Breast lift surgery, also called as Mastopexy, removes excess breast skin to raise, reshape and firm your breasts. The nipples and areolas (the pigmented skin surrounding the nipples) are repositioned, and the areolas sometimes may be reduced in size. If desired, implants may be inserted in conjunction with a breast lift to increase the breast value.
Loss of skin elasticity, gravity and other factors such as weight loss, pregnancy and breast feeding ultimately affect the shape and firmness of your breasts. Patients who are generally satisfied with the size of their breasts can have a breast lift to raise and firm them, resulting in a more youthful breast contour. Some patients may be unhappy that they have lost a significant amount of breast volume over the time. In such cases, implants inserted in conjunction with a breast lift can increase the breast size at the same time as the shape and position of the breasts are enhanced.
You may be a good candidate for breast lift surgery if you have one or more of the following conditions:
Breasts that are pendulous, but of satisfactory size
Breasts that lack substance or firmness
Nipples and areolas that point downward, especially if they are positioned below the breast crease
A breast lift can be performed at any age, but we usually recommend waiting until breast development has stopped.
We will examine your breasts, taking measurements and perhaps photographs for your medical examination. The size and shape of your breasts, the quality of your skin and the placement of the nipples and areolas will be carefully evaluated.
Individual factors and personal preferences will determine the specific technique selected to lift your breasts. Essentially, the technique involves reshaping of the skin & tissues to make more appealing breast.
Incisions depend upon the level of breast sagging. In mild to moderate sagging, a periareolar incision is used. In moderate sagging, a combination of periareolar and vertical incision dropped down from the bottom edge of the areola to the crease underneath the breast is used. For heavily pendulous breasts, three incisions are used. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision is horizontal beneath the breast and follows the natural curve of the breast crease.
After we have removed the excess breast skin, the nipple and areola are shifted to a higher position. The areola, which in a sagging breast may have been stretched, can be reduced in size. Skin that was formerly located above the areola is brought down and together beneath it to reshape the breast.
Fortunately, significant complications from breasts lifts are infrequent. Some of the potential complications that may be discussed with you include bleeding, infection and reactions to anesthesia. Following a breast lift, sometimes the breasts may not be perfectly symmetrical or the nipple height may vary slightly. Minor adjustments often can be made at a later time. Permanent loss of sensation in the nipples or areas of breast skin may occur rarely.
Depending on your age, or if you have a history of breast cancer in your family, we may recommend a baseline mammogram before surgery and another mammographic examination some months after the surgery. This will help to detect any future changes in your breast tissue.
The day after the surgery, you will be encouraged to get out of the bed for short periods of time. After several days, you should be able to move about more comfortably. Straining, bending and lifting must be avoided, however, since these activities might cause increased swelling or even bleeding, you may be instructed to sleep on your back to avoid pressure on your breasts.
You may be instructed to wear a support bra for few weeks, until the swelling and discoloration of your breasts diminish. You may notice that you feel less sensation in the nipple and areola areas. This is usually temporary. Your breasts may also require some time to assume a more natural shape.
After breast lift surgery, it is often possible to return to work within a week or so, depending on your job. In many instances, you can resume most of your normal activities, including some form of mild exercise, after a few weeks. You may continue to experience some mild, periodic discomfort during this time, but such feelings are normal. Severe pain should be reported to your doctor.
Any sexual activity should be avoided for a minimum of two weeks. After that, care must be taken to be extremely gentle with your breasts for at least the next several weeks.
Breast lift surgery will make your breasts firmer and more uplifted. The position of your areolas and nipples will be enhanced, and the size of your areolas will be aesthetically pleasing.
The incisions from your breast lift surgery will heal and fade over time. It is important to realize, however, that the incision lines will be permanently visible. In some instances, they will eventually be only faint lines. Certain individuals may have incision lines that are more noticeable. Fortunately, the incisions for your breast lift are in locations easily concealed by clothing, even low-cut necklines.