Health
Ask a doc: ‘What should I know before getting a breast lift?’
A growing number of women are opting to reverse gravity by getting a surgical breast-lift procedure.
The prevalence of breast lifts has risen 70% since 2000 — twice the growth of breast implant surgery, according to new statistics from the American Society of Plastic Surgeons.
“A breast lift — or ‘mastopexy’ — is a procedure in which excess skin is removed to tighten the breast envelope,” said New York-based plastic surgeon and breast reconstruction specialist Dr. Constance M. Chen in comments to Fox News Digital.
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“This also repositions the breast tissue and the nipple-areolar complex higher on the chest wall.”
Why do women opt for breast lifts?
All women’s breasts change with time and gravity, Chen noted.
“As women get older, it is typical and natural for the skin to lose elasticity and for the breasts to drop,” she said.
Breastfeeding is the biggest cause of this, she said; but occasionally some women who did not breastfeed may find that their breasts droop over time.
“Menopause is also a factor, because dense, glandular breast tissue is replaced by fat — and fatty tissue is softer and less firm,” Chen said.
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”If a woman is unhappy about sagging breasts, the only way to fix it is surgery,” the doctor said. “A well-fitted bra can provide support for a better look in clothes, but exercises to firm the underlying chest muscles won’t impact the breast tissue itself.”
In most cases, a mastopexy will not change the size of the breasts, even though the result may make the breasts appear fuller and rounder, according to Chen.
“In cases where a woman wants larger or smaller breasts, additional procedures such as augmentation or reduction can be done in conjunction with a breast lift,” she said.
Dr. Brian Reagan of CosmetiCare, who practices in San Diego, California, said many patients come to his practice for lifts after they have children — usually a few months post-breastfeeding.
“The breasts will change for months after breastfeeding, so we want to wait a minimum of three months,” he told Fox News Digital.
Types of breast lifts
There are several different mastopexy procedures depending on the degree of lift needed, Chen advised.
A “crescent lift” is the least invasive procedure. In this case, a crescent of skin at the top of the nipple-areolar complex is removed to improve the position of the nipple, Chen said.
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“The crescent lift is called for when the breasts are basically perky, but the woman wants her nipple-areolar complex adjusted upward slightly,” the doctor noted.
“In cases where a woman also wants bigger breasts, the crescent lift can be performed in conjunction with breast augmentation.”
A “Benelli lift” is also used to provide a small lift for barely drooping breasts.
“Here, a doughnut-shaped incision is made around the nipple-areolar complex, and the skin is tightened,” Chen said. “While this kind of breast lift is less invasive than a full lift, it can have the side effect of flattening the breast. An implant can be used to improve the projection of the breast.”
A “lollipop lift,” or a short-scar vertical mastopexy, is used when the breast tissue itself needs to be positioned higher on the chest wall, the doctor noted.
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“The short-scar vertical mastopexy refers to the limited scars around the nipple-areolar complex and then vertically to the fold below the breast, which looks like a lollipop,” Chen said. “In this procedure, more breast skin is removed, and the underlying breast tissue is repositioned to significantly change the breast shape and lift it up.”
Finally, an “anchor lift” — or the traditional Wise-pattern mastopexy — adds a horizontal scar along the crease below the breast to the same scars of the vertical mastopexy, which allows for reshaping and repositioning of the tissue.
“This is an older procedure used by older surgeons not trained in the vertical mastopexy, who are particularly prone to using it when there is significant sagging in large breasts,” Chen noted.
The vertical and the Wise-pattern mastopexies are both full breast lifts that are equally effective in creating a perkier, more youthful result, according to Chen.
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“The vertical mastopexy is also called the ‘short-scar mastopexy’ because it eliminates the horizontal scar in the inframammary fold,” she said. “It is an improvement on the anchor lift.”
She added, “The full mastopexy is the most commonly performed breast lift, because it is usually the appropriate technique for someone who wants a noticeable change to their breast appearance.”
Risks of breast lifts
Every plastic surgery procedure comes with some degree of risk — and breast lifts are no exception.
Reagan said the main risks associated with breast lifts are a decrease in nipple sensation, potential loss of tissue (including the nipple) and poor scarring.
Due to elevated risk, there are certain groups of people who are not good candidates for the procedure, he said.
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He advises against smokers getting a breast lift, for example.
“Actively smoking can cause delayed healing and possible open wounds,” Reagan said.
He recommends kicking the habit at least six to eight weeks prior to surgery.
People who have existing medical issues, such as high blood pressure or diabetes, are also not good candidates, the doctor warned.
“The ideal candidate is someone who is healthy, has no medical issues and has deflated, droopy breasts,” he said.
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Health
‘Smart mask’ could detect asthma, COPD and other medical conditions, researchers say
Your breath could hold clues to your health, researchers say — and they have developed a “smart mask” to tap into them.
Wei Gao, professor of medical engineering at the California Institute of Technology (Caltech) in Pasadena, led the team that created the EBCare, a mask that analyzes the chemicals in someone’s breath to detect any existing health issues.
