Breast Lift procedures are some of the most common procedures performed by Dr. Chang. According to the American Society of Aesthetic Surgery, Breast Augmentation Surgery and Breast Lift surgeries are two of the most common plastic surgical procedures performed in Virginia. This should not surprise anyone who complains of breasts that sag a little particularly if they have had children. As the years go by, almost every woman notices a gradual decrease in the size, shape, and firmness of her breasts. Gravity, pregnancy, breast feeding, and weight changes all take their toll. The breast eventually sags; losing its youthful contours. The breasts may look and feel old- but they don’t have to. A breast lift can help. A breast lift can reshape, rejuvenate, and lift the breasts to its normal location of youth. It can also reduce the size of an enlarged nipple-areola complex.
The procedure is often combined with a tummy tuck or other gynecology procedure for optimum body contouring.
Dr. Chang’s experience in breast lift surgery began by caring for patients with breast deformities and breast cancer patients who unfortunately lost all or part of their breasts due to cancer or some form of congenital breast deformities. This experience of caring for the most complicated breast deformities combined with a cosmetic fellowship in Beverly Hills and Newport Beach has made Dr. Chang a very sought after surgeon who performs revisions on problem breast augmentation, breast lift, and breast revision procedures from other surgeons even outside of Virginia.
Dr. Chang’s reputation in breast lift surgery was further enhanced when he became one of the first plastic surgeons in Virginia to introduce minimal scar breast lift ( mastopexy ) techniques to his practices in Loudoun and Fairfax Virginia. These include the:
- Donut mastopexy
- Vertical or Lollipop mastopexy
- Anchor mastopexy
- Mastopexy with breast augmentation
Dr. Phillip Chang is a Board Certified Plastic Surgeon with offices in Loudoun (Ashburn and Leesburg) and Fairfax (Reston) Virginia. Dr. Chang specializes in surgical and nonsurgical cosmetic enhancements including breast augmentation, face lift and eyelid lift surgeries, rhinoplasty, tummy tucks, and other Face and Body Procedures.
How Can A Breast Lift (Mastopexy) Surgery Help You?
A breast lift can help lift the nipple complex and the breast to a more youthful position, as well as adding cleavage and roundness to the breast. A breast lift can also help reduce rashes and irritations beneath the breast, and reduce bra strap grooving when done in conjunction with a breast reduction. There will be a reduction in areola size, as well as a reduction in asymmetry if one breast is larger than the other.
After your breast reduction you may find it is easier to fit clothes and bras, easier to exercise functionally and psychologically, you may be less self-conscious with your husband or significant other, and you may experience less unwanted stares and unwanted attention.
There are many reasons why women might choose to have a breast lift procedure. The reasons, however, are unique to each individual. Some of the reasons are more intellectually based while some are more emotionally based. Whatever the reason, you can be sure that Dr. Chang will freely discuss them with you.
Do I need a breast lift ( mastopexy )?
With pregnancy and breast feeding, the breasts engorge and then afterwards lose their volume and sag. The nipple-areola complex then enlarge and often, the mother is left with stretch marks. The result is breast sag, loss of upper breast volume and cleavage, and large areolas.
A breast lift (mastopexy) procedure is a powerful procedure that as the ability to increase the size of the breast if it is too small, enlarge the breast if it is too small, add roundness and cleavage to the breast, and reduce the size of the areola complex.
Do I need a breast augmentation with a breast lift (mastopexy)?
A breast augmentation without a mastopexy is often the best solution for a patient who wants or is accepting of a larger breast who has only a little bit of a breast sag and droop. For these patients, I have a technique of placing the implant and giving you a lift without the need for the extra scarring of the other breast lift techniques. Otherwise, a breast implant is often necessary to replace the lost breast volume that comes with age and pregnancy. The added breast volume from the breast implant adds to a better size, shape, and cleavage.
Am I a good candidate for breast lift (mastopexy) surgery?
Your consultation will begin with a review of any relevant medical history. All patients need to be older than 18 years of age. Most women who desire smaller, more uplifted breasts are good candidates; it is only a question of which technique is most appropriate for you. All women over 40 require a preoperative mammogram, and all women over 45 require an EKG and standard blood work.
