Breast Lift

Breast lift, also called mastopexy, is a cosmetic procedure performed to lift and reshape sagging breasts. This is to correct problems such as ptosis (sagging), loss of breast volume and nipple position. Below is some information about breast lift and the techniques involved:

Evaluation and Planning:

During the initial consultation, a board-certified plastic surgeon will examine your breasts, discuss your goals and expectations, and evaluate your overall health and medical history. The surgeon will determine the most appropriate technique based on factors such as the degree of breast sagging, nipple position, and breast volume.

Types of incisions:

There are several types of incisions used in breast lift surgery:

a. Peri-areolar incision: this incision is made around the areola (the dark skin surrounding the nipple). It is suitable for people with mild to moderate breast sagging.

b. Vertical incision: in addition to the periareolar incision, a vertical incision is made that extends from the underside of the areola to the crease under the breast. This technique is suitable for moderately to severely sagging breasts.

c. Anchor incision: this technique involves a periareolar incision, a vertical incision, and a horizontal incision along the crease of the breast. It is used in individuals with severe breast sagging.

Reshaping the breast tissue:

After making the necessary incisions, the surgeon reshapes the breast tissue to lift and tighten the breasts. This involves moving the underlying breast tissue to a higher position, removing excess skin and tightening the remaining skin.

Repositioning of nipples and areola:

If the nipples sit lower on the breasts, they are brought to a more youthful height. The surgeon may also adjust the size of the areolas to achieve better symmetry and proportion.

Breast Augmentation with Lift:

In some cases, a breast lift can be combined with breast augmentation with implants to improve the size and shape of the breasts. This is an option for individuals who desire both a lift and volume augmentation.

Closure of incisions:

The incisions are closed with sutures or surgical staples. The surgeon will place bandages or dressings over the incisions, and a supportive bra or compression garment may be recommended to promote healing.

Recovery and results:​

Swelling, bruising and discomfort may occur after breast lift surgery. Pain medication, cold compresses, and wearing a supportive bra as directed can help relieve these postoperative effects. It is important to follow your surgeon's postoperative care instructions.

The initial results of a breast lift are visible after the swelling subsides, but it may take several weeks or months to see the final results as the breasts settle and the incision lines fade. The procedure can result in tightened, firmer breasts with improved shape, symmetry and nipple position.

During the recovery period, it is important that you avoid strenuous activity and lifting heavy objects. Follow your surgeon's instructions regarding resuming normal activities, wearing supportive bras and caring for the incision sites.​

It is important that you consult with a plastic surgeon who specializes in breast lift surgery to discuss your goals, understand the technique recommended for your situation, and receive personalized advice and guidance throughout the process. The surgeon will provide detailed pre- and post-operative instructions to optimize your recovery and help you achieve the results you desire.

Preoperative care for candidates preparing for a breast lift includes several important steps:​

1. Consultation: schedule a consultation with a plastic surgeon who specializes in breast lift procedures. During the consultation, discuss your goals, expectations and medical history. The surgeon will examine your breasts, assess your overall health and determine if you are a candidate for the procedure.

2. Medical Exam: You will undergo a comprehensive medical exam to ensure you are in good health for the procedure. This may include blood tests, imaging tests, and other diagnostic tests as determined by your surgeon. Tell your surgeon about any pre-existing conditions, allergies or medications you are currently taking.

3. Smoking and Alcohol: If you smoke, it is important that you stop smoking well in advance of your surgery. Smoking can interfere with the healing process and increase the risk of complications. Also avoid drinking alcohol for a recommended period of time before surgery, as it can interfere with anesthesia and increase the risk of bleeding.

4. Medication review: provide your surgeon with a complete list of medications, supplements and herbal remedies you are taking. Some medications and supplements may increase the risk of bleeding or interact with anesthesia, so your surgeon may advise you to stop or adjust them before surgery.

5. Preoperative instructions: Follow your surgeon's instructions about fasting before your procedure. You will usually be asked not to eat or drink anything for a certain amount of time before the procedure.

Postoperative care after a breast lift is critical for optimal healing and recovery. Here are some general guidelines:

1. Recovery facility: provide a comfortable and supportive recovery environment. This includes having someone available to assist you in the first few days after surgery and having necessary medications and supplies handy.

2. Rest and recovery: plan for adequate rest and downtime after surgery. Avoid strenuous activities and lifting heavy objects during the initial recovery period. It is important to elevate your chest when sleeping to minimize swelling and promote healing.

3. Pain management: take pain medications as prescribed by your surgeon to relieve discomfort and pain during the initial recovery period. Use cold compresses as recommended to reduce swelling and bruising.

4. Supportive bra: Your surgeon may recommend that you wear a supportive bra or compression garment after surgery to support your breasts and aid in healing. Follow your surgeon's instructions about what type of bra to wear and how long to wear it.

5. Care of the wound: Follow your surgeon's instructions for caring for your incisions. Keep the incision areas clean and dry and apply any ointments or dressings prescribed. Avoid excessive sun exposure and protect your incisions from direct sunlight.

6. Follow-up appointments: Attend all scheduled follow-up appointments with your surgeon. At these appointments, your surgeon can monitor your healing progress, remove any sutures or staples, and address any concerns or complications.

It is important that you follow your surgeon's pre-and post-operative instructions carefully for a successful recovery and optimal results. Contact your surgeon if you have any questions or concerns during the recovery period. He or she will provide specific advice tailored to your individual needs and monitor your progress throughout the recovery process.