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Breast Lift

  • 2-2.5 Hour Surgery
  • Back to Work: 3-5 Days

In Denver, Colorado, breast lift surgery is chosen by women from Colorado Springs, Fort Collins, and the Denver area to elevate and reshape sagging breasts and to give a perkier, more youthful appearance. Sometimes, breast implants are placed during the same surgery to create more fullness than would result from a lift alone.

The need for a breast lift is usually the result of an inflation and deflation of breast volume due to pregnancy or significant weight loss. Sometimes, merely gravity and time can cause the need for a mastopexy. And in some cases, women develop with lower, relaxed breasts and can benefit from a lifting procedure.

Breast Lift
 Before & After Photos

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Breast Lift
 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

Case: 1 of 101
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Breast Lift Case 23 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 1 of 100

Case #23

This 38 year old Denver woman is shown before and 4 months after breast lifting and augmentation surgery. She is 5’6" and 185 pounds who underwent mastopexy (breast lift) and for her breast enlargement surgery she received 240 cc silicone gel implants placed under the muscle. Read More
Surgeon: Steven Vath
Mommy Makeover Case 420 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 2 of 100

Case #420

This is a 26-year-old mother of 3 who underwent a Mommy Makeover with an abdominoplasty, breast augmentation, and vertical mastopexy. Her implants are moderate profile saline filled to 500cc, which increased her bra size from a 38D to a 38DD. She is 5'6" and 170 lb. Photos were taken 6 months postoperatively. Read More
Surgeon: Andrew Wolfe
Breast Augmentation Case 294 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 3 of 100

Case #294

This is a 23 year old, 5'3", 120 pound woman who underwent a Denver breast augmentation and mastopexy (breast lift) in order to fill out and lift her breasts into a more attractive contour.  She chose 475 cc, smooth, round, high profile silicone implants placed behind the pectoralis muscle. Post-operative pictures are... Read More
Surgeon: Steven Vath
Mommy Makeover Case 341 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 4 of 100

Case #341

This is a 47 year old, 5'4", 195 pound woman who underwent a combination of plastic surgery procedures often referred to as the "mommy makeover". She had an abdominoplasty in order to tighten and flatten her abdomen, and a breast augmentation with lift (mastopexy) in order to fill out and create an attractive contour to her... Read More
Surgeon: Steven Vath
Mommy Makeover Case 299 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 5 of 100

Case #299

This 35-year-old woman wanted to improve the shape of her breasts and body after four pregnancies.  She underwent a "mommy makeover" consisting of a breast augmentation with lift and an abdominoplasty with liposuction of her flanks.  She chose 339 cc silicone implants, and had a vertical mastopexy at the same time.  Her bra... Read More
Surgeon: Andrew Wolfe
Breast Augmentation Case 319 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 6 of 100

Case #319

This is a 42 year old, 5'7", 145 lb. woman who complained about her "deflated", sagging breasts after having children.  She underwent a Denver mastopexy (breast lift) with breast augmentation in order to lift and fill out her breasts.  This common combination of procedures helps achieve better upper breast fullness and... Read More
Surgeon: Steven Vath
Breast Reduction Case 449 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 7 of 100

Case #449

This is a 53 year old, 5'6", 135 lb. woman who wanted smaller, lifted, more attractive breasts. She underwent a breast reduction which includes a lift during the procedure. She wanted to be in the B cup range after surgery, understanding that different bra manufacturers create varying B cup sizes. Her post-operative pictures are from... Read More
Surgeon: Steven Vath
Breast Lift Case 593 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (1 mo)
Case: 8 of 100

Case #593

Surgeon: Paul Steinwald
Mommy Makeover Case 272 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 9 of 100

Case #272

This is a 35 year old, 5'5", 115 pound woman who underwent a breast augmentation with lift (mastopexy) in order to fill out and lift her breast giving her more upper breast fullness and reduce sagging.  She chose 210 cc smooth, round, silicone implants placed beneath the muscle (subpectoral).  She also underwent an abdominoplasty... Read More
Surgeon: Steven Vath
Breast Augmentation Case 325 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 10 of 100

Case #325

This is a 25-year-old mother of 4 who wanted to regain the shape she had prior to childbearing.  Although she was quite fit, her breasts were small and relaxed, and her abdomen had loose skin and muscle.  She underwent a mommy makeover consisting of a tummy tuck and augmentation with a vertical mastopexy.  Her implants are round,... Read More
Surgeon: Andrew Wolfe
Breast Lift Case 596 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (8 mo)
Case: 11 of 100

Case #596

\tThis 39-year old woman wished to have her severe nipple-drooping and moderate asymmetry addressed, following 2 kids and breast-feeding.  She was in a D-cup range and wished to be in a balanced, full-C cup range.  She underwent a Denver mastopexy procedure as an outpatient, doing very well with photos here at approximately 6 months post-op. Read More
Surgeon: Paul Steinwald
Breast Lift Case 238 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 12 of 100

Case #238

This is a 29-year-old woman who wished to improve the shape of her breasts.  She was a D cup, and wanted a perkier C cup. In addition, her right breast was larger and lower than her left.  She underwent a mastopexy, or breast lift, which gave her a more youthful, perky shape, and helped even out her preexisting asymmetry.  Photos were... Read More
Surgeon: Andrew Wolfe
Breast Augmentation Case 222 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 13 of 100

Case #222

This 38-year-old woman wished to both enlarge and lift her breasts.  She underwent a vertical mastopexy with a simultaneous breast augmentation using 425 cc silicone implants in a subpectoral plane.  The patient is 5'9" and 155 lbs, and she went from a relaxed A cup to a perky C.  Photos were taken 9 months postoperatively. Read More
Surgeon: Andrew Wolfe
Tummy Tuck Case 324 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 14 of 100

Case #324

This is a 29 year old, 5'6", 170 pound woman who disliked her sagging, asymmetrical breasts, and loose tummy after having children. Her Colorado plastic surgery included a breast reduction with lift and an abdominoplasty. She had more breast tissue removed on the right than the left to achieve better overall symmetry. Post-operative... Read More
Surgeon: Steven Vath
Breast Lift Case 889 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (3 months)
Case: 15 of 100

Case #889

Surgeon: Paul Steinwald
Mommy Makeover Case 335 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 16 of 100

