What is a Breast Lift?

Clinically referred to as a mastopexy, a breast lift is a surgical procedure where the breasts are elevated to a higher position on the chest and excess skin is removed to give a tighter, perkier appearance. A mastopexy involves reshaping the existing breast tissue, removing the excess skin, and changing the position of the nipple to a more desirable location. Mastopexy is one of Toronto’s most popular procedures in addition to being one of the most common plastic surgery procedures performed around the world.

What are My Breast Lift Options?

Once it’s been determined that you are a good candidate for a breast lift, board-certified plastic surgeon Dr. Plant will discuss which type of breast lift would benefit you most, and if there are options, he will review the pros and cons of each procedure that you are eligible for. Whereas most surgeons will only offer one type of procedure that results in the most extensive breast lift scars (the anchor lift), Dr. Mathew Plant is one of the very few plastic surgeons in Toronto that offers all breast lift procedures. The most common choices for breast lift are:

CRESCENT BREAST LIFT

This is the simplest breast lift, which involves removing a small crescent-shaped piece of skin along the upper edge of the areola to raise the nipple-areolar complex higher on the breast. The crescent breast lift is primarily used in patients who have a good current breast shape but one or both of the areolas sit slightly low on the breast. A crescent breast lift is commonly combined with breast implants to improve minor asymmetries.

PERIAREOLAR MASTOPEXY (BENELLI LIFT OR DONUT LIFT)

This breast lift procedure utilizes two circular incisions made around the areola, allowing the removal of a donut-shaped piece of skin. This allows Dr. Plant to elevate the nipple, decrease the size of the areola, and generally tighten the breast skin. This procedure is ideal for those who need a subtle lift and a 1-2 centimeter of nipple elevation. It is also frequently combined with breast augmentation.

VERTICAL MASTOPEXY (THE LOLLIPOP LIFT)

This is the most common breast lift that Dr. Plant performs. This involves a circular incision around the areola, and a vertical one below the areola, extending to a few centimeters above the inframammary crease. The vertical lift is ideal for breast lift patients who need lifting and reshaping of the breast mound, as well as the elevation of the nipple and reduction of the areola. This procedure can be combined with a breast reduction or augmentation, or be performed by itself. As the incision heals, the scar goes around the nipple and straight down towards the breast crease, resembling a lollipop shape.

WISE PATTERN LIFT (INVERTED-T LIFT OR ANCHOR BREAST LIFT)

This is the most common and traditional breast lift procedure in North America, but in Dr. Plant’s hands, it is usually reserved for those with sagging breasts caused by a significant amount of excess skin between the nipple and the breast fold, or for very large breast reductions. This is because it uses an additional incision in the inframammary fold as well as the lollipop incisions, so Dr. Plant tries to avoid using this technique in most cases to minimize scarring.

The incision is made around the nipple, down towards the inframammary crease, and within it as well, removing tissue and skin from all three locations. The nipple can be relocated to a more aesthetically pleasing position on the breast, and this procedure allows a lot of control to reshape the entire breast. The resulting scar goes around the nipple, down towards the breast fold, and along the crease, resembling an anchor shape.

What Do the Scars From Breast Lift Surgery Look Like and Where Will They Be?

Dr. Plant will speak to you at your consultation about which type of breast lift and which scar placement will be best for your cosmetic surgery. Incisions almost always go at least partway around the nipple (Periareolar)but as more of a lift is needed they can extend vertically towards the crease and horizontally within it. In addition to giving you the shortest scars possible, he uses the most up-to-date suture technology, including antibiotic embedded sutures to minimize inflammation and give the best possible final scar.

The specific scars that you can expect for the various breasts lifts are:

  • Crescent Lift – Since this procedure involves removing a crescent-shaped piece of skin above the nipple and areolar complex the final scar will outline the top portion of the areola from about 9 o’clock to 3 o’clock.
  • Donut Lift – Because this procedure involves removing a circular piece of skin around the areola, the resulting scar is a circle around the outer edge of the areola.
  • Lollipop Lift – Once the ‘snowman’ incision is closed the scar ends up going around the areola border and straight down towards the breast fold, like a lollipop. It may sometimes curve slightly towards the armpit at the bottom of it in order to get a round bottom to the breast.
  • Anchor Lift – The incisions around the nipple, down towards the inframammary crease and within the crease close with a scar that goes around the nipple, down towards the breast crease, and along the crease, resembling an anchor shape.

