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Dr. Beverly Friedlander

Breast Lift


Time is not our friend, and as it passes, the effects of gravity and the loss of natural skin tone and elasticity begin to take a toll on our appearance. This is true in all areas of our bodies, including the breasts. These factors, in combination with pregnancy and nursing, often wreak havoc, causing a loss of fullness and a loss of your youthful look. Breast lift surgery, or mastopexy, is designed to reshape the breasts to achieve a lifted and aesthetically pleasing appearance.

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What is a Breast Lift?


A breast lift is intended to improve sagging, drooping breasts caused by pregnancy, weight changes, heredity, and hormonal fluxes (menopause). The skin stretches as a result of these conditions and loses some of its elasticity. A breast lift is an outpatient procedure that restores the breasts to a more youthful appearance by adjusting the nipple height and tightening the breast skin and tissue. The areola (pigmented area around the nipple) is frequently reduced in size during a mastopexy. The cup size does not change with a lift by itself, but it can be increased if the surgery is performed in conjunction with breast augmentation.

Am I a good candidate for a Breast Lift?


To determine if you are a candidate for breast lift surgery, Dr. Friedlander will consider the size, shape, distribution, and droop in your natural breast tissue prior to making any recommendations. She is mindful of all of your concerns such as desired shape and size, scars, and lifestyle issues and will review your options and explain the benefits of each with you. If you are healthy, have a positive outlook on life, and are finished having children, then you are a good candidate for surgery.

If you have any of the following, a breast lift may be for you:

  • Breasts that droop or sag
  • Breasts that are elongated or pendulous
  • Breasts with a lot of loose skin that look empty or flat
  • Breasts that are of different sizes
  • Breast shape and size that has been affected by nursing or pregnancy
  • Nipples that point downward
  • Nipples or areolas that are located below the natural breast crease

What if I want fullness but I don’t want an implant (Auto-Augmentation)?


All women want to look and feel their best. For some, that means wishing to have perkier, fuller, and rounder breasts. For women who desire fullness without an implant, Dr. Friedlander offers auto-augmentation. Over time, the breasts naturally lose fullness above the nipple and areola, which is usually because of pregnancy and nursing or from fluctuations in weight. The best way to restore this fullness is with a lift and implant. Women who do not want an implant, but who desire more fullness, are candidates for auto-augmentation where the breast tissue below the nipple and areola is redistributed to restore some of the superior fullness. Additional fullness can be achieved with fat transfers if desired. These procedures can help to restore your confidence and sexuality.

Before and After Photo

Before Patient Photo After Patient Photo

Breast Lift
This patient was unhappy with the drooping of her breasts. We were able to restore fullness and improve her shape by performing an Auto Augmentation where her natural breast tissue was used to enhance her overall fullness.
Age: 41
Height: 5’10”
Weight: 150 lbs
Cup Size Before: 32DD
Cup Size After: 32D

* Individual results may vary.

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What are the incision options for a Breast Lift?


A breast lift is considered when the nipple and areola have drifted down below the natural crease. Dr. Friedlander will review her technique during your consultation. She will discuss the variables, including the size and shape of your breasts, the location of the incisions, and the condition of your skin.

There are several types of incisions that can be used for a Breast Lift.

  • Periareolar
  • Lollipop
  • Inverted T (Anchor)

The periareolar incision is best used for small breasts with minimal sagging. It will not correct moderate sagging or loose skin. The lollipop incision is a good approach for moderate sagging and permits the redistribution of breast tissue to the upper portion of the breast. This is a novel approach that Dr. Friedlander refers to as auto-augmentation as it helps to restore some of the fullness to the top of the breast without the use of an implant. The inverted T approach remains an excellent technique for large amounts of drooping, and it offers excellent control to the procedure.

If desired or needed, an implant can be inserted with any of these approaches. If the breast appears to sag but the position of the nipple and areola are correct, a condition known as pseudoptosis is present. This condition is frequently caused by pregnancy and nursing or significant weight loss. With pseudoptosis, the  nipple is located above the crease, and only an implant is needed. This distinction can be confusing and will be reviewed by Dr. Friedlander, if necessary.

What will my recovery process be like?


Most women feel well enough to return to light activities the day after surgery, especially after they shower and wash their hair. Everyone is encouraged to use their arms for routine daily activities such as blow drying their hair and very light household chores. It is important to remember that even though you feel good, you can hinder the healing process by returning to an active lifestyle too soon. 

You will need to refrain from strenuous activity or working out for one month. Returning to the gym or treadmill prematurely can result in swelling, or worse, bleeding. Everyone experiences some swelling and light bruising, which disappears in a few weeks. You may resume driving if you have not taken any pain medication (narcotic) for 24 hours and you are able to comfortably turn to the side to look behind you. Most women return to the workplace after one week; although, you can begin to work remotely one or two days after the surgery.

What are the risks involved in Breast Lift surgery?


All surgeries carry risks; however, these risks are minimized when selecting an experienced board-certified surgeon such as Dr. Friedlander. Some risks may include:

  • Scars (which fade with time)
  • Bleeding
  • Infection
  • Asymmetry
  • Altered sensibility
  • Inability to breastfeed

What type of results can I expect?


The final results of your breast lift surgery will become noticeable over the first few months as the swelling subsides and the breasts settle into place. It is recommended that you maintain your weight and lead a healthy lifestyle to achieve long-lasting results. As time passes, changes in your body caused by gravity and the loss of hormonal stimulation will occur, but these changes will be less noticeable as a result of your lift surgery. Breast lift surgery gives you the boost in confidence you’ve been wanting so you can show off your new, youthful breasts.

Schedule a Breast Lift consultation


For more details and to find out if you are a candidate for a breast lift please contact us to schedule a consultation or call our office at 973-524-7124.

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Beverly Friedlander MD
636 Morris Turnpike, Suite 1A
Short Hills, New Jersey 07078

Phone: (973) 524-7124

Fax: (973) 912-8070

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