Case #335

This is a 32 year old, 5'4", 170 pound woman who had several concerns that she wanted addressed with plastic surgery by Dr. Vath at the Center for Cosmetic Surgery. She did not like the asymmetry and sagging of her breasts. She also complained of loose tummy rolls and excess fatty bulges on her hips, flanks, and back. She underwent a breast... Read More
Surgeon: Steven Vath
Mommy Makeover Case 712 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 17 of 100

Case #712

\tThis is a 38 year old, 5'4", 136 pound woman who complained of large, pendulous breasts and a loose tummy after having children. She underwent a breast reduction to lift and reduce her breasts to a perkier, more attractive and balanced appearance. She also underwent an abdominoplasty (tummy tuck) in order to flatten and tighen her tummy.... Read More
Surgeon: Steven Vath
Mommy Makeover Case 457 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 18 of 100

Case #457

This 31-year-old mother of two underwent a Mommy Makeover consisting of a breast lift with a small reduction and tummy tuck.  She is 5'4" and 140 lbs and her preoperative breast size is a 34DD.  She is shown before and 3 months after her surgery.  Her early results already show a dramatic improvement in her abdominal contour... Read More
Surgeon: Andrew Wolfe
Breast Lift Case 500 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 19 of 100

Case #500

This 40 year old woman sought plastic surgery for large, somewhat asymmetric breasts, with associated symptoms such as chronic lower back pain, and should discomfort with bra strap indentations.  She wore a 36DDD bra size, which had increased with each of her 3 children, as well as with mild weight gain (20 pounds) with age. I advised... Read More
Surgeon: Paul Steinwald
Breast Augmentation Case 330 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 20 of 100

Case #330

This is a 36 year old, 5'7", 200 pound woman who didn't like her breasts and felt that they did not balance her body well. She underwent a Denver breast augmentation procedure with a circumareolar mastopexy procedure to fill out her breasts and give them a better contour. The circumareolar mastopexy (breast lift) procedure... Read More
Surgeon: Steven Vath
Mommy Makeover Case 428 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 21 of 100

Case #428

This 52-year-old woman presented for improvement in the shape of her abdomen and breasts after having 2 pregnancies and losing 65 pounds. She underwent a Mommy Makeover consisting of a breast augmentation with vertical mastopexy and an abdominoplasty with liposuction of her inner thighs. Her implants are low profile 300cc silicone and are in a subpectoral... Read More
Surgeon: Andrew Wolfe
Breast Lift Case 648 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (1 mo)
Case: 22 of 100

Case #648

\tThis 44 year-old woman (who had had 3 kids) presented with a 38 DD-cup bra size range, and ultimately wished to be tightened, but remaining in a C/D cup range. It was recommended that she undergo a formal (Wise/anchor-pattern) reduction-mastopexy, with the removal of approximately 300-350 gm each side, leaving her in a fuller C-cup bra size range;... Read More
Surgeon: Paul Steinwald
Breast Lift Case 664 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (2 mo)
Case: 23 of 100

Case #664

42 year-old female who had lost over 100lb (naturally), was left with significant abdominal tissue skin and soft tissue excess, as well as fairly ptotic breasts.  She therefore came to me seeking post-weight loss cosmetic surgery here in Denver, Colorado, and I advised her she was an excellent candidate for a fleur-de-lis or extended abdominoplasty,... Read More
Surgeon: Paul Steinwald
Breast Revision Case 467 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 24 of 100

Case #467

This is a 52 year old, 5'3", 120 pound woman who underwent a mommy makeover which included a breast implant exchange with scar tissue (capsule) removal, breast lift, tummy tuck, and liposuction to her hips. 26 years prior to this surgery, she had undergone a breast enhancement with a circumareolar breast lift. She presented to Dr. Vath complaining... Read More
Surgeon: Steven Vath
Breast Augmentation Case 10 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 25 of 100

Case #10

This 37 year old Denver woman is shown here before and 2.5 months after breast augmentation surgery. She is 5’7” and 136 pounds, who underwent a circumareolar mastopexy (breast lift) and for her breast enlargement surgery she received smooth, round, saline implants filled to 340 ccs. The breast implants were placed into a submuscular... Read More
Surgeon: Steven Vath
Breast Lift Case 595 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (3 mo)
Case: 26 of 100

Case #595

This 45 year-old woman, after having breast fed 2 of 3 children,  was interested in a breast lift and in addressing her asymmetry characterized by a somewhat larger and lower-positioned right breast. I suggested she undergo a formal mastopexy (as part of a "Mommy Makeover") to remove a moderate amount of skin but a small amount of... Read More
Surgeon: Paul Steinwald
Breast Lift Case 438 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 27 of 100

Case #438

This is a 29 year old, 5'5", 126 pound woman who desired larger breasts and an areolar reduction. She underwent a breast augmentation with circumareolar mastopexy in order to fill out her breasts and tighten her areolae. She chose 339 cc silicone gel implants placed into a subpectoral position. Post-operative pictures are from 16 months... Read More
Surgeon: Steven Vath
Breast Lift Case 37 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 28 of 100

Case #37

Though all women’s breasts sag over time, it’s generally true, unfortunately, that larger breasts sag earlier. Your skin is just not able to counteract the force of gravity even when it’s young. That’s why it’s not only older, post-childbearing women who seek breast lift in Denver and around the country. Younger... Read More
Surgeon: Andrew Wolfe
Breast Lift Case 587 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (5 mo)
Case: 29 of 100

Case #587

Surgeon: Paul Steinwald
Breast Implant Removal (Explant) Case 11215 Before & After Front | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 30 of 100

Case #11215

This is a 56 year old, 5'6", 120 lb. woman who wanted her implants removed. She also had her capsules (scar tissue that forms around the implants) completely removed and underwent a breast lift (mastopexy) to improve the contour of her breasts after the implants were removed. Many woman are seeking to have their implants removed for various reasons.... Read More
Surgeon: Steven Vath
Mommy Makeover Case 347 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 31 of 100

Case #347

This is a 32 year old, 5'4", 148 pound woman who underwent an abdominoplasty and mastopexy (breast lift). This combination of procedures is commonly referred to as the "mommy makeover" because the breasts and tummy are often left saggy after having children. These procedures are safely performed during one anesthesia so that there... Read More
Surgeon: Steven Vath
Breast Lift Case 832 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (1 year)
Case: 32 of 100

