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(Mastopexy)
 A breast lift, or mastopexy, is performed to return youthful shape and lift to breasts that have sagged as a result of weight loss, pregnancy, loss of the skin's natural elasticity or the effects of gravity. The procedure can also reduce areolar size (the dark skin surrounding the nipple), and it can be combined with breast augmentation for added breast volume and firmness. Breasts of any size can be lifted and can also be combined with a reduction, as well (see below for an explanation of the incision options).
Women planning to have children are advised to postpone surgery, since pregnancy and nursing can counteract its effects by stretching the skin. Mastopexy may affect your ability to breast-feed.
Mastopexy may be performed in a hospital, an outpatient surgery center or a surgeon's office-based facility. Dr. Berger usually performs the procedure on an outpatient basis under general anesthesia.
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(Reduction Mammoplasty)
 Large breasts can cause pain, improper posture, rashes, breathing problems, skeletal deformities, and low self-esteem. Breast reduction surgery is usually done to provide relief from these symptoms. Performed under general anesthesia, the two- to four-hour procedure removes fat and glandular tissue and lifts and tightens the breast to produce smaller, lighter breasts that are in a healthier proportion to the rest of the body.
Breast reduction surgery patients are some of the happiest in plastic surgery. The surgery is usually performed on women who have finished child-bearing. It is not recommended for women who intend to breast-feed, since many of the milk ducts leading to the nipples are removed. However, in younger women with very large breasts, the surgery can still be performed to alleviate their symptomatology.
During the procedure an anchor-shaped incision is made from the new location of the nipple down to and around the crease beneath the breast. The surgeon removes excess glandular tissue, fat, and skin, relocates the nipple and areola, and reshapes the breast. The 'vertical' breast reduction eliminates the scar under the breast but has a longer healing period before the final shape is achieved. Dr. Berger will discuss both breast reduction options with you prior to surgery and help you choose the procedure that is right for you. Liposuction may be needed to remove excess fat from the armpit area, and in some cases when only fat needs to be removed from the breasts, liposuction alone is used for breast reduction. At the end of surgery you will be placed in a surgical bra and you may be given surgical drainage tubes for fluid removal. Any non-dissolving stitches come out in a week and the surgical bra must be worn for about a month.
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