Most women Dr. Goldberg have seen in the office complain about a loss of fullness in the upper breast combined with “too much” skin leaving them a droopy and empty breasts. These changes result from normal biologic processes during pregnancy. First, to prepare for breast feeding, your body produces hormones that enlarge your breast tissue. As a result, the skin stretches to accommodate for the newly enlarged breast. Once you are done breast-feeding, your body no longer produces the same hormones and the breast tissue will atrophy, often to a level less than what you had prior to pregnancy. However, the skin stretch does not go back to pre-pregnancy state. This leaves a woman with “droopy empty” breasts, loose skin with stretch marks and atrophy breast tissue.
There are several cosmetic breast procedures that can remedy this problem.
For women who have smaller breasts to start, sometimes the amount of skin stretch is mild, and thus the breast is not droopy. These women are often well served by a breast augmentation alone. Both saline and silicone breast implants are options that can be placed either above or below the muscle depending upon the particular need of the patient.
Not uncommonly, women are happy with their breast volume, but left with some degree of excess skin after pregnancy and breast feeding. For these women, a breast lift or mastopexy is designed to help restore the breast shape to a more youthful position by elevating the nipple and tightening the breast skin. There are a number of different approaches we can use to lift the breast, and this is based upon the appearance of the breast and your specific goals. Our ultimate goal is to restore your breasts an attractive and youthful breast.
Breast Lift with Implants
The most frequent situation, however, is that after one or multiple pregnancies women are unhappy with both the amount of excess skin, as well as the loss of volume or size of their breasts. Under these circumstances, patients are candidates for what is called an “augmentation mastopexy” or a combination of a lift and an implant. This procedure is a bit more complicated as we are making the breast smaller (by tightening the skin) and larger (with the use of an implant) at the same time. Thus, this procedure must be individualized for each patient as there are so many potential variables.