Options for reshaping your breast
We also offer many surgical, minimally-invasive, and non-surgical options for reshaping your breast.
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Dr. Robey is renowned for her beautiful work in surgical rejuvenation of the face and body. We know that you have many options in your cosmetic surgery pursuit and we are thrilled that you have reached out to us during this very exciting time.

Quadruple board certified in Plastic Surgery, Facial Plastic & Reconstructive Surgery, Otolaryngology, and Anti-Aging Medicine, Dr. Robey is one of the Midwest’s leading body and facial plastic surgeons and is proud to be the only surgeon in the world with her specific set of credentials. Having been in private practice since 2013, Dr. Robey also has privileges with IU Health and St. Vincent Hospitals.
A breast augmentation and a breast lift are commonly performed together at the same time. Depending upon one's measurements and postoperative goals, your surgeon may recommend both surgical interventions. A breast augmentation can be helpful in adding or restoring volume. Patients can elect to have implants placed to enhance native volume, increase upper pole fullness and/or to improve symmetry. Whereas implants would deliver the most reliable amount of volume increase, patients can also consider fat transfer for volume enhancement.
If tissue laxity and breast droop are significant enough that reinflation of tissue with fat or an implant is inadequate, a mastopexy can address both of these concerns. A mastopexy involves placing an incision around the nipple and areola and potentially other locations to lift the nipple and areola into the center of the breast mound while removing the excess skin. Incisional patterns include periareolar, lollipop and anchor patterns; the preferred lift depends on each person's measurements.
Some patients also opt to add additional internal support for their implants during their mastopexies; absorbable mesh or dermal matrices can be considered for use in an "internal bra" fashion.
by Dr. Ashley Robey
I’d wanted to get a breast reduction for 30 years, but the thought of going through a surgery scared me. Dr. Robey was so detail oriented and anticipated every issue, question or concern I had. I’m extremely happy with the results and quick healing process. My back, neck, shoulder and ribs feel so much better since my breast reduction. I just wish I wouldn’t have waited so long to do it.
I considered myself ‘botched’ from a prior surgery and was in pain for many years. Dr. Robey knew just what to do help me and get me looking and feeling beautiful again.
I am happy I did this procedure. I’m so happy with my breast reduction and the results are exactly what I hoped for. Dr. Robey and her staff are fantastic and made me feel comfortable throughout the entire process.
Eight months after having my second child, I was feeling pretty down about my post-baby body. I was nervous about getting a tummy tuck, but Dr. Robey answered all my questions and I felt completely comfortable heading into the procedure. I’m so glad I did it and am recommending Dr. Robey to all my mommy friends.
Dr. Robey is the Best!!! I interviewed multiple surgeons and chose Dr. Robey because I loved how comfortable she made me feel during her consultation. Her staff and nurses are phenomenal and couldn’t be sweeter or more caring. They’ve been so helpful throughout my entire journey to get the body I’ve wanted for so long. Dr. Robey is so knowledgeable and takes the time to make sure you understand the process. She truly goes above and beyond to make sure you get the best results.
Have your procedures at some of Indy's top surgical locations: IU Health North Hospital, Saint Vincent Carmel, Fishers or Indianapolis Hospitals, Meridian Plastic Surgery Center, and Carmel Ambulatory Surgery Center.
The most aesthetically pleasing location for the nipple is at the most projecting part of the breast "around the level of the crease underneath the breast". When the nipple sits lower than this, the breast will have a droopy appearance. It is common for women (either from breast feeding, weight change or aging) to notice that their breasts appear less perky with time. Some women also note that the upper part of their breast becomes more flattened. A breast lift, or mastopexy, can restore the ideal shape and position of the breast tissue.
Several different approaches are available to lift the breast tissue. For a small amount of required nipple movement, a circumareolar (incision around the nipple and areola) can be utilized.
For a moderate to significant amount of nipple movement, a vertical pattern (lollipop shaped scar) mastopexy or a Wise pattern (anchor shaped scar) mastopexy would be recommended.
For most breast lifts, an incision is placed all the way around the nipple and areolar complex; there is also often an incision that runs along the breast crease and an incision from the bottom of the areola to the breast crease. The ultimate incisional pattern you would need would be discussed with you at the time of your consultation.
During a breast lift, the nipple is not removed. The nipple and areolar complex are left attached to the underlying tissue for both a blood supply and a nerve supply. You should still have sensation in the nipples after a breast lift, but they would likely be a little less sensitive than your preoperative levels. Also, areolas are usually reduced at the time of your breast lift to the aesthetically ideal size.
Patients interested in breast feeding should still be able to do so after a breast lift; there is a theoretical increased risk of needing to supplement with formula following this procedure because of reduction in milk production.
Some patients are hesitant to accept the scars associated with a breast lift. A breast lift is an excellent way to reposition the breast tissue into a more youthful and perky appearance; the trade-off for this reshaping is the associated scars. For most patients, the scars are well worth the improvement in shape and position.
Breast lifts are also commonly performed with implant-based augmentations. While an implant alone can provide some degree of breast lift, it is unfortunately not enough lift in many cases.
Small breast lifts (of the circumareolar variety) can be performed at the same time as a fat transfer to the breasts. However, significant breast repositioning will likely have to be staged from fat transfer to the breasts.
People will try the "pencil test" to answer this question at home; this involves one attempting to place a pencil in the breast crease and then looking to see if it stays in place or falls down. According to this test, if the pencil falls down, you don't need a lift and if it does not fall down, you do need a lift. Whereas this can be an interesting starting point, the most definitive way to determine the utility of a breast lift in aesthetically improving your breasts would involve having a formal exam with measurements by a plastic surgeon. Some measurements may suggest a lift is not needed; some may suggest a lift would be of utmost importance. Sometimes, however, the measurements put you in a grey area. In those cases you have to have a frank discussion with your plastic surgeon about the expected outcomes depending upon your choice.
It really depends on your personal preference. In my experience, most patients think that silicone implants feel more like breast tissue as compared to saline implants. Both implants will have an outer shell that is made of silicone; the inner fill of the implant is the difference. Both implants are well studied and safe. Silicone implants cost a little more than saline implants.
Unlikely, especially with an incision hidden under the breast fold; with this approach, the breast gland is barely manipulated. With a periareolar (around the nipple and areola) incision, it is more likely that ducts of the breast gland could be injured, thereby potentially affecting milk production.
Patients will go home the same day of their surgery. Placements of implants under the muscle can make the chest wall sore. Patients can shower immediately and soak in water at about 2 weeks. Walking immediately after surgery is encouraged. Patients can resume exercise as tolerated at about 2 weeks postoperatively. Weight lifting that strains the chest wall musculature is not recommended for six weeks after surgery.
Whereas the technical answer is yes, your surgeon should be hesitant to offer you a lift that is not powerful enough to achieve your goals. When a circumareolar lift is used for larger lifts, the scar tends to be thick and irregular; it also often results in a significantly stretched out areola.
12760 Meeting House Rd - Carmel, IN 46032
By submitting, you authorize Robey Plastic Surgery to send text messages and emails with offers and other information. Message/data rates apply. Consent is not a condition of purchase. We do not sell or share your information outside of the Robey Plastic Surgery and Live Better MD business community.
Many of our images on our website we use stock photos of models not patients. We do have many before and after photo's of real patients.
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