In all these cases, Dr. Plant will recommend a scar treatment plan to help you achieve fully concealable scars, which can easily be hidden in a bra or bathing suit.

Am I the Right Candidate for Breast Lift?

If you are a healthy woman who is not satisfied with the shape or size of your breasts, you may be the right candidate for breast lift surgery in Toronto. In general, If you are content with the size of your breasts, but want a more perky appearance, then a lift may be the right procedure for you. The most common reasons patients undergo a mastopexy are:

  • Breast sagging or droopy breasts
  • Stretched areolas
  • Nipples that point downwards
  • Breast asymmetry
  • Lack of firmness
  • Deflation following breastfeeding or weight loss

If you find that your breasts are sagging and also need volume then a combined breast lift-breast augmentation procedure may be a better choice. If your breasts are too large, you can combine a breast lift with a reduction to get a more reasonable breast size. If you are happy with the shape of your breasts, but want them to be larger, then you may benefit from an augmentation alone.

The best way to know which procedure is best to get the results you want is to book a consultation with Dr. Plant so he can examine you and answer all your questions.

What is Breast Reduction Surgery?

breast reduction in Toronto helps in reducing the size of the breasts by removing excess skin and breast tissue.

Breast reduction surgery is a frequent choice for many women in Toronto who are not comfortable with the large size of their breasts. Patients suffering from related issues like pain in the breasts, skin rashes, back pain, or excessive sweating below the breast may be good candidates for a breast reduction.

Dr. Plant performs breast reduction surgery for patients all over Toronto and the surrounding areas like Markham and Vaughan, Ontario. Breast reduction patients trust Dr. Plant to perform their surgery because of his personalized approach and extensive knowledge of breast surgeries. To see if a breast reduction is right for you, call our Toronto office for a consultation today.

Am I the Right Candidate for Breast Reduction in Toronto?

If you are a Toronto woman with large breasts that are interfering with your lifestyle or making you self-conscious, you may be a good candidate for a breast reduction. Large breasts can cause neck, back, or shoulder pain, which affects your overall lifestyle. If you have any of these problems, contact Dr. Plant to set up a breast reduction consultation at his Toronto office to see if breast reduction is right for you.

To some patients, excessively large breasts lead to medically documented problems like neck, back, or shoulder pain. In such cases, your Toronto breast reduction surgery may be covered under health insurance. Dr. Plant will help you determine whether your procedure is likely to be covered during your consultation.

What Can I Expect During a Breast Reduction?

Dr. Plant will remove excess breast tissue and skin during the procedure giving you smaller and firmer breasts. The areola and nipple will be raised higher as well, to incorporate the new proportions of the breasts and create a more natural look.

How Long is the Downtime from a Breast Reduction?

After the surgery, you will be required to take at least 7 days off from school or work. Some women may require a longer recovery time, but this varies from one patient to another. Dr. Plant will instruct you on follow-up appointments for removing bandages and stitches.

Scheduling a Breast Lift or Breast Reduction Consultation in Toronto

If you are considering breast lift or breast reduction surgery, book a consultation with Dr. Plant at his Toronto office so he can personally go over the different options available to get the results you desire, while also answering any questions you may have about your breast lift surgery. His office is conveniently located in central Toronto near both the 401 and the Don Valley Parkway which has allowed him to serve mastopexy patients from the entire greater Toronto area, including Scarborough, Mississauga, Vaughan, and Markham. He also sees patients from all over Canada who travel into Toronto specifically for his expertise and natural results.

Dr. Plant is a Royal College Certified plastic surgeon who is widely known for actively listening to what his patients are looking for and delivering those results through his meticulous surgical technique. He is an expert not only in primary mastopexies but also in revision mastopexy as well. This means that not only does he achieve beautiful, natural results for patients coming for their first breast surgery, but he is also one of only a few surgeons willing and able to correct problems from breast surgeries performed elsewhere. Contact us today to schedule your breast lift consultation with board-certified plastic surgeon Dr. Mathew Plant.


