There is a predictable natural history of the evolution of the breast. With pregnancy, nursing,
time, force of gravity, gaining weight, or losing weight, the breast will eventually sag. This is a result of various factors including a loss in skin elasticity as well as damage to the internal suspension ligaments of the breast. A breast lift is a procedure to raise and reshape saggy breasts. There are different ways of lifting the breast. If you have lost a lot of volume, it might be necessary to combine a lift with a breast augmentation. If you have saggy breasts but enough breast volume, then just a breast lift might be sufficient to provide you with a nice result and the volume an size of breast that you might want. The information in this section is mainly related to the Wonder Breast Lift. This is a lift without implants, a technique developed by Dr. Cortes. In this description, we will provide you with information related to the surgery, where the surgery is going to be located, type of anesthesia, and what to expect after the procedure among others. Since there are many factors involved in deciding the best procedure for your breasts, it is important to have a consultation with Dr. Cortes, so he can provide you with the best option to enhance your breast to your satisfaction.
Throughout the history of plastic surgery, there are many techniques that have been developed to
lift the breast. These techniques vary in the way the scar is located, how the nipple is transferred among other things. One of the main problems with any breast lift technique is that not only the breast needs to be lifted, but also the breast shape needs to be changed in such a way that will result in beautiful breasts. In addition, traditional techniques of breast lifts do not give you long-term results. In other words, the breasts are lifted and because the skin is used as the main venue to support the breast, with time the skin will stretch, your breast will bottom out, and even though the relationship between the nipple and the areola with the breast mount is where it is supposed to be, you will lose upper pole fullness. Meaning the fullness on the top of the breast will be lost. The Wonder Breast Lift is a technique developed by Dr. Cortes. This technique is approached very differently than the traditional breast lift. Dr. Cortes sees a breast lift not only as an aesthetic procedure, but also as a breast reconstruction. If we look at the anatomy of a saggy breast, all the major structures of the breast are weak. This is the reason the breast sags. Your skin is thinned and has lost elasticity and tone. Your breast tissue has been replaced by fat tissue and also the ligaments of the breast have been stretched, losing support, allowing the breast to descend. The Wonder Breast Lift will give you not only a lifted breast but also will provide you a long term result as well as a breast shape with an breast implant like look but without an implant. It is an amazing technique that solves many of the issues of all the breast lift techniques.
Dr. Cortes not only reconstructs the ligaments of the breast but also uses the pectoralis major muscle, which is the muscle of the chest to support the breast and the redistribution of the breast tissue for a result that you will be happy with.
The best candidates for the wonder breast lift are patients with saggy breasts and enough breast
tissue to reshape the breast and provide some fullness to the top of the breast. If you have had massive weight loss and your main issue is excess skin and you have absolutely minimal breast tissue, this technique will not be for you. In addition, you need to be healthy, emotionally stable, and have realistic expectations.
We encourage our patients to watch our videos on YouTube channel Drwilbertocorteslive these
educational videos will provide you with additional information about the procedures that you are interested.
During your consultation with Dr. Cortes, he will examine your breast and measure the distance between the nipple and the lower part of the fold as well as the distance between your sternum and the nipple. These measurements will determine not only the length of your scar but also the different maneuvers that he needs to do to transpose the nipple in a successful position. The longer these measurements are the more extensive the surgery will be. He will also record the difference between the breasts including nipple size, areola size, and breast volume. All women have breasts of different size and shape. Your breasts are not perfect before surgery and
certainly they will not be perfect after surgery. Dr. Cortes always describes the breasts as very close sisters but not twins; you have to be realistic because perfection will not be provided by any breast surgery or any surgery. Nevertheless your breasts will be very symmetric after surgery. During the consultation, he will review your health; make sure you do not have any medical issues that need to be addressed prior to surgery including high blood pressure, diabetes, etc. He will also assess your skin tone and amount of breast tissue. He will discuss with you the probable size of the breast after surgery.
He will also describe the location of the scar as well as setting the expectations and understanding the shape that you want.
If you have any medical issues these will need to be addressed prior to surgery. Sometime Dr. Cortes will request medical clearance prior to the surgery and make sure that it is going to be safe.
The Wonder Breast Lift is a technically challenging procedure that is very safe, but any surgery
carries some uncertainty and risk. Some of the risks can include:
Cosmetic surgery is safe however any surgery carries uncertainty and risks.
