Call Today 888-202-5676

Signature No-Drain Super Breast Lift

What are the different kinds of Breast Lifts?

When it comes to achieving a patient’s desired outcome from any breast surgery, there are three breast priorities to consider:

  • Shape
  • Volume
  • Softness

Softness pertains to implant patients and relates to having the implant move well and not get hard. Shape is determined by the skin envelope. Weight gain, and pregnancy are two of the factors that can affect the shape of the breast by increasing the size of skin envelope. Volume is determined by what is inside the skin envelope and can be comprised of tissue and/or implants. Weight loss and breast feeding are two factors that can decrease breast volume.

A balanced breast or an ideal breast is one where the shape and the volume match. When the volume is less than the skin envelope, the breast sags. There are two options for creating balance, increasing the volume with an implant large enough to fill the space, or decreasing the shape and tightening the skin envelope by performing a lift.

The ideal breast position in a silhouette is a smooth contour from the sternal notch or collarbone down to the nipple areolar (N-A) complex. The nipple should be positioned in front of the breast mound, comprised of one’s natural breast tissue and possibly an implant. There should be a nice curve from the lower nipple areolar complex down to the lower breast fold measuring about 8cm give or take a couple of centimeters for individual anatomical differences.

The Breast Experts

Many of our OC Breast Surgery patients desire a breast lift to restore balance and youthfulness to their breasts and body. A breast lift can be performed with breast augmentation, breast revision surgery or breast reduction surgery. Someone interested in a lift may be experiencing one or more of the following:

Thank you for reading this post, don't forget to subscribe!

  • Sagging breasts due to pregnancy, breast feeding, age, weight loss
  • Large breasts
  • Implant removal
  • Implant replacement
  • Low or uneven nipples

There are various types of Breast Lifts depending on the patient’s concerns, anatomy, and desired surgical outcomes. Some lifts are more superficial and only address lifting the skin to reposition the nipple areolar complex. Patients who present with one or both nipples that are lower than desired or with asymmetrical nipple position can be surgically corrected with one of the following Nipple Areolar Lifts:

  • Crescent Lift
  • Circumareolar or “Donut” Lift

Nipple-Areolar Lifts

A Crescent Lift or C-lift can raise the nipple-areolar (N-A) complex about 1cm-1.5 cm. This can be done unilaterally (one breast) to improve the symmetry of the nipples if one is lower than the other or bilaterally (both nipples). In a C-lift the surgeon makes an incision over the superior N-A complex in an ellipse which looks like the shape of a crescent moon to remove that skin above the nipple. Sutures are internal and not visible. A Crescent Lift does not lift the underlying tissues of the breast, but it can make them appear to be more lifted. C-lifts often accompany a primary breast augmentation or a breast revision surgery.

A Circumareolar Lift is another type of nipple-areolar lift that addresses lifting the N-A complex 1.5cm-2.5cm. Candidates for this procedure present with one or both nipples that sit lower than desired but have a tight lower breast curve. In other words, the breast itself does not need to be lifted. In this procedure the surgeon makes an incision around the entire nipple areolar complex giving it the appearance of a donut shape, which is how it earned the name the “Donut” lift. This incision allows the surgeon to lift the N-A complex up to 2.5cm and minimize any skin bunch or pucker. A Circumareolar Lift does not lift the underlying tissues of the breast which is why candidates must have a tight lower breast curve to qualify for this procedure. A Circumareolar lift can be performed with a primary breast augmentation or a breast revision surgery.

Super Breast Lift

At OC Breast Surgery we specialize in breast lifts. All breast lifts are done in an out-patient surgery center under general anesthesia. Our signature procedure, the Super Breast Lift, creates a better breast shape that resists gravity over time and requires no postoperative drains. It can be performed with a breast augmentation, a breast revision, a breast reduction, and a breast implant removal surgery. The Super Breast Lift improves the youthful appearance of the breast, or what women often refer to as having “perky breasts”. Unlike the nipple-areolar lifts which only address lifting the superficial exterior tissues of the N-A complex, the Super Breast Lift addresses the deeper, internal tissues that cause sagging of the entire breast.

Ideal candidates will likely present with breast ptosis (sagging) due to age, weight loss or gain, pregnancy, breast feeding, or having large breasts. A breast lift tightens and lifts the underlying tissues of the breast, removes the excess skin, and raises the nipple areolar complex to create a more ideal breast.

Candidates for a Super Breast Lift are unhappy with the appearance of their breasts and desire a more youthful shape and perkier breast. Sagging breasts can be caused by a variety of reasons the most common are:

  • Pregnancy
  • Breastfeeding
  • Weight gain
  • Weight loss
  • Large breasts

During a consultation with an OC Breast Surgery specialist, the surgeon will use a variety of metrics and measurements to determine if you are a candidate for a Super Breast Lift. One measurement is the distance between the sternal notch or collarbone and the nipple areolar complex along with the distance between the nipples. In general, a distance greater than 20 cm to 23cm is a candidate for a breast lift. Other considerations are the breast position relative to the upper torso anatomy – neck, chest, arms.