FAQs

Frequently Asked Questions

Does a breast lift leave scars?

Breast lifts do leave scars, the exact nature will depend on the type of breast lift performed. Virtually all breast lift procedures leave a scar around the areola (periareolar scar) and depending on how much of a lift is needed a vertical extension may be added (lollipop lift) or a vertical extension and an incision along the breast crease (anchor lift).

How do you shower after a breast lift?

This answer is very surgeon specific and depends on the dressings used. In most practices you will have traditional gauze bandages that get removed after about 5 days at which point you can shower. In some practices, such as ours, waterproof dressings are used allowing you to shower the next day!

What is a non surgical breast lift?

This is actually the most common breast lift, most women do it every day....its called putting on a bra!

What is a crescent breast lift?

A crescent breast lift is a procedure where a small crescent shaped incision is made above the areola that, when closed with sutures, pulls the areola up higher on the breast. Unfortunately, this procedure does not typically work very well to provide a long-lasting lift, and generally results in the breast falling back to where it was beforehand, but stretching the areola out to an oval shape.

What types of breast lifts are there?

There are literally dozens of breast lift procedures that have been described over the years, however in north america there are 3 common types that are used: A periareolar lift leaves a scar around the areola and is used when only 1-2cm of nipple elevation is needed. If more of a lift is required, a vertical extension may be added (lollipop lift) or a vertical extension and an incision along the breast crease (anchor lift).

Am I the right candidate for a Breast Lift?

A woman’s breast appearance can change over time, the firmness and youthful shape may be lost for a variety of reasons. Some of these reasons include pregnancy, breastfeeding, fluctuations in weight, aging, gravity and even heredity. You may be the right candidate for a breast lift in Toronto if your breasts are sagging or the firmness and elasticity is lost. In order to determine if a breast lift is right for you, we highly recommend scheduling a one-on-one consultation with Dr. Mathew Plant at his Toronto office. Dr. Plant has been serving the breast lift needs of patients throughout Toronto and the surrounding areas of Mississauga and Richmond Hill. Breast lift patients choose Dr. Plant for his cutting edge surgical techniques and vast knowledge in breast surgery.

What can I expect from Breast Lift surgery?

Your Toronto breast lift surgery can involve a variety of incision patterns and techniques. The one Dr. Plant uses for you will be determined based on: The shape and size of the breast The positioning and size of the areolas The amount your breasts have sagged The amount of excessive skin and the quality and elasticity of your skin Once the incisions are made, Dr. Plant will: Lift and reshape the underlying tissue to improve the firmness and contours of your breasts Reposition the areola and nipple to a youthful height If required, reduce the enlarged areolas by removing skin on the perimeter Remove excessive skin to regain elasticity

How long is downtime from a Breast Lift?

Most Toronto women who undergo a breast lift are able to return to certain activities within 48 hours with some restrictions. Normal activities including exercise, can be started back up once the recovery process is complete around 4-6 weeks.

Scheduling a Breast Lift Consultation in Toronto?

If you have been thinking about getting a breast lift, then you should schedule your one-on-one consultation with Dr. Plant at his Toronto office. Dr. Plant serves patients from all over Toronto, Ontario for their breast lift needs with his office conveniently located just 15 km South of Markham and 27 km South of Vaughan. During the initial consultation, Dr. Plant will go over your reasons for wanting a breast lift, what options will get you your desired results and answer any questions you may have.

Is Breast Lift Surgery safe?

All surgery comes with risks and benefits. Complications can happen with any procedure, however breast augmentation revision is a safe elective procedure when performed by Dr. Plant.

When will I see my final results?

As with all surgical procedures, the final results cannot be claimed for one year after surgery, however you will see near final results after 6-8 weeks after the majority of the swelling has resolved. As the minimal amount of residual swelling resolves over the next 10 months, the breasts take on a softer and more natural appearance and the scars fade.

What is Capsular Contracture?

