Introduction

Breast ptosis, or sagging breasts, is a common concern for many women in New York City. Factors such as aging, pregnancy, breastfeeding, and weight fluctuations can all contribute to the loss of breast firmness and elasticity. Fortunately, there are highly skilled experts in the city who specialize in breast ptosis suspension, also known as breast lift or mastopexy, to help women regain a more youthful and lifted breast appearance. In this article, we will explore the top experts in breast ptosis suspension in New York City and provide a preview of the price list for this procedure.

Understanding Breast Ptosis and Breast Lift

What is Breast Ptosis?

Breast ptosis occurs when the breasts sag below the inframammary fold, often resulting from factors such as aging, childbirth, pregnancy, or the presence of large breast implants. As women age, natural changes in the breasts, such as reduced collagen and elastin production, can lead to a loss of firmness and elasticity in the skin tissues, resulting in drooping breasts. Pregnancy and breastfeeding can also cause stretching of the skin, and after breastfeeding, the breasts may lose volume while the skin remains stretched, leading to sagging and excess skin. Significant weight gain and subsequent weight loss can also cause the skin to stretch and struggle to shrink back down, resulting in sagging breasts. Additionally, the consistent downward pull of gravity over time can contribute to the sagging of breast tissues.

What is a Breast Lift (Mastopexy)?

A breast lift, or mastopexy, is a surgical procedure designed to raise and reshape breasts by removing excess skin and tightening the surrounding tissue. This helps to support and contour a new, rejuvenated breast profile, maintaining the volume of the breasts while improving the shape and contour. The procedure can address breasts that have sagged or lost volume due to aging, weight fluctuations, pregnancy, or genetics. By repositioning the breast tissue and areola higher on the chest wall, the overall breast appearance becomes more youthful and perky.

Types of Breast Lift Incisions

There are several types of incisions that can be used in a breast lift procedure, depending on the degree of ptosis and the patient's specific needs:

1. Periareolar (Donut Lift): This incision is made around the areola and is suitable for mild sagging. It can also be used to reduce the size of the areola.
2. Vertical (Lollipop Lift): An incision is made around the areola and vertically down to the breast crease. This approach is used to address moderate sagging and offers a significant reshaping while limiting scarring.
3. Anchor (Inverted - T Lift): The incision is made around the areola, vertically down, and along the breast fold. It is recommended for more extensive lifting needs and provides comprehensive reshaping for significant sagging.

Ranking of Experts in Breast Ptosis Suspension in New York City

Dr. Philipp Franck

Dr. Philipp Franck is a board - certified plastic and reconstructive surgeon. He completed his training at two prestigious Ivy League university hospitals and has extensive experience in breast surgery, especially in aesthetic breast surgery, including advanced mastopexy techniques. Since 2023, he has been named one of New York’s rising star surgeons by the New York Times Magazine. He also serves as a clinical assistant professor at Cornell University Hospital in New York and is on Castle Connolly’s list of top doctors nationwide. Dr. Franck tailors each breast lift to deliver natural, proportionate results that complement the patient's body’s overall shape. He provides a detailed consultation process, which includes assessing the patient's breasts, reviewing their medical history, explaining the procedure, and answering any questions the patient may have.

Dr. Daniel Maman

Dr. Daniel Maman is a Harvard fellowship - trained and board - certified plastic surgeon specialized in cosmetic and reconstructive surgery of the breast, body, and face. He completed a Harvard fellowship and a 6 - year plastic surgery residency at the Mount Sinai Hospital in New York City. He has appeared on the New York Times top doctors and Super Doctors in plastic surgery lists. Dr. Maman and his skilled team collaborate throughout the introduction, examination, and planning process to achieve optimal results personalized for each patient. The 90 - minute consultation with him includes a thorough review of the patient's medical history, a detailed operative plan, a review of cost, accommodations, and follow - up visits, as well as scheduling of the surgery.

Dr. John E. Sherman

Dr. John E. Sherman is a skilled and board - certified plastic surgeon in New York City. He has helped numerous women achieve stunning results through breast lift procedures. His extensive expertise and specialization in breast lift procedures ensure that patients receive exceptional outcomes. The dedicated staff supporting Dr. Sherman means patients get a first - class experience from start to finish. He takes the time to discuss all aspects of the procedure during the personal consultation, including reviewing the patient's complete medical history and answering any questions. Dr. Sherman offers different types of breast lift procedures, such as full mastopexy and periareolar mastopexy, and will choose the most appropriate one based on the patient's individual condition.