Case #832

29 year-old who had breast-fed 2 children and lost significant weight (65lb),and wished to address her lack of upper-pole breast fullness. It was advised she would need a conservative breast lift with relatively modest augmentation; she indeed underwent a limited anchor-scar mastopexy with placement of 300cc smooth, round silicone gel implants into... Read More
Surgeon: Paul Steinwald
Mommy Makeover Case 112 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 33 of 100

Case #112

This 38 year old woman lost 80 pound through diet and exercise and then underwent a lower body lift with abdominoplasty and a mastopexy (breast lift).  She is 5'6" tall and weighed 170 pounds at the time of surgery. Her post-operative pictures are from 4 months after surgery. The lower body lift tightens and lifts the buttocks,... Read More
Surgeon: Steven Vath
Breast Lift Case 94 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 34 of 100

Case #94

Women around the country and in Denver seek breast lift when their breasts sag due to the inevitable effects of time, age and gravity. Childbirth, with its natural processes of expanding and shrinking the breasts, also adds to the problem for many women. The 53 year old woman shown here is one of the many patients who are best helped with... Read More
Surgeon: Steven Vath
Liposuction Case 817 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 35 of 100

Case #817

This is a 37 year old woman who complained about having a loose and prominent tummy and also saggy breasts that were not as full as she likes. She also complained about some extra fat on her hips. She underwent a breast augmentation with 340 cc low profile round silicone gel implants and a mastopexy (breast lift) to improve her breast shape. She... Read More
Surgeon: Steven Vath
Mommy Makeover Case 367 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 36 of 100

Case #367

This is a 45 year old, 5'5", 122 pound woman who complained about sagging breasts that were somewhat asymmetrical in size, and a loose tummy. She underwent a Colorado mastopexy to lift the breasts along with a small reduction of her right breast to achieve better symmetry. She also underwent a Colorado tummy tuck to flatten and tighten her... Read More
Surgeon: Steven Vath
Tummy Tuck Case 232 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 37 of 100

Case #232

This is a 35-year-old woman who came to see Dr. Wolfe for breast and body contouring after losing 100 lbs after a gastric bypass.  In a single-stage operation, Dr. Wolfe performed a circumferential lower body lift and a breast augmentation with mastopexy.  Photos were taken 6 weeks after her surgery, and show pink scars which will fade... Read More
Surgeon: Andrew Wolfe
Breast Lift Case 504 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 38 of 100

Case #504

This 36 year old female came to our office concerned about her severe breast drooping and loss of superior pole volume/fullness following breast feeding of her two children.  She had started at a 36C/D cup, but currently was struggling to fit into a C cup, with excess skin spilling over.  This condition also inhibited exercise and... Read More
Surgeon: Paul Steinwald
Mommy Makeover Case 470 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 39 of 100

Case #470

This is a 45 year old, 5'4", 145 pound woman who had two children and was frustrated about her body. She complained of sagging breasts and a loose tummy and wanted it fixed. She was unable to make any further progress with diet and exercise so she sought out Dr. Vath to see what plastic surgery could offer. She chose to undergo an abdominoplasty... Read More
Surgeon: Steven Vath
Breast Lift Case 48 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 40 of 100

Case #48

This is a 42-year-old, 5'5", 145 pound female who underwent a mastopexy (breast lift). Post-operative pictures are from 5 months after surgery.
Surgeon: Andrew Wolfe
Breast Lift Case 525 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 41 of 100

Case #525

\t37 year-old female (5'7", 150') with moderate breast hypertrophy (36D cup range) and fairly significant asymmetry wished to have a mild reduction/lift and correction of her asymmetry (as well as smaller nipples overall). She underwent bilateral reduction-mastopexy via Wise-pattern (anchor-scar) incisions, leaving her in a C-cup bra... Read More
Surgeon: Paul Steinwald
Breast Augmentation Case 286 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 42 of 100

Case #286

This 42-year-old woman consulted Dr. Wolfe seeking improvement in her arm and breast shape after losing a significant amount of weight.  She had undergone a laparascopic gastric bypass 2 years previously, and lowered her weight from 350 lbs to 150.  She underwent a lower body lift elsewhere.  Dr. Wolfe performed a breast augmentation... Read More
Surgeon: Andrew Wolfe
Breast Lift Case 141 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 43 of 100

Case #141

This is a 44 year old, 5' 9", 148 pound Colorado woman who lost 70 pounds prior to surgery.  She decided that she wanted a breast lift (mastopexy) without breast implants, understanding that this would create the sense of having slightly smaller breasts after the skin was tightened.  She also underwent an abdominoplasty... Read More
Surgeon: Steven Vath
Breast Implant Removal with Capsulectomy and Breast Lift
Before & After
Case: 44 of 100

Case #11217

This 57 year old, 5'3", 150 lb. woman was tired of her breast implants. She developed hard scar tissue around her implants (capsular contraction) which caused the implants to sit too high and she also had saggy breasts. She wanted to return to all natural breast tissue and have her implants removed. She understood that she would lose upper breast... Read More
Surgeon: Steven Vath
Mommy Makeover Case 879 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 45 of 100

Case #879

This is a 42 year old, 5'4, 154 pound woman who was bothered by her drooping breasts and loose skin on her abdomen after five pregnancies. She underwent a Mommy Makeover consisting of a mastopexy (or breast lift) to restore her breasts to a perky position on her chest, and a tummy tuck which repaired her bowed abdominal muscles and removed excess... Read More
Surgeon: Andrew Wolfe
Breast Lift Case 591 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (4 mo)
Case: 46 of 100

Case #591

Surgeon: Paul Steinwald
Breast Lift Case 482 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 47 of 100

Case #482

This 40-year-old woman lost a significant amount of weight and presented with relaxed, empty breasts. She was wearing a 38D, but wanted to be a full, perky D.  She underwent a breast augmentation with 445 cc low-profile saline implants and a fairly aggressive breast lift.  She also had excess skin removed from her lateral chest and underwent... Read More
Surgeon: Andrew Wolfe
Breast Lift Case 181 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 48 of 100

