the Belgian Plastic Surgeon, Madeline Lejour) may be the best option.
This technique is very different from the standard procedure involving anchor incisions, or “Binellis,” in that the final result is not determined or dependent upon the breast skin. Lejour breast lift differs in that the breast tissue itself is molded into a new cone of tissue, which is secured with internal sutures and then suspended up higher on the chest wall. The result is not determined or dependent on the overlying skin. Therefore, the scar can, in many cases, be limited to the area around the areola and down the front of the breast (from “lollipop” incisions). Also, since we are fashioning a new breast cone, the result can be more natural and tends to last longer with decreased incidence of recurrence.
Because of these factors, the Lejour technique is my preferred method for correcting breast ptosis in those not desiring enlargement and in those women needing moderate amounts of reduction. In some patients, due to the large amount of redundant skin, a lower horizontal scar is still necessary to prevent permanent bunching up of the lower breast skin. These patients still gain the benefit of internal breast shaping and fixation.
Lejour Mastopexies are typically performed on an outpatient basis under general anesthesia. Most patients can return to work in 7 to 10 days and normal activity in 2 to 3 weeks. You will generally need to be seen the day following surgery, at one week and at 6 weeks after surgery.
In certain cases, the scar for mastopexy can be limited to the area around the areola. This technique is called a Binelli Mastopexy after Louis Binelli, the French plastic surgeon who described it. Unlike standard breast augmentation scars that are nearly undetectable, the scar that results from Binelli Mastopexy is visible. In essence, the way the procedure is performed is by incising a circle around the areola and leaving the nipple attached. A larger circle is then fashioned and all the skin inside the “doughnut” is removed. The two circles are then brought together by placing a “purse-string” in the outer circle and then tying it. This allows the scar to remain at the areolar margin. However, because there is a mismatch between the two circles, the resulting scar widens a little bit and is visible. Also, there tend to be folds or pleats near the areola that may persist for months and rarely are permanent.
As long as the woman’s breast is not too heavy, it is the preferred technique in women with ptosis that want to be larger. One aspect of all minimal scar techniques is that they can take a while to settle and assume a normal shape. In addition to having a flat frontal area, Binelli Mastopexies can also look “boxy” for an extended period of time (six to 12 months in some instances). Therefore, you may need to be very patient with the shape and areolar pleating as the result matures during the first three to six months.
Breast Lift with Augmentation
Women that desire perkier, bigger and fuller breasts can pursue breast lift with augmentation, a combination operation that simultaneously elevates and enhances the breasts. This is a great option for women whose breasts look flat and “deflated” after pregnancy and breastfeeding. Breast lift alone improves the position of the breasts but won’t add volume; breast augmentation alone won’t fix breast sagging (it can make it look worse). Together, the procedures can correct the size, shape and position of the breasts.
Some women opt to space out the procedures into separate operations, but there are more advantages to combining them: the reduced downtime, only one round of anesthesia and a one-time surgical fee. During the operation, Dr. Hause uses mastopexy techniques to remove excess saggy skin, tighten the remaining skin and reshape the tissue higher on the chest wall; he can also reduce oversized areolas and adjust downward-pointing nipples. Then, Dr. Hause places saline or silicone implants to add volume and fullness. If requested, he can use techniques to increase fullness in the upper portion (pole) of the breast for a “push-up bra” look.
Schedule a Breast Lift Consultation
If you would like to learn more about your breast lift options, please schedule a consultation with Dr. Hause. Call (916) 646-6869 to make an appointment.