Richard V. Dowden, M.D., C.M., F.A.C.S.
Certified by the American Board of Plastic Surgery
Cosmetic and Plastic Surgery, Inc.
6770 Mayfield Road, Suite 410
(Mayfield Heights)
Cleveland, Ohio 44124
(440) 449-7470
Can exercise tighten the abdominal skin without Breast lift (Mastopexy)?
Does Breast lift (Mastopexy) take care of stretch marks?
Will Breast lift (Mastopexy) tighten up loose skin?
What are the techniques of Breast lift (Mastopexy)?
Can the nipple sense of touch be lost from a mastopexy?
What is the cost of Breast lift (Mastopexy)?
Where are the scars located after Breast lift (Mastopexy)?
Can the problems come back after Breast lift (Mastopexy)?
Is Breast lift (Mastopexy) surgery painful?
Is it safe to do mastopexy on a nicotine user?
What is the recovery period after Breast lift (Mastopexy)?
Finding a Surgeon Near You.
Answers to Frequently Asked Questions about Breast lift (Mastopexy):
Unfortunately no. Exercise is good for the mind and body in general, and toning the muscles can help fill out any loose skin in the vicinity. Excercise can increase muscle bulk, and that in turn can make skin look a little tighter, but exercise cannot actually tighten the breast skin. To date, only surgery can accomplish that.
Stretch marks are scars. They are produced by distension of the skin. Some of those stretch marks will be removed with the extra skin, especially at the lower part of the breast. Those located on the upper breast will remain. The stretch marks that remain may be tightened and smoothed out somewhat.
In a way, yes, as much of the loose skin is actually removed, and that which remains is made a little tighter.
All methods so far invented rely on actual skin removal.Perhaps the most important characteristic of an attractively-shaped breast is the balance between the volume of the breast, and the surface area of the skin holding that volume. If these two are in the correct proportion, then usually an attractive shape results. When there is a mismatch, that is there is too much skin for the breast volume, then the breast is too "relaxed" or "droopy" or "saggy" with a downward descent below the normal level. Correction of this problem then requires either increasing the volume, as with an implant, or decreasing the skin area, called a mastopexy, or sometimes both these methods are needed. The use of an implant is discussed in detail elsewhere. Removal of skin must always result in a scar someplace on the breast.
Yes, that is a possibility, because virtually every mastopexy involves cutting around the nipple. Nerves grow back slowly, so usually we allow two years for the sense of touch to return to normal, and if not by then, it probably will not.
The fees for Breast lift (Mastopexy) by Dr Dowden include preoperative testing, operating room, anesthesiologist, supplies, medications, dressings, surgeon's fee, recovery room, overnight stay, and office checkups for 12 months, and the cost depends upon which surgical facility is used.
One can find surgeons offering lower fees for this surgery, and although lower fees do not necessarily mean that the surgeon is not experienced, there are several questions to which prospective patients must learn the answers:
- Is the surgeon certified by The American Board of Plastic Surgery?
- Does the surgeon have considerable experience with the surgery?
- Is the surgical facility fully accredited for general anesthesia?
- Will there be an M.D. Anesthesiologist present?
- Will the surgeon be doing the surgery himself/herself?
- Can you be sure the surgeon is not just supervising trainees?
- Does the quoted fee include everything listed above?
You want to be certain the answer is yes to all of these before deciding.
All cosmetic surgery is prepaid, but various financing options are available. It is not appropriate for health insurance to cover cosmetic surgery, and abdominoplasty is almost always cosmetic surgery. In some rare situations, such as after massive weight loss, or presence of an abdominal hernia or similar problem, health insurance assistance may be appropriate, and only in such a case would Dr. Dowden submit mastopexy to a patient's insurance company.
For the most current cost information, link to the cost page.
Removal of skin must always result in a scar someplace on the breast. Almost always, the descent of tissues has included the nipple-areola which becomes too low for an attractive look, and so the minimum scar is usually one which goes all the way around the nipple-areola ("The Circle" or the "Binelli"). For mild degrees of descent, that scar around the nipple-areola is all that is necessary. If more skin than that has to be removed, then there will have to also be a vertical scar downward from the nipple-areola so the scar will be a circle with a line downward ("The Lollipop"). If the breast relaxation is even more severe than that, then there will also be a horizontal scar from side-to-side under the breast so the scar will be a circle with a line down and then a curved line under the breast ("The Anchor"). Only at consultation can the extent of the scar needed be estimated. It is known, however, that attempts to correct a severe degree of breast relaxation using only the scar around the nipple-areola generally result in severe problems, and often lead to complications.
Yes, the skin stretches with the passage of time, and so as the years go by there will be more skin, and the breast will gradually stretch out again. Nevertheless, a better contour after surgery is in one sense permanent, in that no matter what the person's age, the benefits remain.
Usually not extremely so, as there are no deeper tissues involved. All the patients are given strong narcotic pills to take at home, and limit their activities accordingly.
No, unless she has stopped nicotine long enough to allow her system to become nicotine free. Usually that means two weeks from the most recent cigarette for example. If nicotine is present during or soon after the operation, the chance of complications increases dramatically. Because of that, just before operation for a nicotine user, her system is tested for the presence of nicotine, and if the level is that seen after recent use of a cigarette (second-hand smoke does not register) then the operation is cancelled, with financial implications for the patient.
Recovery time depends on the individual, but usually follows a general pattern. For the first five to seven days, the patients take fairly strong pain medicine, usually a mild narcotic. During this time they generally stay at home, and they cannot drive a car or operate machinery. Near the one-week mark, when they are on milder medicine, they can start light exercise, such as walking, treadmill, stationary bike, but not impact exercises like running or aerobics. The second week, weights or exercise machines can be added, and then after three weeks, running and aerobics can be done. The point at which work can be resumed depends upon how the work activities fit into the progression described above, and this is individualized.
If you are interested in Breast lift (Mastopexy) and want to find a board-certified Plastic Surgeon in your area who is qualified to do it, call the referral service of the American Society of Plastic Surgeons at (800)-635-0635, or check http://www.plasticsurgery.org. Alternatively, one can ask the local plastic surgery society, or the plastic surgery department of the nearest medical school. To find out if a surgeon whose name you have been given is truly a Board-Certified Plastic Surgeon, put the name into the search engine at http://www.abms.org to find out.
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Cosmetic and Plastic Surgery
6770 Mayfield Road, Suite 410
(Mayfield Heights) Cleveland, Ohio 44124
(440) 449-7470
Note: To ensure privacy for our patients, all of our outgoing phone lines have their caller ID permanently blocked; if your phone does not accept blocked ID calls you will not be able to receive any calls back from our office.
Last Update: 5:44 PM on 06/01/2008
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