Can I Get a Breast Lift without Implants?

Dr. Samuel Pearl and Dr. Alexander Ereso frequently receive from breast lift candidates is, “Can I have breast lift without implants?” Because this comes up so often in consultation, the plastic surgeons thought it would be helpful to address it in a blog post. Read on as Dr. Pearl and Dr. Ereso reveal the honest truth about breast lift without implants.

Breast Lift vs. Augmentation-Mastopexy

Breast lift (mastopexy) without implants can deliver beautiful, natural-looking results. The procedure is designed to reverse sagging caused by aging, gravity, weight loss and nursing, and restore the breasts to their former glory. During the mastopexy procedure, excess skin is removed, the nipple is repositioned higher on the breast mound and the areola can be reduced in size if desired. This creates a perkier breast shape and contour — but it doesn’t significantly alter the volume of the breasts.

On the other hand, combination breast lift with implants (a.k.a., augmentation-mastopexy) simultaneously creates a perkier breast shape and boosts the volume of the breasts. Incorporating implants into the lift procedure increases the size and fullness of the breasts, particularly in the upper breast area to create more cleavage. The result is similar to what you see when wearing a push-up bra.

What Procedure Is Right for Me?

The procedure that is best for you depends on your unique anatomy and what you hope to achieve from surgery.

The best way to determine whether you need breast lift with or without implants is to ask yourself, are you happy with your breast size? If you are satisfied with the size of your bust, but bothered by the sagging that occurs when you take off your bra, breast lift without implants is probably ideal for you.

On the other hand, if you are unhappy with the size of your bust and breast sagging, and you desire more cleavage, you are probably a better candidate for breast lift with implants.

Consult with Our Trusted Breast Surgeons

Whether you opt for breast lift without implants or a combination augmentation-mastopexy, Dr. Pearl and Dr. Ereso can help you love the way your breasts look. Although Pearl-Ereso Plastic Surgery Center is based in Mountain View, California, patients travel from all over to seek out our surgeons’ expertise in breast surgery.

To sit down with the board-certified plastic surgeons and discuss your options, please contact Pearl-Ereso Plastic Surgery Center and request a consultation. Call or email us today.

Treating Breasts that Are Different Sizes

No two breasts are exactly alike. Most women notice that when they look close enough, one breast appears bigger than the other. Unfortunately for some, this asymmetry is more pronounced (occasionally even considered a deformity) and can cause a woman to feel excessively self-conscious.

Padded bras may help balance out breasts that are two different sizes, but surgery is the only way to permanently fix the problem. Here, the team at Pearl-Ereso Plastic Surgery Center explains how breast surgery can correct this type of asymmetry to improve self-image and confidence.

Option #1: Reduce the Larger Breast

The first option to fix asymmetry is to make the larger breast smaller through breast reduction. An incision may be made around the areola, sometimes extended down to the crease underneath the breast and along the crease. Through the incision, breast tissue, fat and skin are removed so the breast size and shape matches the smaller side. Liposuction may also be used to help contour the breast. The nipple and areola may be shifted to a higher location, if needed, and the areola can be reduced in size. By utilizing techniques to reshape the skin envelope of the breast, the nipple can be lifted along with a reduction in the size of the breast.

Option #2: Enlarge the Smaller Breast

If the patient prefers the size of the larger breast, the smaller breast can be enhanced to match it. Dr. Pearl and Dr. Ereso have two options to augment small breasts: through the placement of an implant or via fat transfer.

Implants come filled with saline or silicone and are available in a variety of many different shapes and sizes. The implants are typically placed through an incision either along the lower breast crease, around the lower edge of the areola or through the armpit. A pocket is created in the native breast tissue or under the muscle to hold the implant.

Alternatively, the breast may be enlarged through a procedure involving transfer of your own fat. Fat transfer is a two-step procedure. First, excess body fat is removed by performing liposuction. The fat is purified before being carefully injected into the breast to add shape and volume. This is done strategically so that the fat develops its own blood supply for long-term results.

If one breast droops significantly more than the other, breast lift techniques can be incorporated into either breast reduction or breast enhancement surgery.

Learn More about Correcting Breast Asymmetry

For more information about correcting breast asymmetry, please contact Pearl-Ereso Plastic Surgery Center and request a consultation. Call 650-964-6600 or email us today to make your appointment.

