Nuance Cosmetic Surgery

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About Dr. Runnels, D.M.D., P.A.

DR. SCOTT RUNNELS D.M.D., P.A.


Dr. Scott Runnels attended Florida State University as an undergraduate and graduated from the University of Alabama School of Dentistry with a doctorate in dental medicine.

After obtaining his post-doctoral certificate specializing in orthodontics at Nova Southeastern, Dr. Runnels returned to his hometown of Destin to start his private practice committed to orthodontic excellence. Dr. Scott Runnels Orthodontics officially opened in 1999 and the practice recently celebrated 16 years of business.

Organizations

Dr. Runnels is very active in his profession and maintains memberships with the American Association of Orthodontists, Florida Association of Orthodontists, American Dental Association, Florida Dental Association, Northwest Florida Dental Society, Alumni Affiliate of Nova Southeastern and University of Alabama at Birmingham.

Hobbies

Dr. Runnels enjoys being an active member of the community and is dedicated to making a positive impact. He loves spending his free time with his wife Allyson and his daughter Lily. Dr. Runnels also loves surfing the local breaks, traveling with his family, fishing and playing golf.

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Breast Lift

Over time, environmental factors can have a heavy impact on breast shape and elasticity. Whether due to aging, pregnancy, breastfeeding, weight fluctuations, or genetics, many women experience sagging or loss of firmness in the breasts. 

A breast lift is a highly effective surgical option to correct these concerns and restore a lifted, youthful contour without dramatically changing your breast size. We offer multiple breast rejuvenation procedures here at Nuance Cosmetic Surgery, including a breast lift to bring your breasts back to their natural appearance and fullness.

Contact us today to schedule a consultation with Dr. Kenneth Sumida, board-certified plastic surgeon and one of the top Plastic Surgeons in Folsom, CA.. A customized surgical plan will be created to fit patient expectations while still achieving an unexaggerated, natural look.

What Is a Breast Lift?

Also called a mastopexy, a breast lift removes excess skin and tightens surrounding tissue in order to raise breasts and give them a more youthful, uplifted look. A breast lift can amend several cosmetic breast issues, including:

  • Loss of shape due to pregnancy
  • Changes in shape and size due to breastfeeding
  • Fluctuations in weight
  • Sagging or drooping breasts caused by aging
  • Hereditary factors

The breast lift is similar to a breast reduction procedure, however, in a breast lift the fat and tissue are preserved. Incisions are created along the nipple area and extending vertically to the fold of the breast and along the breast fold. 

Benefits of a Breast Lift

Restores a More Youthful Breast Position

A breast lift repositions sagging or deflated breasts higher on the chest for a perkier, more youthful look. This can significantly improve your body proportions and posture.

Improves Breast Shape and Firmness

The procedure reshapes stretched or flattened breast tissue to create a rounder, firmer contour. It can also correct asymmetry for a more balanced appearance.

Repositions the Nipple and Areola

Nipples that point downward or sit too low are raised to a more natural, forward-facing position. The size and shape of the areola can also be refined during surgery if desired.   

Enhances Clothing Fit and Comfort

With lifted and reshaped breasts, many patients find that bras, swimsuits, and tops fit more comfortably and attractively. You may also be able to wear clothing without padded bras or shapewear.

Types of Breast Lift Techniques

At Nuance Cosmetic Surgery, we tailor each breast lift procedure to the patient’s unique anatomy, skin elasticity, and level of breast sagging. Common incision patterns include:

  • Crescent Lift: This technique involves a small incision along the upper half of the areola and is best suited for patients with minimal sagging.
  • Periareolar Lift (Donut Lift) – A circular incision is made around the areola to tighten and slightly lift the breast. This approach is often used for mild sagging and when the areola needs reshaping.
  • Vertical Lift (Lollipop Lift) – This method involves two incisions: one around the areola and one running vertically down to the breast crease. It’s ideal for moderate sagging and allows for more noticeable reshaping.
  • Anchor Lift (Inverted T Lift) – This approach is used for significant sagging, adding a third incision along the natural fold beneath the breast. It allows for the most dramatic reshaping and repositioning.

Dr. Sumida will recommend the best lift technique based on your breast size, degree of ptosis (sagging), and overall aesthetic goals. Each option is designed to preserve sensitivity, maintain nipple position, and enhance your body’s proportions. 

What to Expect from a Breast Lift

A breast lift can restore a more youthful, lifted breast shape by removing excess skin and repositioning breast tissue and nipples. At Nuance Cosmetic Surgery, we want you to feel confident and well-informed at every stage of the process. Here’s what to expect before, during, and after your procedure:

Before Surgery

You’ll begin with a comprehensive consultation with Dr. Kenneth Sumida, who will evaluate your breast anatomy, skin quality, and goals. He’ll explain your options, recommend the most suitable lift technique, and discuss whether combining your lift with augmentation or another procedure makes sense for your desired results. You’ll also receive pre-operative instructions and undergo any necessary medical evaluations to ensure safety.

