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1327 Lake Pointe Parkway Suite 300A,
Sugar Land, TX 77478

Breast Augmentation with Lift Houston

Breast Augmentation With Mastopexy (Breast Lift): For Those Who Have Always Wanted Larger More Perky Breasts!

Before & After

Timeless Cosmetic Surgery‘s before-and-after pictures of real patients.

Board Certified Plastic Surgeon Dr. Ankur Mehta – Overview of cosmetic breast surgery

  • What is an Augmentation/mastopexy?

    This is a procedure that not only lifts the breast and nipple to make the breast appear more perky and youthful but also increases the size of the breast. This can all be done during the same operation.

  • Important Terms:

    • Mastopexy – Plastic surgery term for breast lift.
    • Areola – Colored, circular portion located on the breast.
    • Nipple – Raised tissue at the center of the areola.
    • Nipple Areola Complex – Also known as “N.A.C.” This is the areola plus the nipple as 1 unit.
    • Infra-mammary Fold – The crease located under the breast.
    • Ptosis – Plastic surgery term for when nipple is below the infra-mammary crease.
    • Pseudoptosis – Plastic surgery term for when the nipple is at the infra-mammary crease but the breast tissue is hanging below the infra-mammary crease.

  • How do I know if I need an augmentation, a mastopexy or an augmentation and mastopexy combined?

    This is something best determined by myself during your FREE consultation. During the consultation I will take the time to understand what cosmetic result you are hoping to achieve and then do an in depth physical exam to determine what procedure will get you the result you are looking for. Whether you need a lift or not depends on what your actual nipple position is and if you are happy with it. If your nipple position is low then you will need a lift. The type of lift you will need depends on how low your nipple position is and to what extent it needs to be raised. If your nipple position is appropriate and you are wanting your breasts larger then an augmentation alone will be fine. However, if your nipple position is low AND your breasts have lost volume or you want them larger then an augmentation mastopexy (lift) is the operation you will benefit from.

  • Can an augmentation and mastopexy be done in the same operation?

    As long as there are no contraindications to this surgery I can perform an augmentation and mastopexy in the same operation.

  • What are the benefits of performing an augmentation/mastopexy in the same operation?

    • You only have to undergo anesthesia once
    • It is cheaper to get both done in one operation than to split them up
    • You only have to take time off once for recovery as opposed to twice
  • Don’t all plastic surgeons perform augmentation and mastopexies in the same operation?

    NO!!! I have been performing augmentation mastopexies for a long time and have a lot of experience performing them together. This combined surgery requires a lot more knowledge and surgical skill than either one of these performed alone. There are special techniques I use to get the results I do and to keep things as safe as possible.

  • What type of implant can I get with an augmentation/mastopexy?

    I can perform augmentation mastopexies using either silicone or saline implants. I typically leave this up to the patient. My preference, however, is the silicone implant because they look and feel more natural and have less risk of rippling than saline implants do.

    Silicone versus Saline Implants

  • What are the main types of mastopexies (breast lifts)?

    1. Circum-areolar lift

    • Circular incision just around the areola
    • Can reduce the size of the areola
    • Only effective when a minimal lift of the nipple is needed (1-2cm)
    • Very few, select patients are good candidates for this operation

    2. Vertical lift

    • Circular incision around the areola and vertical incision down the breast towards the infra-mammary fold (looks like lollipop)
    • The size of the areola is reduced
    • Good for those who need a “medium” lift

    3. Wise Pattern/anchor pattern/full breast lift

    • Circular incision around the areola, vertical incision down the breast towards the infra-mammary fold and horizontal incision hidden in the crease under the breast (infra-mammary fold)
    • The size of the areola is reduced
    • Good for those who need a “medium” to “large” lift
    • Most powerful type of lift
    • >Greatest ability to re-shape the breasts
  • Is the nipple removed in an augmentation mastopexy?

    The nipple is NOT removed during a breast lift. The nipple is simply moved into a higher position and the breast tissue is reshaped.

  • Will lifting weights improve the appearance of my breasts?

    NO! Building your chest muscles will not raise your breasts or your nipples.

  • Will I be able to breast feed after my augmentation/mastopexy?

    The technique I use for augmentation mastopexy should not affect your ability to breast-feed. I leave all the breast tissue intact and use special techniques to internally shape the breasts. However, if removal of breast tissue is necessary, I remove as little breast tissue as possible. I also place the implants under the muscle and this combination leads to the LEAST amount of damage to the milk ducts of the breast allowing one to breast feed if desired.

  • What about sensation to the nipple?

    Although it is rare, nipple sensation can be affected by breast augmentation and or mastopexy. The nipple can become either hypersensitive or can loose some or all sensation. This all depends on how large of an implant is chosen, the location of the nerve that supplies the nipple, what degree of lift is needed and how much, if any, breast tissue is removed.

  • Will I have drains?

    NO! The techniques I use for breast lifting and augmentation do not require the use of drains.

  • Why is having an augmentation mastopexy safer with Dr. Mehta?

    I perform all my surgical procedures under IV sedation (twilight) and do not use general anesthesia. No breathing tube (endotracheal tube) is needed because you are able to maintain all your protective reflexes, breath completely on your own and your blood flows better. The post-operative risks of using IV sedation (the way I do my surgeries) compared to general anesthesia are MUCH less including but not limited to decreased risk of nausea, vomiting and MOST importantly a significantly DECREASED risk of forming blood clots. Your heart, lungs and blood pressure will be monitored during the entire operative procedure and no pain will be felt during the procedure. Studies have shown IV sedation to be much safer than general anesthesia.

  • Will I need to stay in the hospital?

