Breast Lift Surgeryin New York City

For so many women, much more important than breast size is a beautiful, natural, youthful breast shape. Pregnancy, weight gain and loss, heredity, or advancing age can predispose to loss of breast volume, projection and position. Dr. Kolker's breast lift surgery in New York, also known as a mastopexy, restores a more youthful, perky, attractive shape, proportion and balance to the breasts.

Breast Lift Before & Afters

These Breast Lift before and after pictures represent actual patients from Dr. Kolker. They will help to assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome. Click on a patient for their specific case details.

“My experience with Dr. Kolker and his staff made it obvious that I should never consider another plastic surgeon! I had several consultations with other cosmetic surgeons for a breast lift procedure before making the indisputable choice to go with Dr. Kolker.”

— S.K. / NYC

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Along with breast droop and deflation, areolas may enlarge, and breast skin may stretch and become thin and inelastic. Breasts that are low situated, droopy, or not ideally shaped may also be present from the earliest phases of breast development.

Whether sag, volume loss, and unsatisfactory breast shape has developed postpartum, following weight change, over time, or if it has always been present, correction with a breast lift should be considered. Low-lying nipple-areolar position can be elevated, larger areolas can be reduced and made more proportional, the existing breast gland can be lifted to a more ideal position, and the entire breast can be firmed and reshaped to return the breasts to more attractive and beautiful balance.

Restoration of volume in the upper pole of the breast (the region above the nipple) may be achieved in many instances with existing breast gland; when there has been more significant volume loss, particularly after pregnancy or weight loss, replacing lost volume with breast implants (breast augmentation-mastopexy) may be indicated.

In select circumstances, breast implants alone may be sufficient to achieve the desired result, however when significant improvements in position, tone and shape are required, a breast lift is often the best choice to achieve your desired goals.

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There are so many different forms of breast droop, deflation, and insufficient shape, and an equally wide array of individual goals for correction. Therefore, every breast lift procedure with Dr. Kolker, a board-certified plastic surgeon, is uniquely personalized and tailored specifically to both anatomy and desire.

What determines incision type?

Breast lift incision choices will vary depending upon the degree of deflation, the breast and nipple position, the elasticity of the skin, and whether or not volume will be restored concomitantly with breast implants.

Can breast implants be used too?

Breast lift surgery can be performed using native tissues only, or with the addition of volume using breast implants to better restore a more youthful, natural shape.

Dr. Kolker's Message to Those Considering Breast Implants

“Breast lift surgery is a uniquely creative and sculptural process. Restoration of youthful position, improving the tone and turgor of skin, re-establishment of projection, and artistically reshaping the breast are all essential in achieving the most gorgeous results. Even more gratifying than the beautiful and balanced look that can be achieved is the tremendous improvement in how people feel.”

Dr. Adam Kolker

Breast lift planning begins with an in-depth discussion and careful examination so that your unique desires can be paired with your physical needs to establish the best breast lift technical approach.

Experienced not simply in the performance of the most modern techniques, but in their development and improvement, Dr. Kolker will recommend the procedure that marries the goal of the most beautiful breast lift result with the most minimal incisions necessary to achieve it.

What are the types of breast lifts?

  • Circumareolar Mastopexy - "Doughnut" breast lift with an incision around areola only
  • Circumvertical Mastopexy -"Lollipop" breast lift, or short scar breast lift, with an incision around areola and a vertical line
  • Wise-Pattern Mastopexy - "Inverted-T" breast lift, with an incision around the areola, a vertical line to the inframammary crease, and a horizontal line
  • Augmentation Mastopexy - any breast lift performed in conjunction with breast augmentation with breast implants

What are the different ways breast droop is characterized and classified?

Breast droop is characterized and classified to four general types to aid in formulating the best breast lift technique:

  • Glandular Ptosis Or Pseudoptosis
    The breast gland droops down below the inframammary fold, but the nipple-areola is positioned above the crease
  • Grade I Ptosis
    Both the gland and nipple droop slightly below the breast crease
  • Grade II Ptosis
    Gland and nipple droop more significantly below the crease
  • Grade III Ptosis
    The most severe form, associated with the nipple-areola at the lowest aspect of the drooping breast

What are some of the factors that determine breast lift type?

In addition to the positional factors listed above, these must all be considered when choosing the best breast lift approach:

  • Breast skin inelasticity
  • Areolar size
  • Glandular density
  • General breast shape
  • Degree of deflation

Mild breast droop

In the mildest forms, a circumareolar mastopexy, with an incision confined to the areola, is appropriate.

Moderate breast droop

In certain cases with more moderate droop where breast implants will also be used, the circumareolar approach may also be appropriate. In situations where the breast droop is moderate and additional shaping, elevation and restoration of projection are required, a circumvertical mastopexy, with a lollipop incision around the areola and a vertical line beneath it, will yield the most pleasing shape.

Severe breast droop

In cases of the most severe breast droop and deflation where the most "lifting" is required, a breast lift that employs a circular incision around the areola, a line progressing vertically to the crease, and a limited incision within the crease may be indicated. In any case, only the shortest incisional approach will be undertaken to achieve the desired results.

Adding volume during a lift

If additional breast volume is desired, particularly in the restoration of the breast upper pole in the region above the nipple that tends to deflate postpartum or after weight loss, a breast lift can be combined with breast augmentation with the simultaneous placement of breast implants to further enhance the breast shape and balance.

Can I have my nipples reduced during a breast lift?

Areolar reduction is commonly performed with mastopexy or breast lift. The final areolar size is chosen to be proportional with the perkier more lifted breast shape and position.

Who is a good candidate for a breast lift?

Women with breast ptosis (droop) due to pregnancy, loss of breast volume following weight loss, or developmental shape or position issues are the best candidates for mastopexy for breast lift.

What are the incision types?

Short scar breast lift incisions are preferred. Incisions can be circumareolar, lollipop, or inverted T. The choice of incisions will be informed by the amount of lifting in the amount of skin tailoring required.

How does a breast lift affect breastfeeding?

Most breast lift procedures do not have an effect on one’s ability to breastfeed.

Should I get a breast lift if I have large breasts?

Breast reduction and breast lift go hand in hand. A breast lift is almost always performed along with a breast reduction.

Will I experience decreased sensitivity?

While sensory change is possible, areolar sensitivity decreases are less common after most breast lifts.

Is a non-surgical breast lift possible?

Breast lift using radio frequency assisted lipectomy (RFAL) technology, known as BodyTite (BreastTite) is a promising scarless technique. Compared with more classical surgical breast lift, the effects are much more modest.

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