During Surgery

Breast lift surgery is performed under general anesthesia and typically takes 2 to 3 hours. Dr. Sumida will make carefully placed incisions based on the technique selected (crescent, donut, lollipop, or anchor), then reshape the breast tissue, reposition the nipple-areola complex, and remove excess skin. If implants are being added, they will be placed during the same procedure.

What Is Recovery Like?

For the first day after surgery, a supportive dressing will encase the breasts in order to protect and cushion the new shape and structure. For 3-4 weeks after surgery, patients are instructed to wear a sports bra to offer support and comfort to the breasts while initial swelling and bruising subside. Healing will be gradual and take as long as a year for incision scars to fully fade, but results will be immediately visible and more evident over time.

Prior to breast lift surgery, Dr. Kenneth Sumida, one of the top Plastic Surgeons in Folsom, will inform you of the possible risks and side effects. It is typically suggested to not subject healing breast tissue to excessive motion or force while the areas are still sensitive and vulnerable. You will also be advised about the aftercare of your incision sites in order to reduce the risk of infection or adverse effects.

When Will I See Results?

You’ll notice an immediate improvement in breast position and contour after surgery, though swelling and bruising may temporarily obscure the final look. Over the next several weeks, your breasts will settle into a more natural shape, with most results becoming visible by six to eight weeks, and final refinement typically occurring by six to twelve months.

Scars will continue to fade during this time and are typically well-hidden within the natural breast folds or around the areola. With proper care and follow-up, you can enjoy long-lasting, beautiful results that look and feel like your own.

Maintaining Your Breast Lift Results

A breast lift can offer long-lasting results, but how long they last depends greatly on how you care for your body after surgery. With the right habits and a stable lifestyle, your results can remain beautifully intact for many years.

Wear a supportive bra daily

Gravity continues to act on your breasts even after surgery. Wearing a well-fitted, supportive bra (especially during exercise or sleep) helps reduce tissue strain and preserves the lifted shape.

Avoid significant weight fluctuations

Gaining or losing a substantial amount of weight can stretch your skin and alter the improved contour. Maintaining a steady, healthy weight will help your breasts remain firm and proportional.

Practice good skin care and sun protection

Hydrated, protected skin retains elasticity better over time. Regular moisturizing and using sunscreen on exposed areas of the chest can help prevent premature sagging and discoloration of scars.

Refrain from smoking

Nicotine restricts blood flow and damages collagen, both of which are essential for maintaining skin strength and promoting surgical healing. Avoiding smoking not only supports your recovery but also helps protect your long-term skin tone and firmness.

Follow all post-operative care instructions

Dr. Sumida will provide a tailored aftercare plan, including instructions on how to care for incisions, when to resume activities, and what signs of healing to monitor. Adhering to these guidelines is crucial for avoiding complications and achieving the optimal aesthetic outcome.

By protecting your investment with daily care and healthy habits, you can continue enjoying the lifted, confident shape you achieved through surgery and feel just as good in your body years from now as you do today.

How to Prepare for Your Breast Lift Surgery

Proper preparation helps reduce surgical risks and supports a smoother recovery. At Nuance Cosmetic Surgery, we provide personalized pre-op instructions tailored to your procedure, but here are some general steps to help you get ready:

Avoid certain medications

You’ll be asked to stop taking blood-thinning medications such as aspirin, anti-inflammatories, and certain herbal supplements, as they can increase the risk of bleeding.

Stop smoking

Tobacco use should be discontinued several weeks before and after surgery. Smoking reduces blood flow, slows healing, and increases the risk of surgical complications.

Arrange for time off

Plan to take at least one week off from work, childcare, and physically demanding tasks. Giving your body time to rest is critical for proper healing.

Plan for transportation and support

As this is an outpatient procedure, you’ll need someone to drive you home and stay with you for the first 24 hours after surgery to help monitor your recovery.

Set up a recovery space

Prepare a quiet, comfortable area at home with extra pillows, easily accessible essentials, post-operative garments, snacks, and entertainment. Having everything within reach will make your rest period more manageable.

Follow fasting instructions

If general anesthesia is used, you’ll need to stop eating and drinking by a specified time the night before surgery. We’ll provide exact timing and reminders during your pre-op appointment.

By preparing both physically and mentally, you’ll feel more confident heading into your procedure and be ready to focus on recovery.

Risks and Considerations of Breast Lifts

While a breast lift is a safe and commonly performed procedure, all surgeries carry some degree of risk. At Nuance Cosmetic Surgery, your safety and comfort are our top priorities. During your consultation, Dr. Kenneth Sumida will walk you through any potential complications, which may include:

  • Infection or bleeding
  • Delayed wound healing
  • Temporary or permanent changes in nipple or breast sensation
  • Asymmetry
  • Unfavorable scarring

By following all pre- and post-operative care instructions, attending follow-up appointments, and maintaining a healthy lifestyle, you can minimize the risk of complications and promote optimal healing.

