Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple.
If your breasts are small or have lost volume-for example, after pregnancy – breast implants inserted in conjunction with mastopexy can increase both their firmness and their size. If you’re considering a breast lift, this website will give you a basic understanding of the procedure – when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, as a lot depends on your individual needs.
Breast lift can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.
The best candidates for mastopexy are healthy, emotionally stable women who are realistic about what the surgery can accomplish. The best results are usually achieved in women with small, sagging breasts. Breasts of any size can be lifted, but the results may not last as long in heavy breasts.
Many women seek mastopexy because pregnancy and breast feeding have left them with stretched skin and less volume in their breasts. However, if you’re planning to have more children, it may be a good idea to postpone your breast lift. While there are no special risks that affect future pregnancies (for example, mastopexy usually doesn’t interfere with breast-feeding), pregnancy may stretch your breasts again and offset the results of the procedure.
Breast lift is not a simple operation, but it’s normally safe when performed by a qualified plastic surgeon. Nevertheless, as with any surgery, there is always a possibility of complications or a reaction to the anaesthesia. Bleeding and infection following a breast lift are uncommon, but they can cause scars to widen. You can reduce your risks by closely following your surgeon’s advice both before and after surgery.
Mastopexy does leave noticeable, permanent scars, although they’ll be covered by your bra or bathing suit. (Poor healing and wider scars are more common in smokers.) The procedure can also leave you with unevenly positioned nipples, or a permanent loss of feeling in your nipples or breasts.
In your initial consultation, it’s important to discuss your expectations frankly with your surgeon, and to listen to his opinion. Every patient has a different view of what is a desirable size and shape for breasts.
Your surgeon will examine your breasts for any abnormality. He will discuss the variables that may affect the procedure – such as your age, the size and shape of your breasts, and the condition of your skin, and whether an implant is advisable. [For more information on implants, click on Breast Augmentation.]
Your surgeon will describe the procedure in detail, explaining its risks and limitations and making sure you understand the scarring that will result. He will also explain the anaesthesia to be used, the type of facility where the surgery will be performed, and the costs involved.
Don’t hesitate to ask him any questions you may have, especially those regarding your expectations and concerns about the results.
Depending on your age and family history, your surgeon may require you to have a mammogram (breast x-ray) before surgery. You’ll also get specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.
While you’re making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days if needed.
Your breast lift will be performed in a hospital. It’s usually done as a day case for cost containment and convenience. You may elect to remain in the hospital overnight, and those with little support and / or young children at home may be well advised to do so.
Breast lifts are usually performed under general anesthesia, which means you’ll sleep through the operation.
Mastopexy usually takes one and a half to three hours. The most common procedure involves an anchor-shaped incision following the natural contour of the breast.
The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. When the excess skin has been removed, the nipple and areola are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are usually located around the areola, in a vertical line extending downwards from the nipple area, and along the lower crease of the breast. Long lasting absorbable sutures are used, as these are shown to produce 30% narrower scars, and no stich-marks.
Some patients, especially those with relatively small breasts and minimal sagging, may be candidates for modified procedures requiring less extensive incisions. One such procedure is the doughnut (or Bennelli) mastopexy, in which circular incisions are made around the areola, and a doughnut-shaped area of skin is removed.
If you’re having an implant inserted along with your breast lift, it will be placed in a pocket directly under the breast tissue, or deeper, under the muscle of the chest wall.
After surgery, you’ll wear an elastic bandage over gauze dressings. Your breasts will be bruised, swollen, and uncomfortable for a day or two, but the pain shouldn’t be severe. Any discomfort you do feel can be relieved with medications prescribed by your surgeon. Almost all the stitches will be absorbable, and will not need removal.
You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. This numbness usually fades as the swelling subsides over the next six weeks or so. In some patients, however, it may last a year or more, and occasionally it may be permanent.
Healing is a gradual process. Although you may be up and about in a day or two, don’t plan on returning to work for a week or more, depending on how you feel. And avoid lifting anything over your head for three to four weeks. If you have any unusual symptoms, don’t hesitate to call your surgeon.
He will give you detailed instructions for resuming your normal activities. Avoid strenuous sports for about a month. After that, you can resume these activities slowly. If you become pregnant, the operation should not affect your ability to breast-feed, since your milk ducts and nipples will be left intact.
Your surgeon will make every effort to make your scars as inconspicuous as possible. Still, it’s important to remember that mastopexy scars are extensive and permanent. They often remain lumpy and red for months, then gradually become less obvious, sometimes eventually fading to thin white lines. Fortunately, the scars can usually be placed so that you can wear even low-cut tops.
Your surgeon uses a combination of long-lasting absorbable sutures and postoperative scar support, both demonstrated and proven to narrow your scars.
You should also keep in mind that a breast lift won’t keep you firm forever – the effects of gravity, pregnancy, ageing, and weight fluctuations will eventually take their toll again. Women who have implants along with their breast lift may find the results last longer.
Your satisfaction with a breast lift is likely to be greater if you understand the procedure thoroughly and if your expectations are realistic.
If you have further questions, write them down and ask your surgeon and his obliging staff at your consultation.