A capsule is the scar tissue that forms around a breast implant as a normal part of the healing process. This is a normal reaction to the presence of any foreign object where the body will try to isolate the object within an enclosure of scar tissue. In most cases this is a good thing because it helps stabilize the implant in its location long-term, keeping it there for long-lasting results. In some cases however the breast can harden around the implant as this capsule thickens and tightens, compressing the implant and changing the appearance of the breast and on occasion causing pain. Capsular contracture is assessed based on several criteria and then classified according to the Baker grading system. There are 4 grades of capsular contracture, and only grades 3 and 4 are considered to be problematic that surgery would be suggested. Grade 1: the breast looks and feels soft, there is no evidence of any hardening Grade 2: the capsule around the implant can be felt. Usually the breast looks completely normal, but feels a bit firmer than expected. Grade 3: the capsule around the implant is palpable and visible. The implant feels significantly harder than expected and the breast will look abnormal. Most commonly it appears overly round and may be sitting higher on the chest than it used to.

How Long is the Downtime from Mastopexy Surgery?

Recovery from a breast lift is different for each patient and includes a post-surgical healing period of anywhere from one night to one week. The majority of patients feel well enough to resume light activity the following day, but some will take longer to feel back to themselves. During the first 24 hours, you should have some help from family or friends, but after that most patients do not need much assistance. Dr. Plant will prescribe antibiotics and pain medications, however most patients find they only need one or two of the prescription strength painkillers on the first night and are comfortable on regular Tylenol by the next day. It is not uncommon for patients to be out running errands or shopping the following day, but we recommend that patients do not actually plan anything important for at least a few days after surgery.

How Painful is Breast Lift Surgery?

While each patient has different pain thresholds, breast lift surgery is typically described by patients in their postoperative period as much less painful than expected. How painful the procedure is depends in part on the exact procedure performed. A larger lift will be more painful than a smaller one. Dr. Plant will be able to give you a good sense of how painful your specific procedure will be after your consultation. Before your procedure he will give you a prescription that includes multimodal analgesia, a specific protocol designed by pain specialists to address every aspect of the body’s pain response. This includes an anti-inflammatory to minimize the pain reaction at the surgical site, a ‘nerve calming’ agent to slow and minimize the transmission of pain signals from the surgical site to the brain as well as a few \u201ccentrally acting\u201d agents that minimize the brain’s response to the pain signals. On top of this, he uses a long-lasting local anaesthetic at the surgical site so that your body doesn’t even feel the initial incision.

What is the Recovery Process from Breast Lift Surgery like?

Each surgeon has a different protocol and Dr. Plant’s is customized to make your life as easy as possible during the recovery process. When you wake up from surgery you will be in the recovery room where you will have your own personal nurse looking after you. She will help you put on your recovery bra that will gently support your breasts for comfort. Once you are awake and comfortable enough you will be allowed to go home accompanied by a friend or family member. Your dressings will be waterproof, so you are free to shower the following morning. There will be swelling and soreness the first few weeks after surgery, and by the second or third day following surgery, the breasts frequently appear larger than expected and sit higher up on the chest than expected. With time this swelling will decrease, the breast tissue will relax, and the breasts will settle into their final position. The incision scars may appear red at first but will fade within the first year. You must follow the specific instructions which include caring for your breasts following the surgery. Dr. Plant will prescribe oral medication to help with any pain and (when wearing a bra) you must wear the recovery bra or a sports bra of your own during the recovery process. You will be able to resume the use of underwire bras at 6 weeks once the incision has fully healed.

Who Will My Consultation Be With?

All consultations are with Dr. Plant himself, not a salesperson or nurse-consultant. He does it this way for several reasons. First, he feels patients are entitled to meet and get to know their potential surgeon before booking a procedure. Second, he strongly believes that only the surgeon truly knows what they can accomplish in surgery, and he does not want someone who doesn’t actually operate making promises that cannot be delivered. Third, patients come having researched the procedure and are prepared with questions about the procedure that he feels can only be answered completely by the surgeon.

What Can I Expect at My Consultation?

At your consultation, you can expect to be greeted upon arrival and asked to complete a registration form and provide your OHIP card. Once you have completed the form you will be taken to the examination room and asked to change into a gown. Once you have changed, Dr. Plant will come and speak with you about your specific goals for breast lift surgery. He will also take a medical history to make sure you are safe for surgery. Once he has a good sense of what you are looking for, he will examine you to see the current state of your breasts. First he will show you any pre-existing asymmetry in the mirror (remember they’re sisters not twins!) and take A LOT of measurements. These help him choose the right breast lift pattern for you as well as determine if you will benefit from a reduction or an augmentation at the same time. After he has examined you, he will tell you what he thinks the best options for you will be and discuss them with you. He will then provide you with pricing for the procedure and give you the opportunity for you to have all of your questions answered.

