Breast Lift (Mastopexy)
A breast lift may be necessary when there is adequate breast tissue, but this tissue has fallen to a level that is dissatisfactory to the patient. This “droop” of the breast is called ptosis. In minimal ptosis, the nipple lies just below the level of the breast fold. Moderate ptosis is when the nipple lies significantly below the level of the breast fold. Severe ptosis is when the nipple falls far beneath the level of the breast crease and may be pointing in a downward direction. A breast lift may be performed for either moderate or severe ptosis and occasionally in combination with breast augmentation.
A breast lift involves elevation of the nipple/areola complex on a portion of the breast mound in order to preserve nipple sensation. The form of the breast is also reshaped to a higher, more youthful appearance. There are multiple ways to perform mastopexy, and your surgeon will choose the procedure that fits your needs during the consultation.
Supra-Areolar Mastopexy: The supra-areolar lift is often an excellent choice when ptosis is mild or moderate. The incisions are made around the nipple, the nipple areolar complex is pulled upward, and a small amount of excess skin is excised. While the early results can show a gathered or pleated appearance around the nipple incision, this settles down very nicely over the ensuing weeks and allows for a well-concealed scar. Breast implants are often used with this procedure depending on your preference.
Mastopexy or Vertical Scar Breast Lift: The vertical breast lift can be used in cases of moderate ptosis or for small breast reduction surgeries. With this technique, the incisions are placed only around the nipple and down the center of the lower portion of the breast. These incisions can be thought of as having a lollipop configuration. This procedure provides a pleasing, teardrop contour to your breast shape. The addition of a breast implant may be an additional procedure to create your ideal breast shape.
Traditional Mastopexy/Inferior Pedicle Breast Lift: The traditional mastopexy, or inferior pedicle breast lift, adds an incision along the fold below the breast. This is often the best approach for severe ptosis or a very large breast reduction. The incision line can be thought of as having an anchor configuration. The additional incision allows for increased access to the breast tissue and further resection of excess skin in the lower part of the breast. In addition, a breast implant may be needed to create shape or fullness. In spite of the necessary incisions to complete this surgery, patient satisfaction is quite high, and revision procedures are infrequent in breast lift surgery. Patients often report having less discomfort than expected following these surgeries, and a week or two for recovery period is often all that is required before returning to work.
For patients who have undergone mastectomy for breast cancer, breast reconstruction can return a more natural form to the female body. Dr. Mulkey and Dr. Recinos’ extensive experience with breast reconstruction allows patients to benefit from a range of possible procedures. Consultations will include a broad educational discussion about all different types of breast reconstruction, including the risks and benefits of each type. Possible procedures include the use of breast implants or the use of tissue flaps to recreate one or both breasts. Because every woman is unique, operations are tailored to each individual patient to optimize postoperative results.
Nipple reconstruction surgery can be performed to correct an inverted nipple or to decrease the diameter of a wide areola. These procedures can be performed alone or in conjunction with breast augmentation or a breast lift. Reconstruction of the nipple and areola after breast reconstruction can also be completed. After breast reconstruction, adding color to the reconstructed areola can be completed with the use of tattoo. Dr. Mulkey and Dr. Recinos are able to cover all aspects of nipple reconstruction.
To learn more about our plastic surgery/breast procedures, please call 641.494.5200 today or use our online form to schedule an appointment. Our breast procedure patients come to us from Albert Lea, Algona, Belmond, Britt, Buffalo Center, Charles City, Clarion, Cresco, Emmetsburg, Forest City, Garner, Greene, Hampton, Iowa Falls, Lake Mills, Mason City, New Hampton, Northwood, Osage, Waverly and close-by communities.