What Will My Breasts Look Like Immediately After Breast Lift?

Women seek out breast lift to correct sagging (ptosis) brought about by nursing, pregnancy, aging and other factors. Breast lift improves the overall shape of the breasts and restores their youthful position on the chest. At the Pearl-Ereso Plastic Surgery Center, Dr. Samuel Pearl and Dr. Alexander Ereso have the experience and knowledge to take you through the breast lift process step-by-step, including what your breasts will look like immediately after the procedure.

What Breast Lift Can Achieve

Breast lift, also known as mastopexy, raises the breasts, nipples and areolas higher on the chest. Breast lift alone does not add fullness to the breast, and for this reason, some women choose to combine breast lift with the placement of breast implants for bigger and perkier breasts. After breast lift alone, the breasts typically retain a natural teardrop shape, with more fullness on the bottom. If a patient desires to add fullness to the top of the breast or to create a rounder shape, implants are required.

Incisions and Appearance Right After Surgery

Your doctor will determine which surgical technique is best for you based on  how droopy the breasts are, along with other factors such as whether you are getting implants. Incisions vary, depending on the specific surgical approach. Some scarring will be present after the procedure, but the scars are easily hidden by a bathing suit or bra. Common types of incisions follow the shape of an inverted T, donut or lollipop.

Right after surgery, it is not unusual to have swelling and even some asymmetry between the breasts. Swelling can last six to eight weeks. Even after the swelling subsides, the breasts continue to settle into their final shape for up to a year after surgery.

If a patient also has implants placed during the breast lift, they may appear too high on the chest shortly after surgery, but will drop into a normal position over time.

Expect Improved Breast Appearance

Women who undergo breast lift surgery can look forward to achieving a more youthful and flattering appearance, and enjoying more confidence and satisfaction in life. Dr. Pearl and Dr. Ereso look forward to seeing you in the office for a breast lift consultation. To make an appointment, please call (650) 964-6690.

The Benefits of Combining Breast Lift with Implants

More often than not, women have more than one concern about their breasts. Some may feel their breasts are too small, or too saggy or shapeless following weight loss, pregnancy or aging. If more than one of these concerns sound familiar, it may be time to consider combining a breast lift with implants. These two procedures are increasingly being combined, and for good reasons. Read on to find out why more women are choosing breast lift with implants.

A Safe Procedure

When considering breast lift and implants, many women wonder if the two procedures be combined and performed safely. According to a study from the American Society of Plastic Surgeons (ASPS), the simple answer is yes. Researchers found there was no increase in complications when combining breast lift with implants between 2005 and 2009. Patients at our Mountain View plastic surgery facility can rest assured they are in good hands with Drs. Pearl and Ereso. New, advanced techniques are used to improve the breast shape and minimize scars, resulting in beautiful, natural-looking breasts.

Faster Results and Recovery

Many women undergo breast lift surgery only to realize they are not fully satisfied with the results. This is because while a breast lift raises the breast, nipple and areola to a higher position on the chest, the breast retains a natural teardrop shape, and there is more fullness on the bottom half than on the top. Implants can restore balance to the breast by making it rounder and more evenly shaped. Similarly, women who undergo breast augmentation surgery later decide to get a breast lift to perk up their heavier, fuller breasts. By combining the two procedures, you get the full results you desire faster, avoid multiple visits to your plastic surgeon’s office, and heal all at once.

An Improved Figure

Improving the shape and size of your breasts can do wonders to your overall body figure. During your one-on-one consultation, Dr. Pearl or Dr. Ereso will discuss with you what size implants can best improve your body figure depending on your height and body frame. A breast lift further improves your figure by providing a beautiful, sexier shape.

A Boost in Self-Confidence

As we previously mentioned, many women have more than one concern about their breasts, meaning they have more than one reason to feel self-conscious. A combination procedure improves the shape, size and overall appearance of your breasts, giving you more than one reason to smile and feel good about yourself! Not only will your breasts be the size you’ve always dreamed of, they will also look younger and perkier.

