Breast Lift: Reshaping the Breasts with or Without Implants

Before & after photos of one of Dr. Camp's breast lift patients

Many factors such as pregnancy, weight fluctuation, and aging can make the breast lose its shape. Breast lift surgery is designed to create a firm and more youthful breast.  Dr. Steven Camp is an expert in cosmetic breast surgery and especially prolific and well-known for his elegant breast lift results. 

Dr. Camp performs breast lift surgery to address three specific concerns: tightening of sagging skin, reducing the size of the areola to center the nipple and make it proportionate to the rest of the breast, and lifting the breast and nipple higher to a centered position with improved symmetry. In this article, he shares his unique approach to this popular procedure.

The Science of Shaping Beautiful Breasts

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Before & After Breast Lift (Breast Mastopexy with Implants) Case 168 View #1 View in Fort Worth & Arlington, Texas
Before & After Breast Lift with Implants
Before & After Breast Lift (Breast Mastopexy with Implants) Case 168 View #2 View in Fort Worth & Arlington, Texas
Before & After Breast Lift with Implants
Before & After Breast Lift (Breast Mastopexy with Implants) Case 168 View #4 View in Fort Worth & Arlington, Texas
Before & After Breast Lift with Implants

Scientific research, combined with survey studying of the general public, has defined 4 key elements in a well-shaped breast:

  1. A full upper pole and a controlled not sunken slope.
  2. An ideal breast ratio 45:55 of above-to-below the nipple volume.
  3. Nipple position sits facing forward with a centered position or slight 20-degree incline.
  4. The lower pole of the breast is convex. 

The principles of a beautiful breast apply to both breast lift patients and breast augmentation patients.  The end goal of breast surgery is similar for both breast lift and breast augmentation, and in breast lift surgery the extra tailoring required to shape the breast is well worth it.  The improved shape achieved with a breast lift is more important than surgical incision lines which fade nicely to flesh tone.

Who Is a Candidate for a Breast Lift?

Before & After Breast Lift (Breast Mastopexy with Implants) Case 341 Front View in Fort Worth & Arlington, Texas
Before & After Breast Lift with Implants
Before & After Breast Lift (Breast Mastopexy with Implants) Case 341 Left Oblique View in Fort Worth & Arlington, Texas
Before & After Breast Lift with Implants
Before & After Breast Lift (Breast Mastopexy with Implants) Case 341 Right Oblique View in Fort Worth & Arlington, Texas
Before & After Breast Lift with Implants

Patients showing sagging of the lower portion of the breast are good candidates for lift procedures.

 In patients with extra loose skin or sagging of the breast, the ability to improve the breast shape with implants alone is limited, and a breast lift will be recommended. In cases where sagging and deflation or lack of volume exists, it is common to add breast implants (breast lift with implants) or fat transfer to the breasts using liposuction.

10 Key Benefits of Choosing Dr. Camp for Your Breast Lift in Fort Worth

The 10 key value-added benefits to breast lift with implants or breast lift only with Dr. Camp:

