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Regaining a
Firmer Bustline
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| by Dr. Diane Gibby • M.D., P.A., F.A.C.S |
Most women today
endeavor to feel and look their best. Many are
willing to eat a nutritious diet and maintain a
consistent exercise routine so as to reap the
health benefits and maintain a youthful
appearance. But, the effects of pregnancy,
menopause and large
fluctuations in weight associated with hormonal
changes. can sometimes cause a women to look
older than she feels.
While becoming a mother is a joyous and
momentous occasion, it can change your life and
your body in many ways. Later in life, women
will also experience new changes in their body.
These changes leading to menopause can begin as
early as age 35.
Sagging or loose breasts are sometimes the
result of pregnancy, changes in weight, or due
to the natural aging process. The breast lift,
or mastopexy, is a procedure that elevates and
reshapes the sagging breast.
Breasts are carefully marked in an anchor-shaped
form to indicate where the incisions are to be
made. The anchor-shaped incision follows the
natural contour of the breast, outlines the area
where the breast skin will be removed, and
defines the new nipple location.
Excess skin is removed and the nipple and areola
are moved to a higher position appropriate for
the woman’s chest wall proportions. The skin
around the areola is brought down to shape the
breast.
Stitches are placed around the areola, in a
vertical line extending down from the nipple,
and along the lower crease of the breast.
Some patients, especially those with small
breasts and minimal sagging, may be candidates
for less extensive procedures, such as the
“doughnut (or concentric) mastopexy,” in which
circular incisions are made around the areola,
and a doughnut-shaped area of the skin is
removed.
A breast augmentation may be performed at the
same time as a mastopexy. If an implant is
inserted at the time of the breast lift, it will
be placed in a pocket directly under the breast
tissue or under the muscle of the chest wall.
On the other hand, some women may prefer to have
their breasts made smaller, or reduced, at the
time of the breast lift. A reduction-mastopexy
can be performed through the same operative
incisions.
Following surgery, an elastic band or a support
bra is worn over gauze dressing. The bra is worn
for the patient’s comfort for about three to
four weeks.
Before proceeding with a breast lift, it is
important to have a thorough understanding of
the options available and to discuss any
questions or concerns you might have with your
doctor. Every patient is unique and her specific
needs should be addressed
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Diane Gibby, M.D., P.A., F.A.C.S Licensed in Texas, Dr. Diane Gibby is board-certified by the American Board of Plastic Surgery (ABPS) and the founder of The Women's Center for Cosmetic and Plastic Surgery. She is a member of the American Society of Plastic Surgeons (ASPS), American Society of Aesthetic Plastic Surgery (ASAPS), American Medical Association (AMA), Texas Society of Plastic Surgeons (TSPS), Dallas County Medical Society (DCMS) and the Board Certified Plastic and Cosmetic Surgeons of Dallas. She is also a Fellow in the American College of Surgeons (F.A.C.S.). Dr. Gibby's office is located at Medical City Dallas, Building C, Suite 820, (972) 566-6323. Individuals interested in brochures or names of qualified plastic surgeons in their area may call the American Society of Plastic and Reconstructive Surgeons at 1-800-635-0635.
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