    All my patients are able to safely go home the day of surgery as long as they have a responsible caregiver at home. Outpatient surgery has been shown to have many advantages over hospitalization and tends to lead to better post-operative recovery, early ambulation and less risk of infection. I believe being taken care of by a loved one allows for more personalized care. This is also financially beneficial for patients because hospital stays are very costly.

  • Is it safe to go home after augmentation/mastopexy?

    It can be VERY safe to recover at home after augmentation mastopexy as long as you have a responsible caretaker to be with you for at least the first 72 hours. I believe a loved one will take much better care of you in your own home, than someone who doesn’t know you taking care of you in a hospital. Also, it is VERY likely that there are fewer germs in your home then in a hospital setting.

  • What if I need to speak to someone after hours?

    Immediately after surgery you and your caregiver will be given my personal cell phone number to call on weeknights and weekends with any questions or concerns. This way you never have to feel alone and you never have to speak to an answering service!

  • How do I prepare for my augmentation/mastopexy?

    Detailed post-operative instructions will be given during your pre-operative evaluation, which usually takes place about 2 weeks before your planned procedure. Here are some general helpful guidelines:

    • VERY IMPORTANT!!!! Stop all herbal medication, Aspirin products (Alleve, Ibuprofen, Advil etc…), vitamin E, Omega 3 and fish oil/Krill oil at least 1 month before surgery as long as it is approved by your physician.
    • VERY IMPORTANT!!!! Stop ALL tobacco products AT LEAST 6 weeks before your surgery to decrease the risk of healing complications associated with smoking. (This includes patches and gum)
    • VERY IMPORTANT!!!! Stop all hormone based medications if approved by your physician at least 1 month before surgery. If stopping birth control please use non-hormonal methods for continued birth control.
    • If you are above the age of 40, you will need a mammogram before your surgery dependent upon when your last mammogram was performed.
    • Arrange for someone to look after you for at least the first 48-72 hours after surgery. (This can be a dependable and capable family member, friend or a hired caretaker)
    • Arrange transportation for your clinic appointments and for your family members because you will not be able to drive for at least 1 week.
    • Help will be needed for house work and for small children because heavy lifting or strenuous activity will not be allowed for 4-6 weeks.
    • 4×4 gauze
    • Milk of magnesia
    • Light foods and plenty of fluids are recommended after surgery with the following as examples: Electrolyte replacement drinks, soups, yogurt with acidophilus/lactobacillus, jello, pudding, crackers etc…
  • What will my postoperative care for an augmentation/mastopexy involve?

    You will be given all the prescriptions needed during your pre-operative visit. That way you will have plenty of time to have them filled prior to surgery. This operation is not very painful, especially with the pain meds that are prescribed and patients are usually able to move around pretty normally in just a couple of days.

    • No showering until ok’d by Dr. Mehta (usually, post operative day #5)
    • Keep arms to your side at all times
    • Nipple massages 10 times every hour as demonstrated
    • No driving for at least 1 week or while on pain medication/muscle relaxants
    • No heavy lifting or strenuous activity for 6 weeks
    • No working out for 6 weeks
    • No sexual activity for 6 weeks
    • Wear only surgical bra provided unless directed otherwise by Dr. Mehta
  • Does Dr. Mehta charge patients for follow up visits?

    NO!!! I have an open door policy and do not charge my patients to come and see me after their surgery. If for any reason you feel like you need to be seen sooner than your scheduled appointment you can always call the office and the staff will fit you in.

  • Will my augmentation/mastopexy be covered under insurance?

    No, it won’t. This is considered a cosmetic procedure and cosmetic procedures do not get covered under insurance. Also, Timeless Plastic Surgery is a completely cosmetic based practice so we do not take insurance

  • What will be provided for me?

    • During your pre-operative evaluation (approx 2 weeks before surgery) you will be given prescriptions for a muscle relaxer, pain medication, antibiotic, stool softener and anti-nausea medications.
    • Along with other medications during surgery you will get the appropriate dose of IV antibiotics.
    • Immediately after surgery you will be provided with and dressed in the appropriate bra needed during your recovery period.
    • Immediately after surgery you and your caregiver will be given my personal cell phone number to call on weeknights and weekends with any questions or concerns.
  • How long is the recovery?

    • No driving for at least 1 week or while on pain medication/muscle relaxants
    • At least 1 week off work
    • No heavy lifting or strenuous activity for 6 weeks.
    • No sexual activity for 6 weeks.
    • No working out for 6 weeks
  • How often will I need to be seen for follow up?

    Patient care is of the utmost importance to my staff and I. Therefore, I tend to keep a very close eye on my patients to make sure the recovery goes as smoothly as possible so that any issues can be prevented or taken care of as soon as possible. I will call you the same night of your surgery, once you are at home, to make sure everything is going well and that you and your caretaker have no questions or concerns. The following is a general schedule of appointments but can be changed at any time:

    • Once a week for the 1st 2-3 weeks
    • Once a month for the next 2 months
    • At your 6 month mark from surgery
    • At your 1 year mark from surgery
    • Once a year after your 1 year mark

    There is no charge for follow up appointments. If for any reason you feel like you need to be seen in between appointments or sooner than your scheduled appointment you can always call the office and the girls will fit you in.

  • Are there risks for augmentation/mastopexy?

    With any surgical procedure there are risks, however, these risks are very rare and one usually is at higher risk of getting into a car accident than these risks. Some of the most common, but still infrequently occurring risks include, but are not limited to:

    • Pain
    • Infection
    • Bleeding
    • Asymmetry
    • Capsular contracture
    • Implant rupture
    • Unhappy with implant size selection
    • Changes in nipple sensation
    • Partial or complete loss of the nipple areolar complex
    • Scarring
    • Fluid collections (seroma)
    • Blood collection (hematoma)
    • Poor wound healing

    As stated before, many precautions are taken by my staff and I to prevent these things from occurring in the first place.

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