Case #181

This 30-year-old woman came to us for correction of her significant breast asymmetry, which had been a concern of hers since puberty.  She was an A cup on the right, and a relaxed B on the the left.  She chose saline implants, and Dr. Wolfe corrected her asymmetry with a vertical mastopexy on the left and a circumareolar mastopexy... Read More
Surgeon: Andrew Wolfe
Breast Lift Case 21 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 49 of 100

Case #21

This is a 34 year old, 5'2", 120 pound female who underwent a mastopexy with augmentation. She received 320 cc silicone gel implants placed under the muscle. Post-operative pictures are from 4.5 months after surgery. The scars will lighten and fade significantly over the next several months. Read More
Surgeon: Steven Vath
Breast Lift Case 542 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 50 of 100

Case #542

\tThis 54 year-old woman had breastfed 4 children and experienced further deflation and ptosis with age. She was in approximately a 40 D cup bra size, but didn't necessarily want to lose volume, only be lifted.  It was recommended she undergo a Denver mastopexy procedure, elevating the nipples and excising skin in all directions to markedly... Read More
Surgeon: Paul Steinwald
Mommy Makeover Case 415 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 51 of 100

Case #415

This is a 27 year old, 5'9", 145 pound woman who, after having children, wanted a mommy makeover. She wanted a flatter, more attractive tummy and filled out, perkier breasts. She underwent an abdominoplasty as well as a breast lift (mastopexy) with breast implants. Post-operative pictures are from 6 weeks after surgery. Her scars... Read More
Surgeon: Steven Vath
Mommy Makeover Case 366 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 52 of 100

Case #366

This is a 52 year old, 5'2", 138 pound woman who wanted perkier breasts and a flatter, tighter tummy. She previously underwent breast augmentation at another facility with 535 cc saline implants She wanted these removed and replaced with significantly smaller, gel implants and to have a mastopexy (breast lift) to achieve a perkier appearance... Read More
Surgeon: Steven Vath
Breast Reduction Case 678 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (1 mo)
Case: 53 of 100

Case #678

This 30 year old female presented to us after having 2 children (whom she breast fed) and chronic back and neck pain, including exacerbation of her scoliosis issues, from a 36DD bra size. She also wished to have her asymmetry addressed. It was recommended she undergo a moderate breast reduction during which the nipple would be significantly... Read More
Surgeon: Paul Steinwald
Mommy Makeover Case 346 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 54 of 100

Case #346

This is a 27 year old, 5'1", 150 pound woman who underwent the Denver "mommy makeover". She had an abdominoplasty to tighten and flatten her tummy and a breast augmentation with mastopexy (breast lift) to fill out and give her breasts better shape. She chose 400 cc, smooth, round saline implants placed under the muscle (subpectoral).... Read More
Surgeon: Steven Vath
Mommy Makeover Case 348 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 55 of 100

Case #348

This is a 26 year old, 5'6", 170 pound woman who, after having children, wanted to tighten her tummy and have lifted, fuller breasts. She underwent a "mommy makeover" procedure including an abdominoplasty and a breast augmentation with mastopexy (breast lift). She chose 300 cc, smooth, round, silicone gel implants placed beneath... Read More
Surgeon: Steven Vath
Mommy Makeover Case 716 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 56 of 100

Case #716

\tThis is a 45 year old, 5'2", 115 pound woman who underwent a denver "mommy makeover" to include an abdominoplasty (tummy tuck) and a breast augmentation with mastopexy (lift). She chose 240cc, low-profile, smooth, round silicone gel implants placed under the muscles. The breast lift was used to improve the perkiness and contour... Read More
Surgeon: Steven Vath
Breast Lift Case 543 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 57 of 100

Case #543

Surgeon: Paul Steinwald
Breast Lift Case 356 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 58 of 100

Case #356

This is a 35-year-old woman who wanted to improve the shape of her breasts.  She was pleased with her volume, and so didn't require an implant, only a mastopexy.  She is shown before and 5 months after a short-scar, vertical mastopexy.  She is 5'5" and 120 lbs. Read More
Surgeon: Andrew Wolfe
Breast Lift Case 540 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 59 of 100

Case #540

\tThis 25 year-old woman was interested in addressing and correcting the fullness and drooping that had developed in her breasts following her pregnancy. She was 5'7", weighed approximately 125 pounds, and wore a 36 D/E bra size. She wished to remain at least a C cup. I advised the patient that she undergo a "reduction mastopexy",... Read More
Surgeon: Paul Steinwald
Breast Lift Case 544 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 60 of 100

Case #544

\tThis 27 year-old African-American female (no kids) wished to be only slightly smaller, with better positioned and proprotioned nipples. It was recommended that she undergo a formal mastopexy or breast lift, to downsize, elevate and centralize the nipples, and take her from a D to full C-cup bra size.  Approximately 300 gm of... Read More
Surgeon: Paul Steinwald
Breast Lift Case 375 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 61 of 100

Case #375

For many women, asymmetry of the breasts is a very difficult issue to handle. Although not uncommon, the differences in breast size can make the simple task of fitting and buying bras a very stressful experience. When this 44 year old, 5'6", 158 pound woman came in for her consultation with Dr. Vath, she expressed her frustration of having... Read More
Surgeon: Steven Vath
Breast Augmentation Case 414 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 62 of 100

Case #414

This is a 44 year old, 5'4", 129 pound woman who felt that her breasts had deflated after having children. She underwent a mastopexy (breast lift) in order to create an attractive breast shape and a breast augmentation to achieve more volume and upper breast fullness. She chose 304cc silicone gel breast implants placed beneath the pectoralis... Read More
Surgeon: Steven Vath
Breast Lift Case 598 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (9 months)
Case: 63 of 100

Case #598

42 year-old woman who wished to have her implants (in the 300cc range, placed elsewhere several years prior) removed, and she wished to be smaller overall.  For her breast surgery revision, I suggested a formal mastopexy following explantation and capsule excision as necessary.She indeed underwent this procedure (which required drains... Read More
Surgeon: Paul Steinwald
Breast Lift Case 541 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (8 mo)
Case: 64 of 100

Case #541

\tThis is a 48 year-old woman who had previously undergone an abdominoplasty through our office, who was now interested in addressing the ptosis (or drooping) of her breasts.  These had gradually enlarged from a B-cup to a larger C-cup during adult life, especially after having delivered and breast fed two children, and she was particularly... Read More
Surgeon: Paul Steinwald
Breast Augmentation Case 11 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 65 of 100