  1. All patients follow a detailed process for structured education about the procedure including description and pictures of incisions, expectations for results, and potential risks or complications.
  2. Dr. Camp will perform a specialized clinical examination of your breast skin and tissues to evaluate the best operative plan including incision type, incision location, and appropriate implants for the procedure.
  3. Dr. Camp uses very precise surgical technique and follows careful proven processes that reduce risk of infection, optimize implant placement, and limit unfavorable scars.
  4. Dr. Camp will guide you through a detailed post-surgery recovery protocol that includes a programmed schedule for medications to minimize pain, nausea and other side effects.  This includes a skin healing program which starts 1-2 weeks after surgery and continues for 12 weeks.
  5. The additional use of VECTRA 3D imaging improves communication for you, the patient, and Dr. Camp.  We focus on implant selection that best matches your individual goals and is appropriate to your breast based on the clinical measurements and assessment performed by Dr. Camp.
  6. The careful preoperative planning Dr. Camp uses coupled with his precise surgical technique allow for smooth recovery, and in most cases eliminate the need for drainage tubes commonly used by other doctors. 
  7. During your breast lift procedure Dr. Camp not only removes stretched out skin, but places special sutures within the breast giving it better strength and support.  Many traditional breast lift procedures will only rely on the outer skin that has already been stretched to shape the breast and those procedures will not last in the same way that Dr. Camp’s techniques provide where internal suture repair techniques provide extra support.
  8. Detailed instructions on sleeping position and transition to recommended bra after surgery are provided.  Early after surgery you will be fitted for a shape stabilizing bra in our office, and we will advise that you preferentially use this type of bra for the next 6 weeks after surgery.  These bras are from Marena and one of these is included in your surgical fees.  Additional bras may be purchased if desired. You will wake up in a heavy gauze wrap and be seen in our office within 1-3 days for inspection and dressing changes and then fitted into a specific bra.  I recommend that you do your best to sleep on your back for 6 weeks to avoid direct pressure on the incisions.  In almost all cases showering is allowed 48 hours after surgery.
  9. The enhanced recovery mentioned earlier actually starts the day before surgery.  I recommend that each patient start on a regimen of medication we prescribe including Celebrex, Gabapentin, and Zofran the day before surgery.  Instruction on a schedule of medications is provided and continues for 2 weeks post-surgery.  This regimen is clinically demonstrated to limit need for narcotic medication, decrease pain, and have less risk of nausea, constipation, or itching.  I believe adherence to these details makes a difference in your recovery.
  10. Dr. Camp believes in the transformative power of high-quality plastic surgery and that it is an investment in self-confidence and quality of life for you.  To that end our office will plan and see you through your procedure and offer lifetime follow-up as an included service.  We care about your overall happiness and well-being and want to provide you with services that maintain your results. 

Real Breast Lift Patient Results

Before & After Breast Lift (Breast Mastopexy with Implants) Case 169 View #1 View in Fort Worth & Arlington, Texas
Before & After Breast Lift with Implants
Before & After Breast Lift (Breast Mastopexy with Implants) Case 134 View #1 View in Fort Worth & Arlington, Texas
Before & After Breast Lift with Implants
Before & After Breast Lift (Breast Mastopexy with Implants) Case 121 View #5 View in Fort Worth & Arlington, Texas
Before & After Breast Lift with Implants
Before & After Breast Lift (Breast Mastopexy with Implants) Case 121 View #2 View in Fort Worth & Arlington, Texas
Before & After Breast Lift with Implants

These are just a few of the representative cases of Dr. Camp’s breast lift with implant patients.  All these patients are captured between 3-9 months post-surgery.  The patients continue to do well and demonstrate more fading scars at a year and beyond.

The Durability of Breast Lift with Implants

To provide additional context to the power and durability of the breast lift procedure combined with implants I have included long-term published data from our journals following results over a 10-year period. These cases are from a respected colleague who chronicled the experience of over 2100 patients from a 10-year period showing excellent results with the procedure.

Before & After Breast Lift (Breast Mastopexy with Implants) Case 508 Front View in Fort Worth & Arlington, Texas
Before & After Breast Lift with Implants
Before & After Breast Lift (Breast Mastopexy with Implants) Case 218 View #4 View in Fort Worth & Arlington, Texas
Before & After Breast Lift with Implants
Before & After Breast Lift (Breast Mastopexy with Implants) Case 348 Front View in Fort Worth & Arlington, Texas
Before & After Breast Lift with Implants

Schedule Your Breast Lift Consultation Today

Schedule your breast lift consultation at Steven Camp MD Plastic Surgery & Aesthetics in Fort Worth by calling (817) 228-4315 or request a consultation online to meet with me to learn whether a breast lift or a breast lift with implants is right for you.