Super Breast Lift Benefits

There are two significant benefits to the Super Breast Lift

  • better breast shape that resists relaxation and gravity
  • no postoperative drains

A Super Breast Lift involves lifting and tightening the internal tissues beneath the skin and then removing and tightening the external tissues. The key difference between the Super Breast Lift and other lifts is the triple dermal tightening technique applied in the nipple areolar dermis, lower breast curve dermis, and lower breast fold dermis.

The dermis is a thick material that lies below the outer layer of skin, the epidermis, and above the fatty tissues. After making an incision that runs vertically from the lower edge of the nipple areolar complex to the lower breast or inframammary fold, the surgeon then raises and repositions the nipple by suturing the dermis in an imbricated fashion. Unlike the C-Lift or the Circumareolar Lift which only lifts the superficial skin layer of the nipple areolar complex, the Super Breast Lift raises the underlying dermal foundation of the N-A complex.

From the N-A complex, the lower breast curve extends down to the lower breast or inframammary fold. To raise and lift the lower breast curve, the surgeon creates a dermal sling that acts like a support bra for the breast tissue. A dermal sling is created by vertically plicating the dermis after the epithelium (top layer of the skin) has been removed. Vertical plication involves suturing the dermis together which helps to reduce and tighten the size of the lower breast pole and hold it in place. Overall, this helps to create a better breast shape with longer lasting hold.

Beneath the lower breast curve is the lower breast fold, which extends along the lateral lower fold up to the axilla (armpit). The lower breast fold is the foundation of the lower breast curve. It acts like a shelf to support the weight of the breast tissue or an implant. In a Super Breast lift the surgeon internally secures and raises, if necessary, the lower breast fold to support the lower breast curve that has been raised and lifted by the dermal sling.

In Breast Revision surgeries that include an implant, there is a fourth layer that is lifted which involves the capsule. In a Breast Revision with implant exchange the surgeon removes the old implants, then tightens the capsule when needed with heat and internal sutures before inserting the new implants under the muscle. In an implant removal that does not include removing the capsule the surgeon tightens the capsule in a similar fashion to help shape the breast after implants are removed.

During the internal dermal lift, the surgeon meticulously works to control the bleeding by applying several techniques including cautery, controlling blood pressure during surgery, and the use of anesthetics. It is also imperative that pre-operatively patients stay away from all aspirin products. Controlling the internal bleeding is key to creating a beautiful, tailored breast lift, plus it eliminates the need for any post-operative drains. Drains can be problematic as they are a portal for bacteria to enter the body and thereby increase the risk of infection. They are also quite uncomfortable and inconvenient for the patient who must deal with trying to hide them in clothes, empty and clean them. Additionally, drains can create scars in some patients. At OC Breast Surgery none of our breast surgeries require the use of drains.

Post-Op Healing
There are a variety of modifications and customizations to the Super Breast Lift. Some of these involve the placement of incisions which are determined by the amount of excess skin that needs to be tailored in the breast lift. Your OC Breast Surgery specialist will discuss whether you are a candidate for what is commonly referred to as a lollipop incision (around the nipple and down to the lower breast fold) or an anchor incision (around the nipple, down to the lower breast fold and under the breast).

Many patients are concerned with how scars heal and how noticeable they will be after surgery. The vertical scar that runs from below the nipple areolar complex down to the lower breast fold is often the one of most concern for women because it is the most visible but tends to heal the best. In general tissues heal very well in the breast area and leave minimal scars. Scars are minimized through surgical skill and technique along with having patients wear surgical tape over the incision for several weeks following surgery. Sutures will be absorbed by the body during healing and do not need to be removed.

The healing process is different for every patient. After surgery most patients go home to recover. Other patients choose to go to an aftercare facility for the first night. Following the post-op instructions is critical.

  • No activities that raise blood pressure or heart rate for two and a half weeks following surgery. This includes bending, lifting, straining, walking the dog, sex, and all other physical or emotional stressors.
  • Take antibiotics as instructed.
  • Take pain meds as needed. You do not want to wait until you are in pain to administer pain medications. This causes stress on the body and can result in increased heart rate and blood pressure.
  • No exercise until cleared by the surgeon. Typically, 3-4 weeks. When you return to exercise, start off slowly and build back up to your normal routine.
  • Perform the breast exercises from the Breast Implant Moving Guide video every couple of hours until instructed to stop. This applies only to implant patients.
  • Hydrate and follow a whole foods diet limiting processed foods.
  • Avoid alcohol

If you feel you are a candidate for a Super Breast Lift, schedule a consultation with one of our OC Breast Surgery specialists who will take the time to fully educate you on your surgical options.