Choosing your Breast Reduction technique and size
An introduction to the different Breast Reduction techniques
The most popular breast reduction techniques include:
- Circumareola Technique (Donut Technique)
- Vertical Technque (Lollipop Technique)
- T-Incision Technique (Anchor Technique)
- Breast Lift with Implant
I actually prefer to the slang terms in parenthesis and will in general use these terms in the following descriptions. I use all four techniques routinely depending on tailored to what your needs are.
It is very important to find a plastic surgeon that performs all three routinely as you will often find some surgeons that perform a Anchor technique on everyone regardless of size. Small reductions require only a Donut technique, middle to large reductions require a Lollipop technique; while the anchor technique is used only for very large reductions. The difference between the three is the degree of skin removed and therefore the degree of scarring. Some patients will also benefit from the addition of a breast implant. These patients usually have lost too much volume in their breasts to have roundness and cleavage without the placement of the round breast implant.
Circumareola Technique (Donut Technique)
The donut breast lift technique of breast reduction is a technique which removes breast tissue from an incision circumferentially around the areola complex (like a donut). Only a limited amount of skin and breast tissue can be removed through this technique so it is only appropriate for only small breast lifts. This technique is often used if a breast implant is also needed to add extra size, extra volume, or cleavage. If too much skin is removed, the tension around the scar and around the areola complex often widens and actually looks less appealing than creating longer scars.
Vertical Technique (Lollipop Technique)
The lollipop technique of breast reduction is a technique which removes breast tissue from an incision around the areola complex but then extends downward to appear like a lollipop. This technique is most appropriate for middle to large breast reduction and lifts. Because there is less tension around the areola complex, the scars are more invisible and satisfying. This technique is often used if a breast implant is also needed to add extra size, extra volume, or cleavage. This technique also offers the most breast projection and cleavage.
T-Incision Technique (Anchor Technique)
The anchor technique of breast reduction is a technique which is reserved for larger breasts. It is the best technique for very large breasts but requires the most incisions. Because this technique is often used for the largest reductions, it is this technique that is used when insurance companies approve the procedure. This is also the technique used for very floppy breasts often seen with massive weight loss patients. These patients have lost a massive amount of fat and tissue volume and is left with very loose and excessive amounts of skin. These patients not only need the extra skin to be removed, but they also benefit from the placement of a breast implant to replace the lost breast volume and give cleavage and roundness to the breast.
Breast Lift with a Breast Implant
This is often the best solution for a patient who wants or is accepting of a larger breast who has only a little bit of a droop. For these patients, I have a technique of placing the implant and giving you a lift without the need for the extra scarring of the other breast lift techniques. A breast implant is also a possible component of any of the above three techniques if the patient needs extra volume and roundness
What size should you be reduced to?
While size is a very personal decision, most patients choose to go down to a C or D cup.
Will Insurance Pay for a Breast Lift ( Mastopexy ) Surgery?
Insurance will often pay for breast reduction surgery if you are at least a DD cup but in general will not pay for a breast lift procedure by itself. Most insurance companies will cover the reduction procedure if more than 500 grams can be removed from each breast. Part of your consultation will review the insurance requirements which include the two points above. Your insurance company will generally require a letter stating that I can remove at least 500 grams of breast tissue from each breast as well as pictures documenting your size.
Why Choose Dr. Chang for Breast Augmentation?
Dr. Chang is a Board Certified by the American Board of Plastic Surgery and has trained at some of the premier centers of plastic surgery in the United States including a Plastic and Reconstructive Surgery Fellowship in Rochester, New York and a Cosmetic Surgery Fellowship in Beverly Hills and Newport Beach.
Dr. Chang is the owner and medical director of the Aesthetica Cosmetic Surgery and Laser Center as well as Radiance Salon and Medispas with offices in Loudoun ( Leesburg and Ashburn ) as well as Fairfax ( Reston ) Virginia.
Dr. Chang is trained in the latest techniques of breast lift surgery including the Circumareolar (donut) Technique, The Vertical (lollipop) Technique, and the Anchor Techniques. Dr. Chang’s techniques in performing breast and facial cosmetic surgery procedures have been featured in New Beauty Magazine and I have been listed as a Top Doctor by Heath and Beauty Magazine for 3 years.
Patient references are available.
What is the Breast Lift ( Mastopexy ) Consultation Procedure Like?
