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Breast lift surgery, also known as mastopexy, is commonly requested in our Raleigh, North Carolina plastic surgery practice. Pregnancy, breast feeding, weight loss and aging are just a few of the factors that cause breasts to lose their shape and position. To reclaim an uplifted appearance, an increasing number of women are choosing to have a breast lift procedure or a breast lift with implants. Dr. Morea and his staff at Morea Plastic Surgery Center of North Raleigh have brought their skill and artistry to breast surgery and have helped thousands of women achieve the look they desire.
A breast lift raises and reshapes sagging breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. The areola may become enlarged over time and a breast lift surgery will reduce this as well. A breast lift rejuvenates the female figure with a breast profile that is more youthful, uplifted and firm. When an increase in breast volume is also desired, breast implants may be inserted in conjunction with a breast lift. The breast implants may be saline filled or silicone filled breast implants. Dr. Morea will help you determine which implant would work best for you.
Breast lift surgery in Raleigh, North Carolina is an appropriate procedure for women who wish to improve breast shape, size and position. At Morea Plastic Surgery, breast lift and breast lift with implants is an outpatient procedure which is performed in our fully accredited in-house surgical suite. A breast lift is a three-hour procedure that is performed under general anesthesia. It requires an anchor shaped incision pattern: one around the areola, a second from the areola to the crease under the breast and the third along the breast crease.
Most patients return to daily activities, including driving, within three to five days after surgery. It is important, however, however not to lift more than five pounds for three to four weeks, after which time you should be back to full activity. Although it takes up to several months to see final results, you can start enjoying the look of your shapelier, uplifted breasts almost immediately.
During your breast lift consultation, you meet personally with Dr. Morea and he will review many before and after photos of breast lifts that he has performed. You will have the opportunity to discuss your options with regard to size, shape, position and type of implants if you choose to increase the size of your breasts. Dr. Morea will help you determine which type of cosmetic breast lift procedure is best for you. He will give you a personal tour of his Raleigh, N.C. plastic surgery center. At the end of your plastic surgery consultation, you will be given a quote for the exact cost of the breast lift procedure designed for you.
A small incision on the lower abdomen similar to a C Section incision is utilized to perform a mini tummy tuck. Mini tummy tuck scars are easily concealed under most clothing, lingerie and bathing suits.
Dr. Morea: I would recommend waiting four to six months before considering a breast augmentation revision. The reason for this is because it can take four to six months for breast implants to fully settle and for all swelling to be resolved.
When I see a patient for cosmetic abdominal surgery, I evaluate the three components of the abdomen which I can change. The skin, excess fatty tissue and the strength/weakness of the muscle/fascial layer. The procedures of choice will range from liposuction to full extended abdominoplasty. Depending on what is bothering the patient, their exam and physical findings will determine what procedure is best for them.
A mini tummy tuck is an operation that is designed for women who are unhappy with the appearance of their lower abdomen. Specifically, the area below the umbilicus or belly button. It is the procedure of choice for women with a small amount of excess skin or bulging that is limited to the lower abdomen. It will not address the stretch marks, excess skin or bulging above the umbilicus. It has been my experience that about 1 in 20 women who come to me for tummy tuck consultation are considered to be a good candidate for a mini tummy tuck. During your consultation, I will examine your abdomen to determine which procedure is most likely to give you the results you desire. Factors that will be considered are the amount of excess skin, amount of excess fatty tissue and condition of the underlying muscle wall.
Most patients should plan on being off of work both inside and outside of the home for 10-14 days following a tummy tuck. It will take 3-4 months for all of the swelling to resolve and you will have lifting restrictions for 6-8 weeks following a tummy tuck. I strongly advise mothers with small children to arrange help with child care for 7-10 days following their surgery.
A standard tummy tuck usually involves an incision from hip to hip. Liposuction is done through much smaller incisions frequently at the same time. Most women can still wear a two piece swimsuit following a tummy tuck procedure.
Breast implants come in a variety of shapes, sizes, widths and projections. I believe it is important to choose an implant that fits your chest dimensionally well. Breast implants can rotate when they are in the body. If a round implant rotates, there will be no change in the shape of the breast. However, rotation of a non round implant may distort the shape of the breasts. However, some patient’s are better candidates for the non round implant due to their particular anatomy. For this reason, it is important to individualize the surgery for each patient as much as possible.
There are pros and cons to each position placement. As a general rule, I believe most patients who are an A cup initially, are better off long term with submuscular placement or under the muscle. I believe saline implants should always be placed under the muscle. Any implant placed subglandularly, or on top of the muscle, has a greater risk of palpability and rippling. Any implant under the muscle has the risk of implant distortion with use of the chest muscles.
I tell all of my patients that it will be 4-5 months before all of the swelling is gone and the implants have fully settled into place. Most patients can begin a light work out within one week and have no restrictions after one month. Most patients can return to work both in and out of the home in 4-5 days.
Both implants are excellent choices. One is no better than the other. The silicone breast implant is the softer, more natural feeling implant if every other factor remains the same. I believe my job as a plastic surgeon is to review the differences between the two implants. If I feel that one implant is better for a particular patient, I will tell them and explain the reasons why I feel that way. Both saline and silicone implants work well and are FDA approved.