Schedule a Personal Consultation Today

Having performed breast lift with implants on hundreds of patients, Drs. Pearl and Ereso know that no two procedures are the same. Before your surgery, one of the doctors will meet with you one-on-one to discuss your desired goals and plastic surgery options. To make an appointment, call our Mountain View office at (650) 964-6690.

Improving Your Body Contour after Major Weight Loss

Losing a significant amount of weight has an undesirable side effect: excess loose skin. This skin can obscure the body’s new shape and make it difficult to feel attractive and confident. Sometimes, the skin can chafe or develop rashes or infections. Unlike fat, it cannot be eliminated through diet or exercise. It requires surgical removal.

Drs. Samuel Pearl and Alexander Ereso, plastic surgeons based in Mountain View, can help. They offer post-bariatric body contouring to remove the excess saggy skin and refine the body’s new contours.

After learning more about a patient’s specific needs and the areas of the body that need help, the plastic surgeon will draft a customized treatment plan, which could include any of the following procedures:

Lower Body Lift

Lower body lift improves the appearance of the outer thighs and buttocks. The plastic surgeon will first make an incision in the inner thigh and extend it around the hip/flanks. Then, he will remove excess unwanted fat, tissue and skin. Finally, he will smooth and tighten the remaining tissue and skin for a more attractive body contour.

Abdominoplasty (Tummy Tuck)

Abdominoplasty improves the appearance of a protruding or saggy midsection. Through a horizontal incision along the lower abdomen, the plastic surgeon will remove stubborn fat deposits, tighten the abdominal muscles and suture them into place. He will excise loose, saggy skin and re-drape the remaining skin more tightly over the abdomen for a flat, firm result.

Breast Lift

Breast lift restores saggy or drooping breasts to a more youthful position on the chest. The plastic surgeon will remove excess skin and tissue and sculpt the remaining tissue into a breast mound higher on the chest wall. He will move the nipple and areola to a higher position on the breast, and reduce the areola if needed.

Brachioplasty (Arm Lift)

Brachioplasty treats loose, flabby upper arms. The plastic surgeon will remove localized fat deposits using liposuction techniques, and excise loose skin and tissue. He will wrap the remaining skin more tightly around the upper arms to improve their shape and firmness.

Thigh Lift

Thigh lift is designed to improve the upper thighs (specifically the inner thighs). The plastic surgeon will remove excess skin and tissue, using liposuction if needed to target excess fat. Then, he will tighten the remaining skin to eliminate any sagging or laxity.

Learn More about Post-Bariatric Body Contouring

If you have recently lost a significant amount of weight and would like to explore your body contouring options, please contact Drs. Samuel Pearl and Alexander Ereso today and schedule a consultation. Call (650) 964-6600 or send us an email at pearlmd@pearlmd.com.

How Can I Tell If I Need Implants With My Breast Lift?

Are you frustrated with sagging breasts, nipples that have migrated down the front of the breast, overly enlarged areolas (the darkly colored skin encircling the nipples) or deflated-looking breasts? If so, you might be a suitable candidate for breast lift surgery (with or without breast implants) with Dr. Samuel Pearl or Dr. Alexander Ereso. Keep reading to find out how to determine whether you need breast implants included with your breast lift surgery.

Why Breast Lift Becomes Necessary

Over time, the body gradually stops generating elastin and collagen, proteins that are essential for elastic, young-looking skin. Without these proteins, the skin — including breast skin — loses its elastic quality and begins to sag. This contributes to the look of sagging breasts.

In addition, pregnancy and breastfeeding, major weight loss or simply the effect of gravity can compound this aesthetic concern. They can also cause additional cosmetic issues, including downward-pointing nipples, excessively large areolas, breasts that appear flattened or perhaps breasts that are smaller in size than they were prior to having children or losing a substantial amount of weight.

Fortunately, undergoing breast lift surgery, with or without breast implants, can help improve these aesthetic concerns.

Whether Implants Should Be Included in Breast Lift

If you are concerned with sagging breasts, southward-pointing nipples or overly large areolas, but are happy with the size of your breasts, breast lift alone should address your aesthetic concerns. With breast lift surgery, Dr. Pearl or Dr. Ereso removes excess skin and reshapes the breast tissue mound while moving it to a higher, more youthful-looking position on the chest wall. He can also adjust the position of the nipples, so they are again in the center of the breasts and point forward instead of toward the ground. During breast lift surgery, Dr. Pearl or Dr. Ereso will reduce the size of the areolas, if necessary, as well.