Case #11

This 32 year old Denver woman is shown before and 2 months after breast augmentation surgery. She is 5’3” and 169 pounds who underwent mastopexy (breast lift) and for her breast enlargement she received smooth, round, saline implants filled to 300 ccs. The implants were placed into a submuscular position. Read More
Surgeon: Andrew Wolfe
Breast Augmentation Case 355 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 66 of 100

Case #355

This is a 37 year old, 5'7", 178 pound woman who wanted to fill out her breasts and achieve a better overall breast shape. She underwent a breast augmentation and mastopexy (breast lift) procedure. She chose 371 cc smooth, round, silicone gel implants placed beneath the pectoralis muscle. On first inspection from the front, it appears... Read More
Surgeon: Steven Vath
Breast Augmentation Case 668 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (3 mo)
Case: 67 of 100

Case #668

42 year-old woman with mild ptosis or drooping bilaterally and wished to avoid classic mastopexy "anchor" scars; had round saline implants (slightly larger on the left by 45cc) placed submuscularly, with a "Benelli" or "donut" periareolar (around the nipple) mastopexy bilaterally, to better position the nipples (although... Read More
Surgeon: Paul Steinwald
Mommy Makeover Case 249 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 68 of 100

Case #249

This is a 37 year old, 5'6", 165 pound woman who wanted her breasts filled out and lifted and her tummy tightened.  She underwent a "mommy makeover" by having a Denver tummy tuck (abdominoplasty) and breast augmentation with lift (mastopexy) at the same time.  She had smooth, round, silicone implants placed into a subpectoral... Read More
Surgeon: Steven Vath
Breast Lift Case 721 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 69 of 100

Case #721

\tThis is a 44 year old, 5'4", 112 lb. woman who complained of deflated breasts. She underwent a breast lift (mastopexy) with breast augmentation. She chose 375cc silicone gel implants placed beneath the pectoralis muscles. Post-operative pictures are from 1 year after surgery. Read More
Surgeon: Steven Vath
Tummy Tuck Case 310 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 70 of 100

Case #310

This is  a 26 year old, 5'7", 143 pound woman who complained of loose abdominal skin and deflated breasts after having children. She underwent a breast lift with implant placement in order to fill out and improve the contour of her breasts.  She had 270 cc, smooth, round, silicone gel implants placed beneath the pectoralis... Read More
Surgeon: Steven Vath
Breast Implant Removal (Explant) Case 11214 Before & After Front | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 71 of 100

Case #11214

This is a 47 year old woman who had breast implants and wanted to have them removed. There are various reasons that people will choose to have their implants removed. Many people simply don't want them any more after having breast implants for many years. Some women gain weight and feel their breasts are too heavy so they want the implants out. Other... Read More
Surgeon: Steven Vath
Mommy Makeover Case 349 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 72 of 100

Case #349

This is a 37 year old, 5'6", 179 pound woman who underwent a mastopexy (breast lift) and abdominoplasty. Her goals were to have lifted, perkier breasts and a flatter, tighter tummy. Post-operative pictures are from 3 months after surgery. Read More
Surgeon: Steven Vath
Mommy Makeover Case 425 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 73 of 100

Case #425

This is a 32-year-old mother of 2 who underwent a Mommy Makeover consisting of a breast augmentation with vertical mastopexy and an abdominoplasty. Her implants are 300cc low profile silicone, and increased her bra size from a 34B to a full C. The patient is 5'3" and 140 lbs. Photos were taken one year postoperatively. Read More
Surgeon: Andrew Wolfe
Breast Lift Case 45 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 74 of 100

Case #45

This is a 51 year old, 5'6", 135 pound female who underwent a mastopexy (breast lift). Post-operative pictures are from 4 months after surgery.
Surgeon: Andrew Wolfe
Breast Augmentation Case 345 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 75 of 100

Case #345

This is a 41 year old, 5'6", 149 pound woman who didn't like her breasts after having children. They had "deflated", losing their upper fullness and sagging over her rib cage. She wanted to be filled out and perky again. She underwent a Denver, Colorado breast augmentation and mastopexy (lift) in order to get a fuller,... Read More
Surgeon: Steven Vath
Breast Revision Case 784 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (9 months)
Case: 76 of 100

Case #784

This is a 38 year-old woman with 12 year-old saline implants showing asymmetry and ptosis (sagging) after having two children.  Treated with implant downsizing (approximately 50cc) to 425cc smooth, moderate-plus profile silicone gel implants, with mastopexy (breast lift).  If you feel you may want a Denver implant exchange or... Read More
Surgeon: Paul Steinwald
Mommy Makeover Case 261 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 77 of 100

Case #261

This is a 36 year old, 5'5", 130 pound mom, who underwent a "mommy makeover".  She had a breast augmentation with mastopexy (breast lift) and an abdominoplasty (tummy tuck). She had 400 cc implants placed into a subpectoral position (beneath the muscle). Post-operative pictures are from 6 months after surgery. Scars... Read More
Surgeon: Steven Vath
Tummy Tuck Case 317 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 78 of 100

Case #317

This 61-year-old woman wished to improve the shape of her breasts and abdomen after two pregnancies.  She underwent a "mommy makeover" consisting of a breast augmentation with vertical mastopexy and an abdominoplasty.  She is shown before and 7 months after these procedures.  The patient had a 300 cc saline implant inserted... Read More
Surgeon: Andrew Wolfe
Breast Revision Case 904 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (1 month)
Case: 79 of 100

Case #904

34 year-old who had undergone implantation elsewhere only 6 months or so earlier (400 cc-range gel implants) who disliked the shape of her breasts. It was advised she could undergo a secondary lift without disturbing the originally placed, well-positioned implants, which is what she elected to do. Photos here are from approximately 6 weeks post-op.... Read More
Surgeon: Paul Steinwald
Breast Augmentation Case 171 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 80 of 100

Case #171

This 36-year-old woman underwent breast augmentation with a left-sided circumareolar mastopexy (a "Benelli" lift) to enlarge her breasts and even out her asymmetry.  She is 5'6", 125 lbs, and chose a 265 cc, moderate-profile silicone implant, which took her from an A cup to a full B.  Photos are from 6 months postop. Read More
Surgeon: Andrew Wolfe
Breast Lift Case 588 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (5 mo)
Case: 81 of 100

