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Breast Lift Cosmetic Surgery

DAY OF SURGERY

The Breast Lift surgery takes place at Marin Cosmetic Surgery Center, Dr. Delgado’s private surgery suite, located in his Marin County office on the Sutter Marin County Community Hospital campus. This allows Dr. Delgado to offer his patients private, concierge medical care, while providing the extra measure of safety and reassurance afforded by the surgery center’s contiguous location to the hospital.

Before anesthesia is given, a surgical marking pen is used to draw a detailed map on the breasts and chest. This architectural drawing enables the doctor to make accurate adjustments that allow for the gravitational changes that occur as the body moves from a sitting to a lying position.

If the peri-areolar lift is done, a doughnut of skin is excised around the areola. The outer circle of the skin is closed with a permanent purse string suture that tightens the diameter to the smaller circle of the nipple-areola complex. A breast implant is usually placed before the purse string is tightened.

The vertical lift includes the excision of skin around the areola, as well as a section of the skin below the areola, extending down to the skin crease under the breast. The breast tissue can be used in a variety of ways to enhance the projection of the breast. The skin is then meticulously closed.

The inverted T incision is a versatile technique. It can be used for a Breast Lift or Breast Reduction. The incisions are longer, but it works especially well with larger breasts. The inverted T technique involves excision of both vertical and horizontal sections of skin and results in an incision along the bottom skin crease as well.

Dr. Delgado prefers the lollipop lift because this technique reshapes the internal breast tissue, holding the shape well over time. In contrast, the inverted T technique relies on the skin envelope to hold the shape. Over time, the skin below the areola can sometimes stretch which is called bottoming out. Nevertheless, it remains a sound, time-tested technique.

The goal of each technique is to lift the nipple complex to the correct level and to tighten the skin. A breast implant can be used if more volume is desired.

Peri-areolar

Note: The incision is around the areola. Shape is rounder, flatter and with less projection.

Vertical or Lollipop

Note: Extended incision, but gives a more projecting, conical shape as a result.

Inverted T

Note: Results in vertical and horizontal incisions, in addition to the incision around the areola. Shape is round and projected.


ANESTHESIA

Most breast lifts are performed under general anesthesia. At Marin Cosmetic Surgery Center, anesthesia is administered only by a physician who is board-certified in anesthesia. (See credentials for Randy Gaynor, MD on this website.) The anesthesiologist calls the patient the night before surgery to review his/her medical history, confirm last minute instructions and answer any questions the patient may have relating to the anesthesia.

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After Breast Lift Surgery

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