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What is a breast lift?

Women’s breasts change over time due to pregnancy, breastfeeding, changes in weight, aging, and the natural changes to skin and tissue over time. A breast lift is performed to regain (or even improve on) the original shape of the breast. If you want more volume, a breast lift can be combined with a breast augmentation.

Why choose Hill Country Plastic Surgery for a breast lift?

As life progresses, the breasts can go through changes. Aging, pregnancy, and childbirth can have a devastating impact on breast appearance. The changes often impact self-confidence, even in the most positive individual. At Hill Country Plastic Surgery, our board-certified surgeons, Dr. Farber and Dr. Shah, understand how body changes can affect self-image. They have devoted their practice to journeying with you to achieve an exceptional breast lift in San Antonio that enhances your life experience. 

You deserve to feel comfortable in your own skin.

With individualized care and attention, our talented plastic surgeons will guide you through the plastic surgery decision, process, care, and changes. We walk beside you to help restore your breasts to the desired shape and feel, transforming feelings of frustration to confidence, and we celebrate your joy in your restored, youthful breasts with you!

There are multiple techniques for performing a breast lift (mastopexy):

  • Periareolar (aka donut mastopexy): An incision is made around the areola and can be done with or without reshaping of the breast tissue. Risks are nipple areolar complex (NAC) widening and pleating the tissues. This is used for patients with mild sagging who need a less extensive lift.
  • Vertical scar: A vertical incision is made on the breast and around the areola, shaped like a This incision pattern is appropriate in many cases of sagging breasts.
  • Inverted T scar: This uses the traditional Wise (anchor) pattern which is also used for breast reductions. This is good for severe ptosis and for patients with poor skin quality.
  • Inferior wedge excision: This technique is for patients that have the proper placement of the nipple structure, who have extra breast tissue on the lower region of the breast. This incision is hidden so there are no visible scars left on the breast mound itself.
  • Auto-augmentation procedure: if a patient has had significant weight loss, there may be severe drooping of the breast with most of the breast tissue at the bottom of the breast. This results in what some people call a “rock in a sock” look. To create a fresh, youthful look, our surgeon will reshape the breasts, move them higher on the chest wall, and re-drape the skin over the breast to create a dramatically rejuvenated look, without placing implants.

The limitations of a mastopexy are that it will lift the breast, but it will not fill out the superior pole (upper) of the breast. If a fuller look is desired, an augmentation with implant can be done at the same time as the breast lift.

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Am I a candidate for a breast lift?

A custom breast lift may be the right option for you if you have breasts that droop, have lost shape, have become flat and elongated, if the nipples and areola point downward, or you have breast asymmetry. When evaluating a breast to determine which technique is best for the patient, we look at many factors such as the degree of breast droop (ptosis), breast volume, anatomy, and medical history.

Step one: Meet with us.

An initial consultation with our surgeon at Hill Country Plastic Surgery, will allow you to voice your concerns and goals. We listen, we care, and work with you in devising a surgical plan that is tailored specifically to match your individual condition. 

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Your journey to youthful, restored breasts

We will start by discussing your surgical goals to determine if a breast lift is the right procedure for you. Once we identify your concerns and surgical goals, we will discuss the surgical techniques that will achieve your aesthetic vision. Every patient is unique, and we will develop a tailored surgical plan to create the look you want. We will thoroughly review your medical history, surgical history, medications, allergies, family medical history, and other important details.

We will also discuss your desired breast size and long term expectations. If you have a strong history of breast cancer in your family or are over 40, it is recommended that you get a mammogram prior to any breast surgery. It is very important to have current information to ensure your breasts are healthy.

Begin your journey.

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Our surgical work is precision with results that go beyond expectations.

We perform a physical exam, including taking measurements to plan your custom breast lift surgery in San Antonio. Pre-operative (before surgery) photos will be taken either at your initial consultation or during your pre-operative visit.

Before & After

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Our patient portal: Transparency, honesty, and patient-focused care.

After your consultation, you will receive access to your notes on the patient portal in addition to information about your specific surgery. If you have not activated your patient portal, this can be done at your appointment by asking any of our staff to assist you. If you have questions after your appointment, you can contact our office or message us through the patient portal. Some patients will require medical clearance from their primary care physician or a specialist or additional tests before undergoing surgery.

Once you have determined that you would like to have surgery and have completed any clearances and tests that were requested, contact our office at (210) 658-3555 to schedule a pre-operative appointment with one of our surgeons.

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Limitations, risks, complications

The risks of breast lift surgery are bleeding, infection, changes in nipple or breast sensation, poor scarring of the skin, asymmetry, and need for revisions. If you have an implant augmentation performed at the same time, risks include implant leakage or rupture, wrong position of the implant, formation of tight scar tissue around the implant, fluid around the implant, discomfort near or around the breast implant, wrinkling or rippling of the skin over the implant. If any of these complications occur, you may need surgery to fix it. Revisions may range from simple skin adjustments in the clinic to full revision under anesthesia.

The surgeon may adjust any of the above guidelines and instructions based on the patient and type of surgery performed.

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Breast lift FAQs

How long will my results last?

Can I get an augmentation after a breast lift?

How much does a breast lift cost?

How do I know what type of breast lift is right for me?

Will insurance cover my breast lift?

What other procedures can be done to enhance a breast lift?

How long will my results last?

Your result longevity depends on multiple factors such as the skin quality, the breast tissue quality, if an augmentation is performed, and the surgical technique used. This will be discussed with you at your consultation.

Can I get an augmentation after a breast lift?

Yes! In cases where there is a significant amount of work to do to lift the breast (such as a revision case), we may do the procedure in two parts where the mastopexy is done first and the augmentation is done later.

How much does a breast lift cost?

The price of a breast lift is dependent on how much skin and breast tissue are rearranged. For example, a small mastopexy will cost less than a full auto-augmentation breast lift procedure. Coming in for a consultation with one of our surgeons will give you a better idea about pricing.

How do I know what type of breast lift is right for me?

During your consultation, your surgeon will discuss your goals, lifestyle, medical history and evaluate your breasts and skin quality to determine what procedure is best for you. One way to determine if you need a mastopexy only or mastopexy with augmentation is to look at yourself in a bra. If in a bra, you have the volume of breast that you want, but want your breasts more lifted when out of a bra, then a breast lift will likely work for you. If in a bra you want to fill out the top of the breast so it is plumper and fuller, or increase the overall size of the breast, then you would benefit from an augmentation and lift. If you are unsure if you need a breast lift with your breast augmentation, we can stage the procedures so one procedure is done and the second procedure is done at another time if needed.

Will insurance cover my breast lift?

Breast lift is typically not covered by insurance until it is part of a breast reconstruction or reconstruction matching procedure.

What other procedures can be done to enhance a breast lift?

  • Mommy makeover
  • Tummy tuck
  • Liposuction

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We look forward to meeting you!

Are you interested in learning more about this procedure? To schedule a consultation, please contact us. Hill Country Plastic Surgery is the premier plastic surgery center in the San Antonio and Austin area, and our friendly team members are here to help you and will reach out promptly.

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Begin your journey.

Your journey to a happier, more confident life starts with a private, in-depth consultation with your surgeon, where we learn about you and your vision and goals. Discover San Antonio’s premier clinic for plastic surgery.

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