How Do I Know What Type of Lift I Will Need?

The only way to know which mastopexy will be right for you is to have an in-person consultation with Dr. Plant, who will let you know what the ideal type of lift for you will be. He will also let you know if there are any other options and what the pros and cons of those options are. In general, if your nipples sit at or just above the breast crease then you may only require a periareolar mastopexy. If the nipples sit below the breast crease, then you will most likely require a vertical mastopexy. If the breasts are very long and the nipples sit more than 10 centimetres below the breast fold then you will most likely require an anchor lift.

How much does breast lift cost?

Breast lift pricing will vary depending on the exact nature of the procedure you need to achieve your desired results. The cost for the operation has been carefully calculated and will vary with the type of breast lift being performed as well as the expected length of surgery. In general, you can expect breast lift surgery to cost anywhere from $9,000-$12,000.

Do I Have to Buy a Special Garment for After Surgery?

No Way! We like to make things easy for our patients, so all of our pricing is all-inclusive, meaning the price you are given by Dr. Plant is the price you will pay. There are no hidden fees for garments or fancy presurgical vitamins that magically appear after you’ve placed a deposit. The only cost you may incur above and beyond the quoted price is what you pay the pharmacist to fill your prescription and this is typically less than $100 for patients who do not have drug coverage.

How Many Follow-ups Are Included with My Breast Lift and When Will They Be?

While other surgeons limit follow ups, Dr. Plant feels that surgical patients should always have access to their surgeon and not be charged for it. In addition to the standard followup appointments at 1 week, 6 weeks, 3 months, 6 months and 1 year, Dr. Plant is happy to see his patients in follow up as much as they feel is necessary and for as long as he is in practice. Instead of limiting you to a year of follow ups, he actually wants to see you every year to make sure that your breasts are still looking great!

Can I Combine a Breast Lift with Other Procedures?

While breast lift is a very popular procedure on its own, combining a breast procedure with other cosmetic surgeries is very common. Dr. Plant very frequently combines Breast Lift with a Breast Augmentation, Tummy Tuck, Liposuction and Labiaplasty. Combinations that target both breast aesthetics as well as excess skin on the abdomen are often referred to as Mommy Makeover because they treat the changes a woman sees in her body after having children.


Am I the right candidate for Breast Reduction in Toronto?

If you are a Toronto woman with large breasts that are interfering with your lifestyle or making you self-conscious, then you may want to consider a breast reduction. Large breasts can cause neck, back or shoulder pain, which affects your overall lifestyle. If you have any of these problems, you should contact Dr. Plant to set up a breast reduction consultation at his Toronto office to see if breast reduction is right for you. To some patients, excessively large breasts lead to medical problems like neck, back or shoulder pain. In such cases, your Toronto breast reduction surgery may be covered under your health insurance plan. Dr. Plant will help you determine whether your procedure is likely to be covered during your consultation.

What can I expect during a Breast Reduction?

Dr. Plant will remove excess tissue and skin during the procedure giving you smaller and firmer breasts. The areola and nipple will be raised higher as well to incorporate the new proportions of the breasts creating a more natural look.

How long is the downtime from a Breast Reduction?

After the surgery, you will be required to take at least 7 days off from school or work. Some women may require a longer recovery time, but this varies from one patient to another. Dr. Plant will instruct you on follow-up appointments for removing bandages and stitches.

Schedule a Breast Reduction Consultation in Toronto?

If you have been considering a breast reduction surgery, you should call the office of Dr. Plant to set up a one-on-one consultation at our Toronto office. During the consultation with board certified surgeon Dr. Plant, he will go over your specific requirements to get the results you are looking for and answer any questions you may have. Dr. Plant has an office in Toronto, Canada. His office is located just 26 km South of Richmond Hill and 42 km East of Mississauga. Call us today to see why Dr. Plant is the right surgeon for you!