Breast Lift Mastopexy

‘Breast lift’, also known as mastopexy, is the procedure which uplifts the sagging, pendulous breasts. It also corrects the drooping nipples & stretched areola. It thus rejuvenates breasts which appear more youthful.

When Breast Lift Surgery Is Required?

  • With time woman’s breasts lose their youthful shape & firmness. Breast skin loses its elasticity & breasts become saggy & pendulous. These changes can occur due to
    • Aging
    • Gravity
    • Pregnancy
    • After significant weight loss
    • Post bariatric surgery
    • Heredity
  • Breast lift is required when
    • You are not happy with your saggy & pendulous breasts.
    • Your breasts appear flat & have lost the projection.
    • The nipple & areola are positioned below the breast crease.
    • The nipple & areola are stretched and pointed downwards.
    • You find difficulty in wearing clothes of your choice without supporting bra.
  • If you are planning for pregnancy, then it is advisable to postpone breast lift surgery after childbirth & breastfeeding. During pregnancy the breast may stretch again & compromise the result of surgery.

When Breast Lift Is Combined With Breast Augmentation ?

If your breasts are sagging & appear flat with lack of volume & substance, then breast lift can be combined with breast augmentation. Inserting implant will add in volume of your breasts so they appear full with increased projection.

When Breast Lift Is Combined With Breast Reduction ?

When breasts are large & voluminous in addition to droopy and you have

  • Poor self-image related to large breasts.
  • Difficulty fitting into bras and clothing.
  • Chronic back, neck and shoulder pain.
  • Rash or skin irritation under the breasts.
  • Restricted activity.
  • Difficulty in sleeping.

Types Of Breast Lift Surgery Procedures & Incisions

  • There are many different techniques of breast lift with different types of incisions
  • The incision pattern will depend on
    • Size of the breasts
    • Amount of stretched breast skin
    • The extent of breast sagging
    • Position of nipple areola complex
    • Desired result
  • The different incision patterns that are used are
    • Donut Or Periareolar Incision- This is made around the border of the areola. It is mainly used for breast with minimal ptosis{sagging]
    • Keyhole Or Lollipop Incision- It is made around the border of the areola and vertically down from the areola to the breast crease.
    • Anchor Inverted T Incision- This is most common incision used for breast lift procedure .It consists of three parts:

      Around the border of the areola

      A vertical portion from the areola to the breast crease

      Along the breast crease.

What Will My Breast Lift Surgery Scars Be Like?

  • The scars will vary according to type of incision.
  • Most scars are concealed in natural breast contours, but some will be visible on the breast surface.
  • In initial period scars will be red but they will fade and significantly improve over time.
  • We make every effort to hide and minimize scars, with the goal of achieving the desired results with the shortest possible scar.

What Is Done In Breast Lift Surgery?

  • In breast lift procedure excess inelastic skin is removed.
  • Then the remaining skin& breast tissue are rearranged and reshaped to create a more youthful breast shape.
  • The nipple-areola complex is shifted to a higher position to uplift the sagging breast.
  • If areola is large & stretched, it is reduced to normal size.
  • Also depending upon the desired size & volume of the breast, additional augmentation or reduction procedure is done.

Pre Breast Lift Surgery Precautions & Instructions

  • You will undergo clinical check up, blood investigations and chest x-ray for evaluation of fitness for surgery. You might also be advised mammography.
  • Stop smoking for at least 2 weeks before the procedure.
  • Stop Aspirin, painkillers, antioxidants or nutritional support 7 days before the procedure.
  • Please inform your surgeon if you had any history of breast diseases or surgery or there is history of breast cancer in your family
  • Discuss with your surgeon if you are taking any herbs, homeopathic medicines or nutritional supplements which need to be discontinued.
  • Discuss with your surgeon about your past major illness .
  • Inform your surgeon regarding any current illness like diabetes, blood pressure for which you are taking any medicines. Also inform him if you have had any recent illness like cold, diarrhea etc.

Post Breast Lift Surgery Precautions & instructions

  • After surgery You will have a surgical dressing over your upper chest
  • You may have drain tubes placed in operated area to remove collected blood & body fluid
  • When the effect of anesthesia wears off, You will have some discomfort or pain for which you will be given painkillers.
  • You will have antibiotics to reduce the risk of infection.
  • You are encouraged to move around & start walking in your room by evening.
  • You will be allowed to go home next day with instructions for taking medicines & care of drain tubes, which will be removed at the time of your first post-op visit on 3rd or 4th day after surgery.
  • You can start taking bath after your incisions are healed. Till then you can have sponge bath. As you are not advised to raise your hands over your head for 2 weeks, you can wash your hair with the help of somebody.
  • You are advised to preferably sleep on back to avoid pressure on your breasts.
  • You may be required to wear a supporting bra/ sports bra for 6-12 weeks.
  • There may be some swelling & bruises on operated area which will completely resolve in 4-6 weeks.
  • During recovery it is common to have some numbness in operative area & changes in nipple sensations which will recover in few months.
  • You can return to routine day to day activities 1 week after surgery & resume your work after 10-14 days depending upon your tolerance level.
  • You can resume walking & light exercise after two weeks. Avoid heavy strenuous exercises like jogging, running for 10 to 12 weeks.

Note:REMEMBER, ALTHOUGH YOU LOOK BETTER WITH YOUR BREASTS SMALLER & HIGHER IMMEDIATELY AFTER REMOVAL OF THE DRESSING,IT WILL TAKE 3 TO 6 MONTHS TO SEE FINAL RESULTS.

How long the results of breast lift will last

Results of breast lift surgery are long lasting unless there is significant weight fluctuation or you become pregnant. However with effects of advancing age & gravity your breasts may become loose & sag down.

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