The mask is designed to screen for medical conditions like respiratory infections, COPD (chronic obstructive pulmonary disease), asthma and post-COVID infections, according to a press release from Caltech.
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EBCare works by cooling the breath to convert it into a liquid, then transports it to sensors to be analyzed for specific biomarkers.
In an email to Fox News Digital, lead researcher Gao noted the mask’s ability to enable “continuous, real-time monitoring of exhaled breath condensate (EBC) in a non-invasive and wearable format.”
“This technology has the potential to revolutionize the way we monitor respiratory health by providing valuable insights into conditions like asthma, COPD and other metabolic disorders,” Gao said, noting that it could be a path to more personalized health care.
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“It can also be applied to pandemic management by monitoring respiratory infections on a wide scale,” he added.
The ultimate goal is for the EBCare technology to go beyond respiratory diseases, Gao noted.
“As research progresses, we envision that the smart mask can be adapted to detect a wider range of biomarkers, including those related to metabolic, cardiovascular and infectious diseases,” he said.
A study of the mask’s capabilities included 31 healthy adults who wore the EBCare in real-life settings over a 14-hour span, according to Caltech. They only removed the mask for three-minute intervals to eat.
Ten of the participants were smokers, 10 had asthma, nine had COPD and 12 had recently recovered from COVID-19.
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The masks accurately detected the biomarker for asthma and COPD in participating patients. They also successfully detected signs of kidney disease.
EBCare also produced accurate readings of blood alcohol levels.
“Monitoring alcohol levels in real time offers a non-invasive and continuous alternative to breathalyzers or blood tests,” Gao said.
“We would need to see at least a few clinical studies demonstrating that the masks can diagnose better — or more rapidly or with more sensitivity — than the standard of care.”
The research — which was funded by the National Institutes of Health, the National Science Foundation, the Tobacco Related Disease Research Program, and the U.S. Army Medical Research Acquisition Activity — was published in the journal Science on Aug. 29.
The idea is not for the smart mask to replace traditional medical diagnosis, but to provide “early warning” through continuous health monitoring during daily activities and to “bridge the gap” between doctor’s visits, Gao said.
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“The goal is to identify subtle physiological changes before they develop into more severe conditions, giving individuals the opportunity to take proactive steps in managing their health,” he said.
This is especially important for those who need regular monitoring, such as patients with chronic conditions or those recovering from respiratory infections like COVID-19, according to Gao.
“I recommend that health care providers consider integrating real-time EBC analysis technology into their diagnostic and monitoring practices, especially for chronic conditions like asthma and COPD,” he said.
“For individuals, the ability to monitor one’s health non-invasively through a wearable device offers the opportunity to be more proactive in managing personal health, which can lead to early intervention and better health outcomes.”
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MarkAlain Déry, DO, MPH, infectious disease doctor and chief innovation officer at Access Health Louisiana, who was not involved with the development of the smart mask, agreed that it is an “exciting concept.”
“Could it work? Sure,” he told Fox News Digital.
“However, we would need to see at least a few clinical studies demonstrating that the masks can diagnose better — or more rapidly or with more sensitivity — than the standard of care,” he went on.
“Then, we would need studies that demonstrate clinical improvement.”
Potential limitations
Some external doctors not involved in the mask’s development questioned whether this mode of data collection is beneficial.
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“While the mask introduces an innovative method to monitor exhaled breath condensate (EBC), we need to ask an important question: Do these continuous, real-time measurements genuinely make a difference in everyday life?” said Dr. Brett Osborn, a Florida neurosurgeon, in a conversation with Fox News Digital.
“For the average person, the biomarkers it detects — ammonium, pH, nitrite and alcohol — do not need constant monitoring, especially when routine blood tests can provide this information more accurately and with greater relevance.”
Osborn believes that the concept of the EBCare mask is better suited for “specific, high-stakes environments,” such as real-time monitoring of toxic gases in military or industrial settings.
“However, for the average person, especially in a post-pandemic world, the idea of wearing a mask like this is counterproductive,” he said.
Dr. John W. Ayers, PhD, vice chief of innovation in the Division of Infectious Diseases and Global Public Health at the University of California San Diego, also questioned the idea of having patients with asthma or COPD — who already experience breathing difficulties — wear the masks.
“For the average person, especially in a post-pandemic world, the idea of wearing a mask like this is counterproductive.”
The lead researcher, Gao, responded to some of these comments.
“While routine blood tests are indeed reliable, they are typically periodic and require a clinical setting, which limits their ability to capture dynamic, day-to-day physiological changes,” he told Fox News Digital.
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“The real innovation of the EBCare mask lies in its ability to continuously monitor health in real time, offering insights that might not be detectable with intermittent tests.”
For individuals managing chronic conditions like asthma, COPD or metabolic disorders, fluctuations in certain biomarkers can provide early warning signs before symptoms worsen, allowing for timely intervention, according to the researcher.
Gao, however, did acknowledge some limitations with the EBCare device.
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“One limitation was the relatively small sample size in some of the clinical trials, particularly for conditions like COPD and asthma,” he told Fox News Digital.
“Future studies with larger and more diverse populations will help to further validate the device’s performance across a broader range of conditions and environments.”
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