Case #588

\tThis 29 year-old woman who had a signficant amount of downward-pointing (Grade III) nipple ptosis or drooping wished to have this addressed, as well as to decrease her 36C/D cup bra size by 1-2 cup sizes.  She underwent an outpatient breast reduction/mastopexy, with removal of 200-300 gm of tissue, and significant improvements to her nipple... Read More
Surgeon: Paul Steinwald
Mommy Makeover Case 409 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 82 of 100

Case #409

This is a 40 year old, 5'6", 145 pound woman who didn't like her tummy or breasts after children. She underwent a breast lift (mastopexy) to create a perkier, more attractive breast shape and a tummy tuck (abdominoplasty) to achieve a tighter, flatter tummy. She also had some liposuction of her hips to help balance her over shape improvement.... Read More
Surgeon: Steven Vath
Breast Lift Case 214 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 83 of 100

Case #214

This is a 36-year-old, 5'7", 130 pound woman who complained of sagging breast after having children.  She underwent a mastopexy (breast lift) with a small right-sided reduction in order to achieve perkier, more symmetric breasts.  Postoperative pictures were taken one year after surgery. Read More
Surgeon: Andrew Wolfe
Breast Lift Case 107 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 84 of 100

Case #107

This is a 52 year old, 5'5", 200 pound Denver woman who underwent a mastopexy. Post-operative pictures are from 4 months after surgery.
Surgeon: Steven Vath
Breast Lift Case 534 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 85 of 100

Case #534

Surgeon: Paul Steinwald
Breast Lift Case 34 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 86 of 100

Case #34

This is a 44 year old, 5’5”, 165 pound female who underwent a breast lift and augmentation. She had 475 cc silicone gel implants placed under the muscle. Additionally, she underwent an abdominoplasty. Post-operative pictures are from 3 months after surgery. Read More
Surgeon: Steven Vath
Breast Lift Case 690 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (1 mo)
Case: 87 of 100

Case #690

\tThis 42 year-old woman actually underwent a concomitant mastopexy during a right upper pole lumpectomy; the same can be done secondarily for post-op defects - even after radiation - in appropriate candidates. 
Surgeon: Paul Steinwald
Mommy Makeover Case 262 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 88 of 100

Case #262

This is a 32 year old, 5'7", 125 pound woman who underwent a Denver "mommy makeover" by having a breast lift (mastopexy) with reduction and a tummy tuck (abdominoplasty).  Post-operative pictures are from 5 months after surgery.  Scars will fade considerably over the following year to become barely noticeable. Read More
Surgeon: Steven Vath
Breast Lift Case 714 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 89 of 100

Case #714

\tThis is a 32 year old, 5'7", 145 pound woman who complained of deflated breasts after pregnancy. She underwent a breast augmentation with mastopexy (breast lift). She chose low profile, 210 cc smooth, round silicone gel implants placed beneath the pectoralis muscles. The mastopexy is used to create the improved contour with attractive... Read More
Surgeon: Steven Vath
Breast Lift Case 545 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 90 of 100

Case #545

Surgeon: Paul Steinwald
Mommy Makeover Case 260 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 91 of 100

Case #260

This is a 20 year old who complained of a sagging tummy and breasts. She underwent an abdominoplasty in order to flatten and tighten her tummy and a mastopexy in order to lift and create perkier breasts.
Surgeon: Steven Vath
Mommy Makeover Case 401 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 92 of 100

Case #401

This is a 33 year old, 5'5", 153 pound woman who previously underwent breast implant surgery. She did not undergo a lift (mastopexy) and, as can be seen in these pictures, her breast implants did not achieve an attractive shape to her breasts. Breast implants do not lift breast. Therefore, in order to achieve an beautiful breast shape,... Read More
Surgeon: Steven Vath
Breast Revision Case 666 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (4 mo)
Case: 93 of 100

Case #666

This 22-year-old female had been researching  plastic surgeons because she had significant developmental asymmetry, characterized by an A cup, relatively underdeveloped breast on the right, and a drooping, B cup breast on the left. She was understandably concerned about this asymmetry, and wished to have fuller, balanced breasts bilaterally.... Read More
Surgeon: Paul Steinwald
Mommy Makeover Case 228 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 94 of 100

Case #228

This is a 38 year old, 5'6", 143 pound Colorado woman who underwent a breast lift (mastopexy) with a breast augmentation in order to fill out and contour her breasts.  She also complained of a loose tummy and underwent an abdominoplasty (tummy tuck) to tighten her abdomen.  Finally, she had some liposuction performed on the... Read More
Surgeon: Steven Vath
Mommy Makeover Case 239 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 95 of 100

Case #239

This is a 36 year old, 5'3", 119 pound woman who complained that, after having children, her tummy was loose and her breasts were saggy.  She underwent the "mommy makeover" in order to lift the breasts (mastopexy) and tighten her tummy (abdominoplasty).  Post-operative pictures are 2 years after her combined surgery.  Read More
Surgeon: Steven Vath
Breast Augmentation Case 892 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (3 months)
Case: 96 of 100

Case #892

Surgeon: Paul Steinwald
Breast Lift Case 640 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (1 mo)
Case: 97 of 100

Case #640

Surgeon: Paul Steinwald
Breast Lift Case 781 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (2 months)
Case: 98 of 100

Case #781

This 37 year-old patient wanted to to address the sagging and loss of volume in her breasts after having 2 children. She opted to undergo a breast lift which restored her breasts to a perky position on her chest, as well as a breast augmentation using 320cc smooth, round implants to give her increased fullness.She is shown before and 6 weeks... Read More
Surgeon: Paul Steinwald
Tummy Tuck Case 305 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 99 of 100

Case #305

This is a 44 year old, 5'8", 150 pound woman who underwent a Denver "mommy makeover" in order to flatten and tighten her tummy and to lift and fill out her breasts. She underwent an abdominoplasty (tummy tuck) to remove extra skin and fat from her tummy and give her a tight, flat abdomen. She also had a breast lift (mastopexy)... Read More
Surgeon: Steven Vath
Tummy Tuck Case 851 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (9 months)
Case: 100 of 100

Case #851

45 year-old woman who had delivered 3 children, now weighed approximately 170lb, and had a vertical lower abdominal scar as part of treatment for ovarian cancer (including a hysterectomy) in the recent past.  She claimed she was in a D/DD bra size and wished to undergo breast reduction/lifting as well as a formal abdominoplasty, with liposuction... Read More
Surgeon: Paul Steinwald

Keep in mind that each patient is unique and your results may vary.

