Breast Lift

Breast Lift, also referred to as Mastopexy, is a surgical procedure intended to raise the position of the breasts on the chest wall and enhancing its shape by removal of excess fat, tissue and skin as well as repositioning of the areola and nipple, as required. The procedure is commonly performed for females having ptosis or sagging of the breasts.

New statistics from the American Society of Plastic Surgeons show breast lifts have grown 70% since 2000, outpacing breast implants 2-to-1.

Sometimes the areola becomes enlarged over time, and a breast lift will reduce this as well.

A breast lift can rejuvenate your figure with a breast profile that is more youthful and uplifted.

A woman’s breasts often change over time, losing their youthful shape and firmness. These changes and loss of skin elasticity can result from:

• Pregnancy
• Breastfeeding
• Weight fluctuations
• Aging
• Gravity
• Heredity

What breast lift surgery won’t do

Breast lift surgery does not significantly change the size of your breasts or round out the upper part of your breast.

If you want your breasts to look fuller, consider breast lift and breast augmentation surgery.

If you want smaller breasts, consider combining breast lift and breast reduction surgery.

Breast lift candidates

You may be a good breast lift candidate if:

• You are physically healthy and maintain a stable weight
• You do not smoke
• You are bothered by the feeling that your breasts sag or have lost shape and volume
• Your breasts have a flatter, elongated shape or are pendulous
• When unsupported, your nipples fall below the breast crease
• Your nipples and areolas point downward
• You have stretched skin and enlarged areolas
• One breast is lower than the other

Breast lift surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Breast lift procedure steps

Your breast lift procedure can be achieved through a variety of incision patterns and techniques.

The appropriate technique for you will be determined based on:

• Breast size and shape
• The size and position of your areolas
• The degree of breast sagging
• Skin quality and elasticity as well as the amount of extra skin

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – The incision

There are three common incision patterns:

• Around the areola
• Around the areola and vertically down from the areola to the breast crease
• Around the areola, vertically down from the breast crease and horizontally along the breast crease

Step 3 – Reshaping your breasts

After your doctor makes the incisions:

• The underlying breast tissue is lifted and reshaped to improve breast contour and firmness.
• The nipple and areola are repositioned to a natural, more youthful height.
• If necessary, enlarged areolas are reduced by excising skin at the perimeter.
• Excess breast skin is removed to compensate for a loss of elasticity.

Step 4 – Closing the incisions

After your breasts are reshaped and excess skin is removed, the remaining skin is tightened as the incisions are closed.

Some incision lines resulting from breast lift are concealed in the natural breast contours; however, others are visible on the breast surface. Incision lines are permanent, but in most cases will fade and significantly improve over time.

Many women desire the smallest scar possible. However, your plastic surgeon will recommend the incisions which best suit your anatomy.

Listen to your surgeon and do not diminish your result by demanding an incision that will not be appropriate for you.

Sutures are layered deep within the breast tissue to create and support the newly shaped breasts. Sutures, skin adhesives and/or surgical tape may be used to close the skin.

Breast lift recovery

During your breast lift recovery, dressings or bandages will be applied to the incisions after the procedure is completed.

You’ll need to wear an elastic bandage or support bra to minimize swelling and support your breasts as they heal.

A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect.

You will be given specific instructions that may include:

• How to care for your breasts following surgery
• Medications to apply or take orally to aid healing and reduce the potential for infection
• Specific concerns to look for at the surgical site or in your general health
• When to follow up with your plastic surgeon.

Breast lift risks and safety information

The decision to have plastic surgery is extremely personal, and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications of breast lift surgery are acceptable.

You will be asked to sign consent forms to ensure that you fully understand the procedure and any breast lift risks and potential complications.

Breast lift risks include:

• Anesthesia risks
• Bleeding or hematoma formation
• Infection
• Poor healing of incisions
• Changes in nipple or breast sensation, which may be temporary or permanent
• Breast contour and shape irregularities
• Breast asymmetry
• Fatty tissue found deep in the skin might die (fat necrosis)
• Fluid accumulation
• Potential partial or total loss of nipple and areola
• Deep vein thrombosis, cardiac and pulmonary complications
• Possibility of revisional surgery

These risks and others will be fully discussed prior to your consent. It is important that you address all of your questions directly with your plastic surgeon.

Breast lift and breast implant placement

Some women may want to consider placement of a breast implant in addition to the breast lift.
An implant can provide improved upper breast fullness or cleavage. Implants can be placed at the same time or as a second procedure,depending on the experience of the surgeon.