Dr. Adam Kolker

Dr. Adam Kolker is a double - board - certified plastic surgeon. He is an active member of multiple professional organizations, including the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery. Dr. Kolker's breast lift procedures are uniquely personalized and tailored specifically to each patient's anatomy and desires. He carefully considers factors such as the degree of deflation, the breast and nipple position, the elasticity of the skin, and whether volume will be restored with breast implants when determining the incision type. He provides comprehensive pre - operative and post - operative care, guiding patients through the entire process, from preparation to recovery.

Dr. William Lao

Dr. William Lao is a double - board - certified plastic surgeon in both the USA and Taiwan. He has performed over 500 successful breast plastic surgeries in the last 10 years. He is a founding member of the Asian Society for Breast Plastic Reconstructive Surgery and has led presentations about multiple cosmetic plastic surgeries, including breast enhancements. Dr. Lao combines advanced surgical techniques and concepts from both the East and West to customize procedures that provide the best possible results. He offers a variety of breast lift techniques, such as augmentation mastopexy, circumareolar mastopexy, circumvertical mastopexy, and wise - pattern mastopexy, and will determine the most suitable one during the consultation based on the patient's specific needs and desired outcome.

Preview of Price List for Breast Ptosis Suspension in New York City

The cost of breast ptosis suspension (breast lift) in New York City can vary widely depending on several factors, including the complexity of the procedure, the surgeon's experience and reputation, the type of incision used, anesthesia costs, and the facility where the surgery is performed. Here is a general preview of the price range:

• Lower End: The cost may start around $8,000 - $10,000 for relatively simple breast lift procedures with less severe ptosis and minimal surgical complexity.
• Mid - Range: For more common cases with moderate sagging, the price can range from $10,000 - $15,000. This may include standard techniques such as the lollipop or donut lift.
• Upper End: In cases of severe ptosis or when combined with other procedures like breast augmentation, the cost can exceed $15,000 - $20,000 or more. Complex surgeries with the anchor incision, which require more extensive tissue reshaping and tightening, may also fall into this higher price range.

It's important to note that these are just rough estimates, and patients should schedule a consultation with their chosen surgeon to get an accurate and personalized cost estimate. Some insurance companies may cover a portion of the breast lift cost if it is deemed medically necessary, for example, if the patient is experiencing significant back, neck, or shoulder pain due to the sagging breasts. However, in most cases, breast lift is considered a cosmetic procedure and is not covered by insurance.

Benefits of Breast Ptosis Suspension

Youthful Appearance

One of the primary benefits of a breast lift is achieving a more youthful appearance. By raising and reshaping the breasts, the procedure can make the breasts look more perky and firm, reversing the effects of aging, pregnancy, and weight loss. This can give patients a renewed sense of confidence and make them feel better about their appearance.

Improved Symmetry

Many women with breast ptosis may also have uneven breast positioning or asymmetrical nipples. A breast lift can correct these issues, resulting in more symmetrical breasts. This can not only enhance the aesthetic appeal but also make it easier for patients to find well - fitting clothing, swimwear, and lingerie.

Enhanced Confidence

A breast lift can have a significant impact on a patient's self - confidence. Women who are self - conscious about their sagging breasts may feel more comfortable and confident in their own skin after the procedure. They may be more willing to participate in activities such as swimming, wearing form - fitting clothing, or being intimate, knowing that their breasts look and feel better.

Long - Lasting Results

While natural aging continues, the results of a breast lift can last for many years. This makes it a worthwhile investment for women who want to improve the appearance of their breasts in the long term. However, it's important to maintain a stable weight and a healthy lifestyle to help preserve the results.

Who is a Good Candidate for Breast Ptosis Suspension?

To determine if you're a candidate for a breast lift, consider the following factors:

• General Health: You should be in good overall health without uncontrolled medical issues. This includes conditions such as diabetes, heart disease, or high blood pressure, which can increase the risks associated with surgery.
• Stable Weight: Significant weight fluctuations after surgery can affect the results of the breast lift. It's recommended to have a stable weight for at least 6 - 12 months before undergoing the procedure.
• Concerns about Breast Sagging: If your breasts have lost shape or volume due to aging, pregnancy, breastfeeding, or weight loss, and you're unhappy with their appearance, you may be a good candidate for a breast lift.
• Areola and Nipple Position: Downward - pointing nipples or displaced areola due to loss of skin elasticity may indicate the need for a lift.
• Nonsmoker or Willing to Quit: Smoking can impair healing, so it's highly advisable to quit smoking before and after surgery. Nicotine patches and gum are not considered acceptable alternatives, as they do not significantly reduce the risk of complications.