References

  1. Population Analysis of the Perfect Breast: A Morphometric AnalysisMallucci, Patrick; Branford, Olivier A. Plastic and Reconstructive Surgery134(3):436-447, September 2014
  2. Alexis Deschler, MD, Nathaniel Stroumza, MD, Rachel Pessis, MD, Arié Azuelos, MD, Michael Atlan, MD, PhD, Primary Breast Augmentation with Autologous Fat Grafting Alone: Evaluation of Patient Satisfaction Using the BREAST-Q, Aesthetic Surgery Journal
  3. Terence M Myckatyn, MD, FACS, FRCSC, Commentary on: Primary Breast Augmentation With Autologous Fat Grafting Alone: Evaluation of Patient Satisfaction Using the BREAST-Q, Aesthetic Surgery Journal
  4. Reference: Charles A Messa, IV, BS, Charles A Messa, III, MD, FACS, One-Stage Augmentation Mastopexy: A Retrospective Ten-Year Review of 2183 Consecutive Procedures, Aesthetic Surgery Journal, Volume 39, Issue 12, December 2019, Pages 1352–1367
  5. Amin Kalaaji, MD, PhD, Stine Dreyer, MS, Jannika Brinkmann, Ivana Maric, MD, Cathrine Nordahl, BN, Kjell Olafsen, MD, Quality of Life After Breast Enlargement With Implants Versus Augmentation Mastopexy: A Comparative Study, Aesthetic Surgery Journal, Volume 38, Issue 12, December 2018, Pages 1304–1315
  6. Regnault P. The hypoplastic and ptotic breast: a combined operation with prosthetic augmentation. Plast ReconstrSurg. 1966;37(1):31-37.
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  10. Stevens WG, Macias LH, Spring M, Stoker DA, Chacón CO, Eberlin SA. One-stage augmentation mastopexy: a review of 1192 simultaneous breast augmentation and mastopexy procedures in 615 consecutive patients. Aesthet Surg J. 2014;34(5):723-732.
  11. Spear SL, Boehmler JH 4th, Clemens MW. Augmentation/ mastopexy: a 3-year review of a single surgeon’s practice. Plast Reconstr Surg. 2006;118(7 Suppl):136S-147S; discussion 148S-149S, 150S-151S.
  12. Spear SL, Pelletiere CV, Menon N. One-stage augmentation combined with mastopexy: aesthetic results and patient satisfaction. Aesthetic Plast Surg. 2004;28(5):259-267.
  13. Spear  S. Augmentation/mastopexy: “Surgeon, Beware”. Plast Reconstr Surg. 2003;112(3):905-906.
  14. Spring  MA, Hartmann  EC, Stevens  WG. Strategies and challenges in simultaneous augmentation mastopexy. Clin Plast Surg. 2015;42(4):505-518.
  15. Beale  EW, Ramanadham  S, Harrison  B, Rasko  Y, Armijo  B, Rohrich  RJ. Achieving predictability in augmentation mastopexy. Plast Reconstr Surg. 2014;133(3):284e-292e.
  16. Lee MR, Unger JG, Adams WP Jr. The tissue-based triad: a process approach to augmentation mastopexy. Plast Reconstr Surg. 2014;134(2):215-225.
  17. Adams WP Jr. The process of breast augmentation: four sequential steps for optimizing outcomes for patients. Plast Reconstr Surg. 2008;122(6):1892-1900.
  18. Adams  WP Jr, Small  KH. The process of breast augmentation with special focus on patient education, patient selection and implant selection. Clin Plast Surg. 2015;42(4):413-426.
  19. Tebbetts JB, Adams WP. Five critical decisions in breastaugmentation using five measurements in 5 minutes: the Downloaded from https://academic.oup.com/asj/article-abstract/39/12/1331/5284903 by ASAPS Member Access user on 07 May 2020 Sanniec and Adams 1341 high five decision support process. Plast Reconstr Surg. 2005;116(7):2005-2016.
  20. Tebbetts JB. A process for quantifying aesthetic and functional breast surgery: I. Quantifying optimal nipple position and vertical and horizontal skin excess for mastopexy and breast reduction. Plast Reconstr Surg. 2013;132(1):65-73.
  21. Tebbetts  JB. A process for quantifying aesthetic and functional breast surgery: II. Applying quantified dimensions of the skin envelope to design and preoperative planning for mastopexy and breast reduction. Plast Reconstr Surg. 2014;133(3):527-542.
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  24. Adams  WP Jr, Culbertson  EJ, Deva  AK, et  al. Macrotextured breast implants with defined steps to minimize bacterial contamination around the device: experience in 42,000 implants. Plast Reconstr Surg. 2017;140(3):427-431.
  25.  Adams WP Jr, Baxter R, Glicksman C, Mast BA, Tantillo M, Van Natta BW. The use of poly-4-hydroxybutyrate (P4HB) Scaffold in the ptotic breast: a multicenter clinical study. Aesthet Surg J. 2018;38(5):502-518.



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