A breast lift entails removal of the extra skin that is allowing the breasts to drop to a less attractive position. The breast tissue (parenchyma) with the arealae and nipples attached, are moved upward, and the lower pole tissues are tightened to hold the breasts up. Underlying breast parenchyma is sewn together in the lower pole to reinforce the lift prior to closure of the skin. Occasionally, women are candidates for the areolar lift that does not require the vertical scar down the front of the breasts. Ultimately, the best shape must be achieved using the minimal scarring to do so. Most women feel the scar is a small price to pay for a perkier breast position.

Breast Lift Options

Wise pattern (anchor) mastopexy

Wise pattern (anchor) mastopexyThe amount of skin removal and resulting scar is precisely determined based upon the needs of each breast. The wise pattern skin excision that results in an “anchor” scar is necessary in many breast lift cases due to the large amount of extra skin that needs removal in order to create the best breast shape. There is no magic here. The wise pattern is 2 intersecting ellipses with an area above for areoalar elevation and in-setting. These two elliptical excisions reduce the vertical and horizontal dimensions of the breast skin to achieve a tight, round lower pole–the hallmark of an attractive, perky breast. The breast tissue (parenchyma) is tightened beneath the skin to support the breast and keep tension off of the skin. The final scars are surprisingly inconspicuous. The scar around the areola is hidden between the darker and lighter skin tones. The horizontal scar is hidden in the breast crease and the vertical scar fades and flattens most nicely to become barely perceptible over time.


Vertical (lollipop) mastopexy

Vertical (lollipop) mastopexyThe vertical mastopexy is the same operation as the Wise pattern except the horizontal ellipse of skin and resulting scar in the breast crease is omitted. This is feasible for smaller breast sizes, especially when breast implants are added to restore some volume. Again, there is no magic to these procedures. The breasts are supported from within by suturing the breast tissue together in the lower pole beneath the skin. The skin is “tailor tacked” with surgical clips while the patient is in the upright position during surgery. This method delineates the precise amount of skin removal necessary to achieve the best breast shape. This step determines if the horizontal elliptical excision can be avoided resulting in the “lollipop” scar. At the Center for Cosmetic Surgery, Dr. Vath, Dr. Wolfe, and Dr. Steinwald often perform a modified vertical mastopexy where most of the excision is performed with the vertical ellipse and only a small, additional horizontal elliptical excision is added, rather than the full length “anchor.” This small, additional horizontal scar is usually of no concern to patients because of its inconspicuous nature in the breast crease; however, it can be a critical element in completing the perfect, uncompromised breast shape.


Circumareolar or Bennelli (doughnut) mastopexy

Bennelli (doughnut) mastopexyThe circumareolar lift is primarily an areolar lift rather than a true breast lift. Although it does slightly tighten the skin envelope of the breast, this procedure does not elevate breasts that sag below the breast creases. Primarily, a circumareolar mastopexy is for patients that have low areolar positioning on the breast, but not true sagging below the crease. Generally, good candidates for this procedure have tight lower pole breast skin with a short distance between their areolae and breast creases. This procedure is often used to even out asymmetrical areolar position or to achieve areolar reduction. This operation absolutely does NOT replace a vertical or wise pattern mastopexy, and when used in the wrong situations, leaves patients with a deformed, unattractive breast shape. Misuse of this operation is one of the most common mistakes made in cosmetic breast surgery and a frequent reason for breast revision surgery. This common problem is somewhat attributable to patient demand for avoidance of the vertical scar.

Even though the circumareolar procedure avoids vertical scars, the disadvantages can be significant:

  • No appreciable lifting of a sagging breast
  • Slightly flattens the forward projection of the breast
  • Scar puckering and irregularity

The following pictures are examples of patients at the Center for Cosmetic Surgery who were good candidates for the circumareolar or “doughnut” breast procedure.

Patients before and after a breast lift

Breast Lift Scarring

A beautiful breast shape with a faded scar is still attractive and even sexy. But an unattractive breast shape without scars is still unattractive. Achieving a beautiful breast contour is the primary objective of a breast lift, followed closely by limiting scarring to achieve the goals.

All too often, however, Dr. Vath, Dr. Wolfe, and Dr. Steinwald meet patients with sagging breasts who hope to avoid the vertical lift scar and still achieve a beautiful shape. Even though this is understandable, it usually is not possible. Once a breast truly sags below the breast crease, removal of lower pole skin is unavoidable. But all hope should not be lost. When the proper techniques are used to tighten the lower pole breast tissue to keep tension off of the skin, scars usually stay thin and fade wonderfully over time.

mastopexy before and afterThis is a 40-year-old, 5’9″ woman who previously underwent a breast augmentation at another center with 390cc saline breast implants in Denver. She did not undergo a breast lifting procedure at that time. She presented complaining of an unattractive breast shape. Dr. Vath performed an implant exchange placing 350 cc silicone gel implants and then a breast lift. Postoperative pictures were taken 2 months, 1 year, and 3 years after surgery. Notice the appreciable fading of the scars by 3 years from surgery. A beautiful breast shape with a faded scar is much more attractive than the alternative without the scar.

How to Choose a Surgeon

For optimal safety and results, it’s important to choose your surgeon carefully. Important considerations include:

  • Review many impressive before-and-after photos.
  • Find a surgeon who specializes in cosmetic plastic surgery.
  • Seek a surgeon who upholds the proper credentials.
  • Make sure the surgeon uses only an accredited, state-of-the-art surgical facility.
  • Decide, if upon meeting the surgeon, you make a connection.

Fact & Fiction About Your Breast Lift

A breast lift does not require the placement of breast implants. A breast lift serves the purpose of improving the shape of sagging breasts. Implants do not lift breasts nor do they help “hold up” breasts undergoing a lifting procedure. Implants will create larger breasts and fill deflated upper poles. Many women choose implants with their lift in order to gain these features, but it is certainly not required.