Combining with Other Procedures

Combining a Breast Lift with Augmentation

In certain circumstances, a breast lift and augmentation will be done in conjunction to enhance both shape and volume. This combination is ideal for patients who not only want lifted breasts but also wish to restore fullness lost through aging, pregnancy, or weight changes. Dr. Kenneth Sumida will discuss in your initial consultation whether a breast lift and/or augmentation is right for you or whether one of our other breast rejuvenation procedures may be more appropriate.

Full Body Rejuvenation with a Mommy Makeover

In some cases, a lift can be combined with breast implants, liposuction, or a tummy tuck for a complete makeover. These combinations are often part of a Mommy Makeover, designed to address multiple areas affected by childbirth or aging in a single, customized plan. 

By addressing multiple concerns such as sagging breasts, loose abdominal muscles, and stubborn fat deposits in a single surgical session, you can achieve more balanced, transformative results with a streamlined recovery process. Dr. Sumida will carefully evaluate your goals, health, and anatomy to determine whether combining procedures is safe and beneficial for your unique needs. 

Who Is a Good Candidate for a Breast Lift?

You may be a good candidate for a breast lift if your breasts have lost shape, volume, or firmness over time. Ideal candidates are in overall good health, do not smoke, and maintain a stable weight. 

Common signs that a breast lift may be right for you include nipples that point downward, stretched skin, flattened breast contours, or breasts that appear deflated after pregnancy, breastfeeding, or weight loss. During your consultation, Dr. Kenneth Sumida will assess your goals and anatomy to determine the most suitable surgical plan.

Cost and Financing Options

We understand that cost is a major factor in planning cosmetic surgery. Pricing varies depending on the complexity of your procedure, whether implants are involved, and if additional surgeries are performed. During your consultation, we’ll provide a full breakdown of your personalized plan and financing options to make your transformation more accessible.

Frequently Asked Questions About Breast Lift Surgery

How long do breast lift results last?

Although the results of breast lift surgery are long-term, environmental factors such as pregnancy, breastfeeding, aging, or weight fluctuation can potentially compromise the firmness and shape created by your procedure. However, most patients enjoy their lifted, more youthful contour for many years, especially if they maintain a stable weight and wear supportive bras.

Will a breast lift make my breasts look smaller?

A breast lift reshapes and repositions the breast tissue, but does not significantly alter the overall volume. However, lifted breasts may appear slightly smaller or more compact due to improved projection and higher placement. If you’d like to add fullness or upper pole volume, Dr. Sumida may recommend combining your lift with implants.

Is a breast lift painful?

Most patients experience mild to moderate discomfort for the first few days after surgery, which is typically managed with prescribed medication. You may experience tightness or tenderness as the swelling peaks, but this typically subsides within a few weeks. Patients are encouraged to rest, wear a supportive bra, and avoid strenuous activity during the initial healing phase.

Why Choose Nuance Cosmetic Surgery for Your Breast Lift?

At Nuance Cosmetic Surgery, we understand that choosing to have a breast lift is a deeply personal decision that deserves skilled, compassionate care. We take the time to listen to your goals, evaluate your unique anatomy, and design a customized surgical plan that enhances your natural shape while preserving your individuality.

Our AAAASF-accredited surgical center in Folsom, CA, provides a safe, private setting where you can feel supported from consultation through recovery. Dr. Kenneth T. Sumida, a board-certified plastic surgeon with extensive experience in breast rejuvenation, uses refined surgical techniques to deliver beautifully lifted, balanced, and natural-looking results.

Patients across the greater Sacramento area trust Nuance for our commitment to safety, aesthetic precision, and personalized attention. Whether you’re looking to restore youthful contours after pregnancy or simply feel more confident in your skin, we’re here to help you look and feel your best.

Schedule Your Consultation Today

At Nuance Cosmetic Surgery, we want you to look confident, feel confident and be confident. 

From your very first consultation to your final follow-up, you’ll receive attentive, personalized care in a supportive and welcoming environment. Dr. Kenneth Sumida takes the time to understand your goals and deliver results that feel natural, proportionate, and truly you. 

Whether you’re restoring your figure after motherhood or simply ready to feel more comfortable in your own skin, we’re here to help you take the next step with confidence.  Contact us today to set up an appointment and explore your options for more youthful, rejuvenated breasts.

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Nuance Cosmetic Surgery
info@nuanceCS.com
1641 Creekside Drive, Suite 100
Folsom , CA , 95630
916-984-4242

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*Unless otherwise stated, models are used throughout this website. Individual Results may vary.

Recent Posts

  • Tummy Tuck 101: Procedure, Recovery, and Expected Results
  • What Is Male Breast Reduction? A Complete Guide to Gynecomastia Surgery
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