919-256-0900

10941 Raven Ridge Road, Suite 101, Raleigh, NC

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Michael Law MD Aesthetic Plastic Surgery


Breast Lift (Mastopexy) in Raleigh NC – Cary – Durham

Located in Raleigh, North Carolina serving patients in Raleigh, Cary and Durham NC.

An unavoidable consequence of aging is the loss of elasticity, or tone, in skin and soft tissues. This process, which may be compounded by changes, which occur during and after pregnancy, will ultimately lead to ‘drooping’ of the breasts. A variety of surgical breast surgery techniques can be used for restoring the breasts to a more youthful position and shape. The goal is to both relocate the nipples to a higher position, and to restore breast projection (and to maintain projection for the long term).

breast lift before/after

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Having a breast lift operation involves making a decision to trade an improved breast shape and contour for some (well-placed and concealed) surgical scars on the breast. For the Raleigh breast lift patient who is displeased that her nipples are downpointing, it may be a relatively easy decision. The surgical incisions are strategically placed to be as minimally noticeable as is possible. One component is around the areola, which is usually well concealed by the color difference between breast skin and areolar skin. The second component extends vertically from the ‘6 o’clock’ position of the areola to the fold below the breast, and as the majority of this scar faces downward, it is usually quite acceptable.

Traditionally, breast lift or mastopexy surgery has involved a long, horizontal incision below the breast (in addition to the circumareolar and vertical scars), but a relatively new technique allows elimination of this incision completely.

The ‘vertical scar’ breast lift Mastopexy

For several years I have been using a ‘vertical scar’ technique for breast reductions, which eliminates the long, horizontal incision in the inframammary fold below the breasts. I have also adapted this technique for breast lift surgery, and have been extremely pleased with the results. As with breast reduction patients, this new technique not only eliminates the horizontal incision, but also creates more impressive breast projection and maintains it better over time. The breast lift procedure I perform not only removes breast skin but also moves some lower pole breast tissue to a higher position, increasing the projection of the nipple/areola area.

Breast lift (mastopexy) surgery works well for patients who have enough existing breast tissue which allows the surgeon to build a projecting and aesthetically pleasing breast, and who do not have a severely ‘deflated’ appearance from pregnancy or weight loss. In many patients, however, it can be difficult to create substantial, long-lasting fullness in the upper aspect of the breasts (the cleavage area, which surgeons sometimes refer to as the ‘upper poles’ of the breasts) by means of a routine mastopexy surgery alone. This is particularly true in patients who have experienced significant deflation following pregnancy and lactation, and in patients who have experienced major weight loss.

This need for increasing upper pole fullness can be accomplished in one of two ways: by using the patient’s own lower pole breast tissue (‘auto-augmentation mastopexy’), or by placing a breast implant. Auto-augmentation mastopexy is a surgery in which some of the patient’s own lower polebreast tissue (from the area of the breast below the nipple/areola complex) is moved into the upper pole of the breast. A pocket is created behind the upper pole of the breast and the lower pole tissue is advanced, with its blood supply intact, into the upper pole pocket. This truly remarkable procedure can create a mastopexy appearance that previously has only been possible by means of breast implant placement. Not all patients are good candidates for this procedure, as there must be an adequate volume of lower pole tissue available to produce significant upper pole (cleavage area) breast fullness. Most patients undergoing auto-augmentation mastopexy in this practice have a full B cup to D cup breast volume preoperatively.

For patients who do not have enough lower pole tissue available to allow an aesthetically ideal auto-augmentation mastopexy, or for patients who desire a larger breast volume than can be achieved by use of their own tissues, I recommend that they undergo augmentation mastopexy. This surgery combines a breast lift with the subpectoral placement of a breast implant usually of a moderate size, which produces lasting upper pole fullness. This procedure is often the ideal choice for patients with an A cup or small B cup breast volume preoperatively, who are interested in having a C to D cup breast profile postoperatively.

What are the benefits of a breast lift?

Women who undergo breast lift surgery often describe the frustration of feeling like their breasts are heavy, low and that their breasts need constant support from bras that can be uncomfortable. Women have also described the experience of breasts that are droopy or not perky either due to childbirth, aging, or hereditary.  Drooping breasts can limit wardrobe choices, they can feel uncomfortable  and can sometimes even interfere with activities like sports or other athletic pursuits. 

Following a breast lift, women report feeling more confident and also even physically more comfortable. Women describe feeling freedom following a breast lift. They actually stand taller and have better posture. Many women are able to wear form fitting clothing and feel confident without a bra in some fashions.  Some women describe having perky breasts vs pendulous breasts and that they feel like it makes them look slimmer. Other women actually have skin irritation in the crease of the breasts, or where breasts hang down.  A breast lift is really not just a breast surgery, but a full body contouring surgery.  The regret women express following a breast lift surgery is wishing they had the surgery performed earlier. 

Because women are more comfortable in workout wear, and sometimes have more mobility and comfort following breast lift surgery, a lot of women find working out more pleasant and easier. So an added benefit of breast lift surgery can often be a women who has increased fitness, better muscle tone, and a more youthful physique overall. 

How much does a breast lift cost?

The price of a surgery will vary, sometimes significantly depending on several factors.  Some women have more breast tissue than others. The price of any plastic surgery procedure will depend upon the length of the surgery. Another factor in pricing is the experience, training and expertise of the surgeon performing the procedure, the quality and accreditation of the surgical facility where the procedure is being performed, and also the team of medical professionals supporting your plastic surgeon during surgery.  When prices for breast lift surgery seem too low, that may be cause for concern. Always be certain that you seek out a board-certified plastic surgeon who is working in an accredited surgical facility for your procedure. It also also important to view many, many before and after images of breast lift surgery from all perspectives, front, side, and oblique. The photos should consistently show a great shape. 

The most expensive  procedure is going to be revision breast lift surgery. So, do your homework and find a well-trained, experienced plastic surgeon who has an extensive before and after gallery of breast lift images. 

Breast Lift Recovery – what to expect following Breast Lift Surgery

Breast lift surgery is often a procedure that patients can recover from very quickly. Depending on the kind of work a woman does, I generally suggest that  women stay out of work for a week. However, I consistently hear feedback from women who feel well enough to start back to doing some work after just a few days. Many of my patients are women with young children. It is ideal if someone is available to help lift children who need to be carried for the first 4-6 days following a breast lift.  Patients are often surprised by how comfortable they feel following surgery. My goal is for every patient to leave the OR feeling comfortable and with a smile on their face. There are steps that I can take a surgeon intraoperatively to help reduce or eliminate pain. Most patients may take an OTC pain reduction medication. But my patients very rarely feel the  need for a prescription pain reliever and I do not prescribe my patients narcotics. This means that the recovery is not just comfortable, but faster, and with a clear mind, and without the side effects that often accompany narcotic medication. What my patients look forward to most after surgery is doing a little shopping, and feeling more comfortable in their own clothes. Many of my breast reduction patients have felt the need to sleep in a bra. The freedom of not being in a bra around the clock is truly life changing for my patients. 

Schedule a Plastic Surgery Consultation for a Breast Lift in Raleigh Today. 

Contact board-certified plastic surgeon Michael Law MD today at 919-256-0900. We also offer breast augmentation, liposuction, gynecomasta surgery and more.


    Schedule a Consultation with Dr. Law Today