Breast implants can be safely placed at the same time as a breast lift. At the Center for Cosmetic Surgery, our plastic surgeons routinely perform breast augmentation and lift at the same time. This can be accomplished safely, yielding the finest cosmetic result, and allowing for one recovery.

The areolae and nipples are NOT removed and sewn back on. Because a breast lift leaves behind a scar around the areolae, people often assume that the areolae and nipples are removed and sewn back on. This is not the case. Skin above the areolae is removed and the areolae are elevated with the breasts to their new, centralized positions. Usually, sensation is preserved and the areolae can also be reduced to a more proportionate, attractive size during the operation.

Breast implants do NOT lift breasts or assist in lifting breasts. Commonly, it is assumed that implants alone, without a lift, will raise breasts and achieve a more youthful appearing shape. Many women hope for this implant-alone option to avoid the scars incurred with a lift. But implants do not restore an attractive shape to sagging breasts: only a breast lift can do that. Implants alone will successfully fill out deflated breasts that do not drop below the breast creases. Deflated A-cup breasts after pregnancy often fit this scenario for an implant-only solution. Otherwise, when breasts truly sag, implants can be added to a lift procedure to boost upper fullness and overall size.

A beautiful breast has a round LOWER pole. The hallmark of a beautiful, youthful, perky breast is a round LOWER contour, not necessarily upper fullness. From A cups to DD cups, if the bottom portion of the breast is round, rather than pointy, boxy, or oval in shape, it appears attractive. Once breasts have dropped after pregnancy or weight loss, a breast lift can restore the lower roundedness of youthful breasts. You can see this in before-and-after pictures of women having undergone a lift alone where the breasts are transformed in contour without the use of breast implants. When desired, implants can also be placed to increase upper fullness but do not assist in improving breast shape or the lift.

The circumareolar breast lift only minimally tightens the lower pole and is not a short scar alternative to a breast lift for most people. The circumareolar lift (donut lift) is primarily an areolar lift rather than a true breast lift. Although it does slightly tighten the skin envelope of the breast, this procedure does not elevate breasts that sag below the breast creases.

Patients often feel their breasts are slightly smaller after a breast lift. Depending upon the discrepancy between skin volume and breast volume, women sense a variable degree in size reduction after a mastopexy. Only skin and a small amount of subcutaneous fat are excised during a lift; however, breasts feel and look somewhat smaller to women after the procedure. This is because they are more tightly packaged in a perkier shape that looks smaller because they’re not as long and feels smaller because the weight no longer hangs. The more deflation and sagging that exist, the greater the sense of size reduction after lifting is accomplished. Some women choose to have breast implants placed at the same time as their lift to avoid this size reduction.

Identifying Good Breast Lift Results

The lower pole is tightened just enough without over tightening. The essential characteristic of an attractive breast shape is a round lower pole. Whether a breast is an A cup or a DD, this feature is consistently present in good-looking breasts. All people are hard-wired to appreciate this, although society and marketing attempt to convince us that upper fullness is the most important ingredient to a youthful, attractive breast contour. As a breast drops and requires lifting, modification of the lower breast pole is needed to transform a less attractive, pointy, boxy, or oval shape to a rounder shape. This is commonly referred to as “perky.” If upper fullness was the key, implants alone would create a better looking breast. But this is not true. Implants placed in a sagging breast create upper fullness while leaving the non-round lower pole hanging and unattractive. When the lift is accomplished, it must be performed in such a way as too create a round lower pole that no longer hangs on the tummy. However, over-tightening must be avoided. This causes a flattening of the lower pole and distortion of the breast contour. Over-tightening is not the answer to achieving more upper fullness when undergoing a breast lift: an implant is. By utilizing the “tailor tacking” technique to remove precisely the right amount of skin, the ideal lower breast pole contour can be ensured.

Areolae are reduced, if desired, to a more attractive, proportionate size. During a breast lift, although the areolae are not removed from the breast, the skin around the areolae is excised allowing a resizing of the areolae. Areolae stretch out during weight gain and pregnancy so a reduction in their size during a mastopexy is usually a welcome improvement.

Any inframammary scar, if needed, is well hidden in the breast crease. If inframammary scars are needed to achieve the best breast shape, they need to be placed precisely in the breast creases so they remain hidden. This is ensured by “tailor tacking” while the patient is sitting up to minimize the scar length and place the resulting scars in the creases.

Scars are thin and fade with time. A beautiful breast shape with a faded scar is still attractive and even sexy. But an unattractive breast shape without scars is still unattractive. Achieving a beautiful breast contour is the primary objective of breast surgery followed closely by limiting scarring to achieve the goals.

If implants are placed, the breasts are lifted properly to avoid sagging off of the implants. Commonly, implants are placed behind sagging breasts with the hope that they will eliminate or reduce the need for a lift and the resulting scars. One of the most common reasons for breast revision surgery that Dr. Vath, Dr. Wolfe, and Dr. Steinwald see is breast augmentation with inadequate lifting. It is critically important that the proper lifting procedure is performed with or without an implant. There are a few breast lift options to ensure a great shaped result, but an implant is not one of them.

Lift vs. Implant or Both? How Can You Tell?

How can you determine at home if you need a breast lift? Often, the answers to two questions can help. First, have you had children and/or significant weight loss? Second, what cup size are you now? If the first answer is yes and the second is larger than a small B cup, usually a lift is necessary, but this is not a reliable way to know for sure.

If your breasts hang below your creases, you need a lift. But often women aren’t sure. Deflation with collapsed or empty upper breasts does not require a lift and can be managed with implant placement alone. The most reliable means to determine if you need a lift is to look at your breasts in the mirror with your body angled at 45 degrees so you get an oblique view of yourself. Then look at the breast that is farther away and see if it hangs over the crease. Alternatively, you can take a picture of your breasts on a 45 degree angle (oblique view) and evaluate the picture for the same overhang. You can also take this picture, sit in front of the computer and peruse the web to identify the procedure of choice for women with a similar breast position.

If the lower poles of your breasts are no longer round, but rather oval, pointy, or boxy shaped, then a lift is essential. A lift serves the purpose of improving lower pole contour- the hallmark of attractive, youthful breasts. An implant does not improve shape but serves two other purposes: to fill out the upper breasts and to increase overall size. If your breasts sag, the lift is critical while the implant is optional depending upon your goals. If there is no sagging but merely deflation, an implant alone will do the trick.

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