Mastopexy (breast lift) with breast augmentation is a combination procedure that lifts sagging breasts while increasing their size and enhancing their shape. Aging, pregnancy, weight loss and gravity can all cause breasts to sag. When sagging cannot be corrected by implants alone, augmentation mastopexy may be recommended. During mastopexy alone, excess skin is trimmed away, supporting tissue is tightened, the breasts are “lifted” to sit higher on the chest, and the nipple and areola are repositioned or resized. By adding augmentation with implants to the procedure, the breasts can also be made larger and firmer.
Candidates for Breast Reduction Surgery
Good candidates for augmentation mastopexy have sagging breasts that have lost fullness at the top. Candidates must be in good overall health, maintain a stable weight, and have realistic expectations about what augmentation mastopexy can do. A woman who chooses to undergo augmentation mastopexy is unhappy with her breast size, and has one or more of the following:
- Sagging breasts
- Breasts that have lost shape or volume
- Breasts that are flat or elongated
- Nipples or areolas pointing downward
- One breast lower than the other
A woman planning to have (more) children should not undergo augmentation mastopexy because pregnancy and nursing can counteract its benefits.
The Breast Reduction Procedure
Augmentation mastopexy is performed on an outpatient basis under general anesthesia, and usually takes 1 to 3 hours. Depending on the degree of sagging, the amount of excess skin, and the size and type of the implants, one of the following types of incisions is often used:
- Two rings, one larger than the other, around the areola
- A keyhole shape, around the areola and down to the breast crease
- An anchor shape, beginning in the breast crease, and extending up to and around the areola
After the incisions are made, excess skin is trimmed to create a tighter, more defined appearance. The nipple and areola are usually moved higher on the breast or resized. Implants made of either saline solution or silicone gel are inserted into the breast beneath the pectoral muscle or mammary gland. Incisions are then closed with stitches; the incisions used for augmentation mastopexy are larger than those for augmentation alone, which requires only an incision in the breast crease, the bottom of the areola or the armpit.
Recovery from Breast Reduction Surgery
For a few days following augmentation mastopexy, patients are likely to have bruising, soreness and swelling that may last for several weeks. Breasts are usually wrapped in an elastic bandage or a surgical bra for about a week; a support bra is then worn continuously for a month. Stitches are removed after 1 to 2 weeks. Most patients return to work within a week; exercise and other strenuous activity should be avoided until the surgeon believes the patient to be sufficiently healed
Risks of Breast Reduction
In addition to the usual risks associated with surgery and anesthesia, risks specific to augmentation mastopexy include the following:
- Capsular contracture (hardening of scar tissue around implant)
- Implant leaks and ruptures
- Implant deflation or shifting
- Temporary or permanent change in nipple/breast sensation
- Irregularities in breast contour/shape
- Asymmetry
- Partial or total loss of nipple/areola
Depending on the incision type used, augmentation mastopexy can produce visible scars, although, in most cases, scars fade over time, becoming much less apparent.
Although there are instances in which they last much longer, breast implants have a life expectancy of about 10 years, so women who want to maintain the size and shape of their breasts should expect to undergo a number of surgeries to maintain results.
What Is Breast Reduction Surgery?
Breast reduction surgery, also known as reduction mammoplasty, is a procedure designed to remove excess breast tissue, fat, and skin. If you experience physical discomfort such as back, neck, or shoulder pain due to large, heavy breasts, this surgery can provide significant relief. Beyond physical symptoms, breast reduction also helps improve posture, enhances mobility, and boosts overall self-confidence by creating a more proportionate breast size.
What to Expect Before, During, and After Breast Reduction Surgery
Before surgery, you’ll undergo a thorough consultation where Dr. Ferguson will review your medical history, perform a physical exam, and discuss your desired outcomes. The procedure is typically performed under general anesthesia and lasts about three to four hours.
After surgery, you’ll wear a surgical bra to support healing. Swelling and discomfort are normal in the initial weeks, but these symptoms gradually subside. Dr. Ferguson will provide detailed aftercare instructions, including activity restrictions and follow-up appointments to monitor your recovery.
Breast Reduction vs. Breast Lift: Which Procedure Is Right for You?
While both procedures involve reshaping the breasts, they serve different purposes. Breast reduction focuses on reducing volume to alleviate physical discomfort and achieve a smaller, more balanced breast size. A breast lift, on the other hand, corrects sagging by repositioning the breasts higher on the chest without significantly altering their size. If you desire both a reduction in size and an uplifted appearance, a combination of both procedures might be recommended.
How to Maintain Breast Reduction Results Over Time
To preserve your results, it’s essential to maintain a stable weight through a balanced diet and regular exercise. Significant weight fluctuations can affect breast size and shape. Following Dr. Ferguson’s post-operative care guidelines and attending routine check-ups ensures long-lasting satisfaction with your breast reduction results.
Frequently Asked Questions
What is the difference between a breast reduction and a breast lift?
A breast reduction removes excess breast tissue to reduce size and alleviate discomfort, while a breast lift repositions the breasts to a more youthful height without reducing their volume significantly. In some cases, both procedures are performed together for optimal results.
When can I get back to work after breast reduction surgery?
Initial recovery typically takes two to three weeks, during which you should avoid strenuous activities. Most patients can resume light activities within a few days and return to work within two weeks. Full healing, including scar maturation and final results, may take several months.
Will breast reduction surgery leave noticeable scars?
Scarring is inevitable but usually fades significantly over time. Dr. Ferguson uses advanced surgical techniques to minimize visible scarring, placing incisions in discreet locations. Proper aftercare, including scar treatments, can further enhance healing.
Can breast reduction improve back and neck pain?
Yes, reducing the weight and size of your breasts can relieve chronic back, neck, and shoulder pain caused by the strain of overly large breasts. Many patients experience immediate relief following surgery.
Why Choose Dr. Ferguson for Breast Reduction in San Antonio, TX?
Dr. Ferguson brings years of experience and a patient-first philosophy to every procedure. His meticulous attention to detail ensures results that are both functional and aesthetically pleasing. From your initial consultation through your recovery journey, you receive personalized care tailored to your unique needs. Conveniently located in San Antonio, Dr. Ferguson and his compassionate team prioritize your comfort, safety, and satisfaction every step of the way.
For more information or to schedule a consultation, contact Dr. Ferguson’s office at 210.290.9078.