Your consultation will begin with a personal consultation with Dr. Chang, where we will discuss:
- Why you feel you want/need a breast lift or breast reduction
- Why I feel you would benefit from a breast lift or breast reduction
- What technique of breast lift would be most appropriate for you
- What size breast you would like to have. A breast implant will often be needed if you are looking to be a little larger. A breast reduction may be needed if you are looking to be a little smaller.
- Where the surgery performed
- What the recovery is like
- When can you return to work
Where the surgery is performed
All procedures are performed at either Countryside Ambulatory Surgery Center, INOVA Loudoun Hospital (for Loudoun Virginia), or INOVA Fair Oaks Hospital (for Fairfax Virginia patients). All facilities are Accredited facilities and are overseen by Anesthesiologists (not just a nurse anesthetist). No procedures are performed in the office setting.
What is the recovery like?
- Patients will recover at home (or at the Lansdowne Resort for out of town patients)
- Some patients can elect to purchase an On-Q pain pump which will eliminate pain for the first 3-4 days. Believe it or not, breast reduction surgery is a relatively non painful procedure and most patients are off of strong pain medicine in a day or two.
- Most patients return to work in 7-10 days
- Light exercise may resume in 2 weeks
- More strenuous exercise may resume in 3-4 weeks
- Breast swelling can be dramatic for up to 4 weeks and requires 6 to 12 months to completely resolve
- Final breast shape, settling, and size takes up to 6-12 months
- Bruising and swelling take 2-4 weeks to improve.
The first postoperative visit is a day or two after your procedure. During this visit, your initial dressings are removed and you may start wearing a sports bra. Under wire bras are discouraged for the first 4 weeks. Incisions are generally closed with absorbable sutures under the skin… there are no sutures to be removed. The scars normally take about a year to mature.
What Other Types of Breast Surgery Does Dr. Chang Perform?
- Breast Lift ( Mastopexy )
- Breast Lift with Breast Implant
- Breast Augmentation
- Breast Reduction
- Nipple Reduction
- Breast Areola Reduction
- Breast Reconstruction for breast cancer, breast trauma, or breast deformity
What Is a Mommy Makeover?
The “Mommy Makeover” procedure has become a very important part of my practice in Loudoun (Leesburg and Ashburn) and Fairfax (Reston) Virginia. The majority of my patients are either new moms or women who have had children. Anyone who has experienced the joy of pregnancy could tell you that although their children are a blessing, what the process has done to their body is not. Most would tell you:
- Breasts have lost their volume and roundness
- Breasts are more droopy and often larger
- Areola is larger and nipples are more elongated
- Tummy is stretched and sticks out more
- You have fat in places you have never been fat before
- The face is more haggard ( see topics on nonsurgical rejuvenation )
These women benefit from a combination of procedures I call a Mommy Makeover. My procedure in performing Mommy Makeover procedures has been featured in New Beauty Magazine and I have been listed as a Top Doctor by Heath and Beauty Magazine for 3 years. As you can see, most women have predictable changes after becoming a mommy. These women usually, therefore, benefit from a combination of procedures that include:
- Breast Augmentation with or without a breast lift ( Mastopexy )
- Some patients may benefit from a breast lift and a breast reduction
- Full tummy tuck or mini tummy tuck
- Liposuction of the flanks and thighs
- Nonsurgical facial fillers and Botox
Dr. Phillip Chang is a board certified plastic surgeon with offices in Loudoun ( Leesburg ) and Fairfax ( Reston ) Virginia. Complimentary consultations are offered at Aesthetica Cosmetic Surgery and Laser Center as well as Radiance Salon and Medispa. Dr. Chang sees patients from Virginia, Maryland, and DC. Areas including Winchester, Frederick, Leesburg, Ashburn, Chantilly, Sterling, Middleburg, Fairfax, Reston, and Vienna.
See other treatment links including:
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Allergan.com, American Society of Aesthetic Plastic Surgeons, Natrelle.com, Realself.com, Facebook.com, Radiesse.com, New Beauty Magazine, Mentor.com, Sciton , INOVA Loudoun Hospital, INOVA Fair Oaks Hospital, American Board of Plastic Surgery, American Society of Plastic and Reconstructive Surgeons, University of Rochester, Loma Linda University University