The Consultation Process

The consultation process is a crucial step in the breast lift journey. It allows the patient and the surgeon to communicate effectively and ensure that the patient's expectations are realistic. Here's what you can expect during a typical breast lift consultation:

Assessment of the Breasts

The surgeon will evaluate your degree of sagging, breast tissue quality, and skin elasticity. They may also measure your breasts and take photographs for reference. This assessment helps the surgeon determine the most appropriate surgical approach and the expected results.

Medical Review & Baseline Testing

You'll discuss your medical history, including any past breast surgeries, current medications, allergies, and any underlying medical conditions. Depending on your age and risk factors, the surgeon may recommend a mammogram or ultrasound to ensure the health of your breasts. This step is important to identify any potential risks or contraindications to the surgery.

Procedure Explanation

The surgeon will walk you through the specifics of the breast lift procedure, including the different types of incisions, anesthesia options, and the estimated recovery timeline. They will also discuss the potential risks and complications associated with the surgery and how they will be managed. This is your opportunity to ask any questions and clarify any concerns you may have.

Setting Realistic Expectations

It's important to have realistic expectations about the outcome of the breast lift. The surgeon will explain what the procedure can and cannot achieve, and help you understand the limitations of the surgery. They will also show you before - and - after photos of previous patients to give you an idea of the possible results.

The Breast Lift Procedure

Anesthesia

Breast lift surgery is typically performed under general anesthesia to ensure the patient's comfort during the procedure. However, in some cases, different sedation options may be considered based on individual preference and medical needs. A board - certified anesthesiologist will be present to administer the anesthesia and monitor the patient's vital signs throughout the surgery.

Incisions and Tissue Reshaping

Depending on the chosen incision type and the patient's specific condition, the surgeon will make incisions around the areola, vertically down to the breast crease, and/or along the breast fold. Excess skin will be removed, and the underlying breast tissue will be lifted and reshaped to improve contour and firmness. The areola may be resized and repositioned to a higher, more youthful position on the breast. Throughout the procedure, the surgeon will pay close attention to detail to ensure a balanced, natural - looking result that aligns with the patient's aesthetic goals.

Closing the Incisions

After the tissue reshaping is complete, the incisions will be closed with sutures placed in layers within the breast tissue to create and support the new shape. The skin will be closed with a meticulous technique to minimize scarring. The surgeon may use absorbable sutures that will dissolve over time, eliminating the need for suture removal.

Recovery After Breast Ptosis Suspension

Immediate Post - Operative Period

Most patients can go home on the same day of the surgery. They will be required to wear a soft surgical bra to provide gentle compression and support to the breasts. Mild swelling, bruising, and discomfort are normal in the first week after the surgery. The pain can usually be managed with prescribed pain medication.

Suture Removal

If non - absorbable sutures are used, they will typically be removed within 7 - 10 days after the surgery. However, many surgeons now use absorbable sutures, which do not require removal.

Returning to Normal Activities

Most people can resume light activities within a week or two after the surgery. However, strenuous exercise or heavy lifting should be avoided for at least 4 - 6 weeks to allow the breasts to heal properly. It may take a few weeks for the swelling to fully subside, and the final results of the breast lift will become more apparent as the breasts settle into their new shape.

Potential Risks and Complications

Like any surgery, breast ptosis suspension carries certain risks and complications. While these are relatively rare, it's important to be aware of them:

• Infection or Bleeding: Proper wound care and following post - operative instructions can help minimize the risk of infection and bleeding. If an infection or excessive bleeding occurs, it may require additional treatment.
• Changes in Nipple Sensation: Temporary or, in rare cases, long - term changes in nipple sensation can occur. Most patients regain normal sensation over time, but some may experience permanent changes.
• Poor Healing or Scarring: Some individuals may be prone to less favorable scarring or delayed wound healing. The surgeon will take steps to minimize scarring, but the appearance of the scars can vary from person to person.
• Asymmetry or Revisional Surgery: Small differences in breast shape or position can occasionally occur. In some cases, revisional surgery may be required to correct these issues.
• Breastfeeding: Changes in breastfeeding ability can occur after any type of breast surgery. If you plan to breastfeed in the future, it's important to discuss this with your surgeon during the consultation.

Conclusion

Breast ptosis suspension, or breast lift, is a popular and effective surgical procedure for women in New York City who are looking to improve the appearance of their sagging breasts. With the help of highly skilled experts in the city, patients can achieve a more youthful, perky, and symmetrical breast appearance. The procedure offers numerous benefits, including enhanced confidence and a better quality of life. However, it's important to carefully consider the potential risks and complications and choose a qualified and experienced surgeon. By doing so, you can increase the likelihood of a successful outcome and a satisfactory result.