During your preoperative visit, we will provide you with specific consents for the breast lift and we will discuss any concern that you might have regarding complications and things that can occur during surgery. In addition we will discuss specific instructions about your procedure to minimized complications.
Dr. Cortes performs his surgeries at the Houston Northwest Medical Center over at 1960 and 45.
The surgery takes about 3 to 4 hours to perform. Occasionally, you will need to stay after surgery if multiple procedures are scheduled like the hourglass mummy makeover or with the hourglass buttock augmentation or buttock implant. If you are admitted to the hospital, you will stay for 1 day assuming there are no issues. Dr. Cortes performs all his surgeries under general anesthesia. This surgery is a very extensive surgery that will provide you long term results and it will be virtually impossible to do it on the local anesthetic in a very safe manner. Local anesthesia will not be an option and you can’t be awake during surgery. It will extremely uncomfortable to have this surgery under local anesthetics.
The Wonder Breast Lift takes about 3 to 4 hours to do. One of the main differences with this
technique is that Dr. Cortes does not do the inverted T-shaped scar that everybody else does. He believes this scar is a horrible scar that extends all the way to the midline and if you decided to use a sexy bathing suit or you want to show some cleavage, the horizontal scar might be visible. For this reason, he performs a vertical breast lift with a short horizontal limb that goes towards the side not towards the midline. During the day of surgery, Dr. Cortes will mark your skin with double opposing triangles, these markings will help transpose your nipple areola complex as well as isolating the lower part of your breasts that have sagged with its own blood supply to transfer and provide you upper pole fullness. He will use the pectoralis major muscle as a sling to support the lower inferior tissue that will be transferred as well as he will suspend the nipple areola that is being transposed with sutures and ligaments that will prevent the tissue from rotating anteriorly and preventing what is called bottoming out of the tissue with loss of the upper pole fullness of your breast. He will determine during surgery the amount of excess skin that is to be removed and instead of cutting this excess skin, he uses the skin as ligaments to support the breast and provide you a nice shape. Once he determines the amount of excess skin
that needs to be removed to fit your new breast, he will close the incisions and provide you with a nice round breast that looks like you have breast implant without implant for an amazing result.
After your surgery, Dr. Cortes will assess your nipple areola for any signs of issues including
lack of blood supply and/or areas that will need to be followed closely to avoid any wound healing issues. You will be extremely bruised and swollen. Your breast many times tends to look very high after the surgery and a little bit flat at the bottom part, but all this will settle with time. You will wear a surgical bra for support. You will need to use these constantly for 2 to 3 months. Your skin will be dry and bruised after surgery. You can start using lotions and moisturizers to help improve your skin. You can expect some change in your nipple sensation, most patients still have some sensations after surgery, and some patients have more sensation
after surgery. Your stitches will be removed in 7 to 10 days, bandages will be removed the day after the first visit.
You need to be very patient; healing takes weeks to months. You will notice your breast changing shape, getting better by the day. We will provide you with detailed instructions on when to shower, what to eat, things that you should be doing.
After the surgery your breast will feel tight and you will need to time to adjust to your new lifted breast. As time progresses your breast will continue to evolve to an implant like look without an implant. You will be able to exercise in about 3-4 weeks by doing light cardio. You will be able to lift weight in about 4-6 weeks. The process of a breast lift takes 4 – 6 months to settle.
Dr. Cortes will give you instruction for medications, follow-up, showering precautious, drain care as well as what to expect after surgery. His staff will communicate with you with e-mail, phone, and text to monitor your progress.
After the surgery, you will look like you have breast implant without breast implant. You need
to understand that anytime there is a breast lift, you will have scars particularly if you have a lot of sagginess prior to surgery. These scars are permanent. The scars mature with time, they are red initially, and then they fade away. The Wonder Breast Lift will give you a long term result. Nevertheless, it is not an antigravity procedure and with time and ageing most likely your breast will sag again. There is no question that the Wonder Breast Lift is the best breast lift technique for aesthetically beautiful results.
With any breast surgery there is the risk of having loss of sensation. With saggy breasts some patient already have abnormal sensation of your nipples and areolas. Yes you can have decrease sensation of the nipples but many times it comes back.
The wonder breast lift was developed for the purpose of providing you a better and long-standing results. The procedure does not stop the effect of gravity and also aging. The older you get and with time your breast will eventually drop again. This is the beauty of the wonder breast lift were the breasts will hold a nice shape better that other tehniques.