I used to visit the ER often with undiagnosed heart problems. During my last visit in 2004, they told me I probably wouldn’t make it another year. That’s when my doctor at Mason City Clinic found my mitral valve malfunction and surgically repaired it. I recently had my annual EKG exam and my cardiologist found no heart problems whatsoever. Which means I can keep raising my squash, musk melon and tomatoes.Read More
With no warning signs, Jansen Wyatt, 54, suddenly collapsed in his home last November. His daughter-in-law rushed him to the ER at Palo Alto County Health System in Emmetsburg, where they diagnosed a severe heart attack. Jansen was helicoptered to Mason City’s Mercy Medical Center. Samuel Congello, DO, a board-certified cardiologist with Mercy’s Heart and Vascular Institute.Read More
ENT & Allergy Patient
As a young girl I was diagnosed with hearing loss in my right ear. I had many ear infections and surgeries, but the problem only got worse. It was getting hard to do my job because I was missing parts of conversations. Hearing aids only caused me more infections. Then I found Dr. Henry Diggelmann at Mason City Clinic. He recommended BAHA (bone anchored hearing aid), which creates sound using bone amplification.Read More
Plastic Surgery Patient
After years as a special education teacher handling children with significant disabilities and behavioral challenges, I began having limited use of my hands due to severe arthritis pain. I found myself fighting back tears every day because the pain was so bad. I could no longer enjoy one of my favorite hobbies, quilting, either. I met with Dr. René Recinos, a plastic surgeon from Mason City Clinic and recommended a procedure called arthrodesis.Read More
Retired school teacher Charlene Hanson used to love walking in the woods – until the pain and inflammation of arthritis took it away from her. Since she had heard such great things at church and in the community about Mason City Clinic’s Orthopedic Department and Dr. Darron Jones, she made them her choice to replace her arthritic hip and knee.Read More
Roger was always very active, but a few years ago his hip started to bother him. When he would go to bed at night the pain was very severe. “I would have to lay on the floor and put my legs up on the couch to relieve the pain,” said Roger.
His orthopedic surgeon at the Mason City Clinic Dr. Darron Jones said, “I can give you cortisone shots, but this is a quality of life question.
Plastic Surgery Patient
Donna Drake lived with a growing basal cell skin cancer (the most common skin cancer) on her lower eyelid for three years. A family practitioner at Franklin General Hospital recommended Mason City Clinic’s plastic and reconstructive surgeon, Dr. Mark Mulkey, who identified the cancer and performed the extremely delicate eyelid surgery to remove it and reconstruct her eyelid.Read More
Melody Wagner loved walking until severe pain from bunions stopped her cold. She found a board-certified podiatrist at Mason City Clinic’s Podiatry Department. Podiatrists perform leading-edge surgery for bunions and hammertoes, as well as advanced treatments for diabetic feet, heel pain, ingrown toenails and more. Melody was afraid of a painful procedure and a long recovery.Read More
One snowy night about seven years ago, I felt a sudden pain in the back of my leg. I thought I could shake it off and went out to shovel some snow. After a few minutes, I went back inside and collapsed. My wife called 911 but the ambulance couldn’t get to me because of the snow. My neighbors used snow blowers to clear the road and my driveway so the ambulance could get to me.Read More
I injured my knee as a teenager and had surgery. Then, as I got older, the pain returned and began affecting my routine and overall enjoyment of life. My doctor referred me to Darron Jones, MD, an orthopedic surgeon. After a thorough exam, he said I was a candidate for knee replacement. I had the procedure in late January 2014 and was back among the grapes by the beginning of March.Read More
We have a lot of flower gardens on our acreage, and I was having problems kneeling to weed. I couldn’t walk long distances anymore and it was painful to get in and out of the car, walk up and down the stairs. Simple everyday tasks were hard. Eventually I was limping and in a great deal of pain.” said Sheryl Borcherding of Emmons, MN.Read More
Jane, 70, a retired nurse, is a very active person. She is a mother of one daughter and son in law, and has lots of 4 legged kids: guinea pigs, goats, Newfoundland dogs and 10 cats. I suffered with knee pain for a long time and would always take extra strength Ty-lenol.Read More
Gene Wagler, a special needs teacher from Clear Lake, didn’t have a history of heart problems before his heart attack 23 years ago. Gene said, “I didn’t feel any pain that day but I had a “gnawing” sensation in my chest. Within hours Gene was in the Mercy One-North Iowa ER and Dr. Sam Congello, an interventional cardiologist.Read More
GERD Surgical Patient
Kathleen Hanna, 60, is a mother of four, grandmother of nine and a para-assistant at Forest City Elementary School. “I had heartburn with regurgitation for 40 years, have had an ulcer, and have been on heartburn medication for about that long too.” Having been on heartburn medication for many years her physician was becoming worried that it was affecting the function of her kidneys.Read More
GERD Surgical Patient
In March 2019, Duane Obanion, 68, a farmer outside of Mason City, Iowa had an acid reflux attack. He aspirated into his lungs and got pneumonia. “I was in New York visiting my daughter when it happened and I ended up in the Urgent Care Center. When I got home I went to my family doctor and she put me in touch with Dr. Matthew Fabian, a general surgeon at the Mason City Clinic”.Read More