Breast LiftPlastic Surgery in Latham, New York

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The degrees of ptosis are:


First degree

Women with first degree ptosis may have significant breast tissue that falls below the inframammary fold, but the nipple will lie just at the level of the fold and will have minimal downturn. The breasts may appear more “bottom-heavy” than sagging, though may retain some upper-pole fullness.


Second degree

In second degree ptosis, the upper pole of the breast may appear “deflated” as the breast tissue migrates to the lower pole. The downturn of the nipple becomes more apparent and the nipple-areola complex will fall entirely below the inframammary fold, though the nipple will still sit above the lowest portion of the breast tissue.


Third degree

Third degree ptosis is characterized by a nipple that points downward and sits below the inframammary fold at the lowest part of the breast. Most of the breast tissue will also fall below the inframammary fold, leading to the appearance of a downturned, rounded breast that has migrated down the chest wall instead of a breast with lower-pole fullness.



Rather than a degree of true ptosis, some women have naturally bottom-heavy breasts that lead to the appearance of sagging. This is known as pseudoptosis, or false ptosis, and is characterized by a forward-facing nipple-areola complex that sits above the inframammary fold, but with a significant portion of breast tissue below the inframammary fold.

What is a Breast Lift?

A breast lift, or mastopexy, is a procedure designed to remove stretched skin and reshape the breast tissue to lift the breasts to a higher, more youthful, and more symmetrical position on the chest wall.

Most women who seek a breast lift have a condition called breast ptosis (pronounced: TOE-sis), which is the technical term for breast sagging.

Ptosis can occur naturally over time, as the combination of gravity and the weight of breast tissue stretches the skin and ligaments and causes the breasts to sit lower on the chest.

Mastopexy is highly customizable and can be adapted to correct all degrees of ptosis.

For each woman, the degree of ptosis is classified according to the relationship between the nipple and the inframammary fold (the crease below the breast where the breast meets the chest wall).

In the normal breast, the nipple lies above the inframammary fold and on the mound of the breast.

Based on genetic history, weight fluctuations, pregnancy history, and more, each woman seeking a breast lift have various degrees of ptosis, or sagging.

Mastopexy is highly customizable and can be adapted to correct all degrees of ptosis. For each woman, the degree of ptosis is classified according to the relationship between the nipple and the inframammary fold (the crease below the breast where the breast meets the chest wall). In the normal breast, the nipple lies above the inframammary fold and on the mound of the breast.

Causes of Sagging Breasts

Whether breasts are large or small, ptosis is inevitable. Time and gravity will cause some amount of ptosis for every woman as she ages beyond adolescence.

The degree of ptosis, however, does vary from woman to woman.

A variety of elements contribute to this difference, the most significant of which is breast size.

Because breasts consist of only ligaments, fat, and connective tissue, breasts will droop over time. The ligaments and skin lose their elasticity and begin to stretch.

The larger and heavier a woman’s natural breasts, the more quickly the stretching and sagging will occur.

The rate at which ptosis occurs also is affected by genes, diet, aging, and breast size.

Pregnancy, breastfeeding, and menopause contribute to ptosis as well, and ptosis is often especially evident after significant weight loss.

Many women who haven’t been pregnant and women who have maintained a stable weight also complain of drooping breasts.

But just because breast sagging is inevitable doesn’t mean patients need to live with these unwanted changes. Mastopexy may be an option for those that are experiencing ptosis for any reason and are unhappy with their appearance as a result.

Breast Lift Consultation

During the plastic surgery consultation, patients can learn whether they are, indeed, a candidate for breast lift.

Dr. Polynice will explain the details of having cosmetic breast surgery, and patients can ask any questions they have about the procedure, its results, risks, cost, and more.

Dr. Polynice will perform a breast examination during the consultation to make sure no swelling, bulging, or skin malformations exist.

He will also be evaluating any bra shoulder strap grooving, current nipple sensitivity and position, and the distance between different parts of your breast.

Breast size, breast symmetry, chest wall size, shape, height, and weight will be considered to make appropriate recommendations.

The Breast Lift Procedure

Breast lift surgery is a relatively comfortable and low-risk procedure because it works only with the patient’s natural breast tissue and does not involve manipulation of underlying glands or muscles.

Depending on the patient’s concerns, Dr. Polynice will use one of two breast lift incision techniques: a lollipop incision or an anchor incision.


Lollipop Breast Lift

The lollipop incision is the most commonly used breast lift technique at the Plastic Surgery Center at Williams.
It uses a circular incision around the nipple-areola complex and a vertical incision between the areola and the inframammary fold — resulting in the lollipop-shaped scar for which the technique is named.
This incision allows Dr. Polynice to access and reposition the breast tissue, trim away some excess skin and suture the incisions closed with the nipple in a more lifted position — evenly distributing breast tissue between the upper and lower poles.


Anchor Breast Lift

The anchor incision is like the lollipop technique but uses a small horizontal incision along the inframammary fold to create the anchor shape.
This technique is often better suited for women who have a higher degree of ptosis and require more excision of loose skin to achieve their best results.
Since the extra portion of the incision is well hidden in the fold below the breast, there is no significant difference in visible scarring between the two procedures and our patients find that the slightly larger incision is worthwhile.


Breast Lift

In both types of breast lift, the nipple remains connected to the underlying mammary glands and does not interfere with a woman’s ability to breastfeed in the future.
Scars are easily hidden even in low-cut tops, swimsuits, and undergarments. Dr. Polynice also uses internal sutures to minimize the appearance of visible scars.
While general anesthesia is available, patients can also choose a combination of twilight and local anesthesia to reduce discomfort after the procedure.
Breast lifts at the Plastic Surgery Center at Williams are most commonly performed as outpatient procedures.

Breast Lift Recovery

Patients will return home the same day as their mastopexy in the care of a responsible adult who can serve as a caretaker for the first 24 hours after surgery.

Dr. Polynice uses automatic pain pumps to keep patients comfortable in the first few days post-op, eliminating the need for narcotics, which often come with unwanted side effects.

The Plastic Surgery Center at Williams recommends planning for one to two weeks away from work or daily responsibilities, and three to four weeks away from strenuous activities like heavy lifting or exercising.

Overall, the recovery from a breast lift is more comfortable than that of many other breast procedures, since the surgery only involves surface-level incisions and has few associated risks.

As with any surgery, there are possible complications, including infection, poor scar tissue development and decrease in nipple sensation. However, Dr. Polynice’s techniques and recovery instructions are designed to minimize risks and ensure patient safety above all.

Schedule a Breast Lift Consultation

Call us today at (518) 786-7000

Mastopexy is an excellent solution for women who are not happy with the appearance of their breasts but who have a good amount of natural breast tissue and do not need or want implants.

Women who undergo this procedure find that it delivers beautiful, natural-looking results that do not interfere with their long-term lifestyle choices.

Breast lifts can reduce the need for a woman to wear specialty or uncomfortable undergarments, which can expand wardrobe choices for tops with open backs or low-cut necklines.

A mastopexy can also improve the appearance of the breasts in swimsuits or lingerie without structured cups.

Most importantly, a breast lift can make a significant difference in a woman’s self-confidence, as sagging breasts can age the appearance, be uncomfortable or cause a woman to feel like her body is changing in ways she doesn’t like.

At the Plastic Surgery Center at Williams, it is our goal to help every woman feel confident in herself and her body every day.

To set up a consultation for a breast lift, contact the Plastic Surgery Center at Williams by calling (518) 786-7000 or completing the contact form today.

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