If you are frustrated by both breast ptosis (sagginess) and flattened or small breasts, Dr. Pearl or Dr. Ereso can place breast implants while he performs breast lift surgery. Combination breast lift with implants will both lift the breasts and restore or enhance their volume, for a fuller, more voluptuous breast profile.

Visit Us for a Consultation

The best way to establish with certainty whether or not to include breast implants with your breast lift surgery is to visit Pearl – Ereso Plastic Surgery  for a consultation. During your personal consultation, Dr. Pearl or Dr. Ereso evaluates your breast anatomy, listens to your aesthetic concerns and recommends an appropriate treatment plan to satisfy your unique needs.

To schedule a private consultation with Dr. Pearl or Dr. Ereso and learn more about your cosmetic breast surgery treatment options, contact us by calling (659) 964-6600 today.

The Non-Surgical Shoelace Breast Cast Technique

In the July 2014 issue of Aesthetic Surgery Journal (ASJ), Dr. Daniel Mills and Dr. Alexander Ereso describe an innovative technique that nonsurgically treats breast asymmetry and double bubble-deformities that may appear after implant-based breast augmentation in the early post-operative period. Previously, the only methods that could fix these types of problems involved undergoing revision surgery, which is not without its risks, including the risks of surgery and anesthesia. Furthermore, revision surgery may involve further financial costs to patients. The Shoelace Breast Cast is a technique that effectively treats the asymmetry while eliminating those factors that accompany revision surgery. When worn continuously, the shoelaces act as an external breast cast that allows the inframammary fold to be set and heal in the correct position.

The technique utilizes the placement of shoelaces around the breast in a manner that acts as a “cast” to allow the inframammary fold of the breast to heal in the correct position. Two wide-bodied, flat shoelaces are tied together and then wrapped around the neck, under the breast, around the back, and then tied together and worn for a prescribed length of time. The shoelaces effectively create a new inframammary fold in the location on the chest that will yield symmetry with the opposite breast. The shoelace breast cast, if placed and worn properly, has been shown to be a cheap and effective technique that solves a significant potential complication. Furthermore, the technique can be utilized to raise the inframammary fold on both breasts if the implants are considered to be placed too low. Based on almost 20 years of results, the shoelace breast cast has a success rate above 90%, meaning the vast majority of patients can have their asymmetry or double-bubble deformity corrected without the need for undergoing revision surgery.

About Alexander Ereso, MD

Dr. Ereso graduated from the University of California at Berkeley before earning his medical degree from Meharry Medical College, School of Medicine. He then completed a full residency in general surgery at UCSF-East Bay followed by a residency in plastic and reconstructive surgery at Wayne State University. Dr. Ereso received further subspecialty training completing a fellowship in reconstructive microvascular surgery at the University of Pittsburgh and an aesthetic surgery fellowship with Dr. Daniel Mills in Laguna Beach, CA. Dr. Ereso is available for interview upon request.

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Reverse the Appearance of Aging with Facial Rejuvenation Surgery

brow lift, also called a forehead lift or eyebrow lift, corrects the skin wrinkling and loss of tone that causes sagging of eyebrows and hooding of upper eyelids. A brow lift softens the deep creases across the forehead, reduces horizontal frown lines at the top of your nose and vertical lines between your brows. The result is a more relaxed and refreshed appearance. It is the only procedure that can increase the distance from the lateral brow to the upper eyelashes.

A brow lift is often performed along with a face lift or other facial rejuvenation procedures. Some people have brow lifts to correct aging problems, while others have inherited traits that cause them to seek treatment in their 20s or 30s. You may be a good candidate for a brow lift if you have any of the following types of conditions:

  • If you have drooping lateral brows that are close to or below your orbital bony rim
  • If you feel you always look angry or scowling
  • If you like your appearance and your brows and eyelids when you pull up your forehead with your fingers at your hairline above your lateral brows
  • If you desire the ideal benefits of facial rejuvenation and you are already considering a face and neck lift

For more information about the Brow Lift procedure, contact Dr. Pearl, a Board Certified Plastic Surgeon in Mountain View, California.