Breast lift (mastopexy)
Breast lifting is performed under general anesthesia. During breast lift, the breast is repositioned in its correct anatomical position to acquire a symmetry that matches the rest of the patient’s body. Incisions in the breast lift are placed in places that are indistinguishable. The duration of the operation is 2-2.5 hours and usually the patient is hospitalized for one day. Postoperative discomfort is limited and resolves with common painkillers. After leaving the clinic, the patient is required to wear a special bra for about a month. It is also recommended to avoid heavy manual work during this month.
- Breast lift and simultaneous augmentation
Breast sagging is a problem that concerns most women even at a young age. Patients may choose to have breast lift surgery (mastopexy). Quite often they ask for the simultaneous breast augmentation with implants. The choice of patients who can undergo this surgery with relative safety is crucial as augmentation and breast lift can lead to quite high rates of complications. Indicatively, I mention that in the literature the complication rates are around 25%. Some complications are quite serious and can lead to reoperation but also poor results.
The right choice of patients for breast augmentation lift can lead to dramatically lower complication rates and a satisfactory postoperative outcome. In patients who I consider to have an increased risk of complication of augmentation mastopexy, the options are twofold. On one hand, it can be done in 2 times, ie in two different smaller surgeries, or one can choose the augmentation with fat transfer. Breast augmentation with fat consists of liposuction of a quantity of fat, fat processing and injection into the breasts, resulting in an increase in size.
The disadvantages are in the first case the obvious that we enter the operating room twice while in the augmentation with fat that we can not dramatically increase the size of the breasts. Briefly, I have never had a complication of augmentation mastopexy precisely because I never deviate from the indications. At the slightest indication of an increased chance of complication, I prevent the simultaneous growth with implants and erection. Regarding the augmentation with the use of fat, I consider the results very satisfactory as the fat is 100% integrated with the breast and is completely natural in texture and image.
- When to choose Breast Lift
You can choose breast lift if your breasts are drooping or your nipples are pointing down. Breast lift will enhance your image and self-confidence. Mastopexy will not change the size of your breasts. However, breast lift can be done in conjunction with breast augmentation or breast reduction depending on your needs.
In general if:
- Your breasts have lost shape and volume
- Your nipples are lower than the main mass of the breast
- The nipples look down
- When the nipple is dilated and has grown disproportionately to your breast
- One of your breasts falls lower than the other
you can consider the possibility of surgery.
- What causes sagging breasts
As you grow older, your breasts change – they lose their elasticity and firmness.
The causes vary
During pregnancy, the ligaments that support your breasts may stretch as the breasts become heavier. This stretching can contribute to breast drop after pregnancy – whether you are breastfeeding or not.
- Weight fluctuations.
Changes in your weight can also cause the breast skin to stretch and lose its elasticity.
- Gravity. Over time, gravity causes the ligaments in the chest to loosen, resulting in a fall.
Breast augmentation can reduce sagging and increase nipple position. Nipple size can also be reduced to keep it in proportion to your new breasts.
- What would prevent me from suggesting breast lift
Breast lift is not for everyone. If you may become pregnant in the future, it is best to delay breast lift. During pregnancy your breasts will stretch and you will lose the benefits of an erection.
Breastfeeding is also an issue. Although breastfeeding is usually possible after breast lift – as the nipples do not separate from the underlying breast tissue – some women may have difficulty producing enough milk.
While breast lift can be done on breasts of any size, women with smaller sagging breasts are more likely to have longer lasting results. Larger breasts are heavier, which makes them more likely to fall off again. It is important, however, that the fall is not will be of the same degree.
- Complications of Mastopexy
Breast lift (mastopexy) involves several risks. With the right design they are minimized and are all manageable.
- Scar. While the scars are permanent, they will soften and fade within one to two years. Scars on the chest are placed in places that are usually hidden by the bra or swimsuit. Rarely, poor healing can cause deformed scars.
- Changes in the sensation of the nipple or breast. Rarely causes nipple tenderness. The erotic feeling is usually not affected.
- Asymmetry in the shape and size of the breasts. This could happen as a result of changes during the healing process. Also, surgery may not successfully correct a pre-existing asymmetry.
- Partial or total loss of the nipples. Rarely, the blood supply to the nipple is interrupted during breast lift. This can damage the breast tissue in the area and lead to partial or total loss of the nipple.
- Difficulty breastfeeding. While breastfeeding is usually possible after breast lift, some women may find it difficult to produce enough milk.
Like any major surgery, breast augmentation involves the risk of bleeding, infection, and an adverse reaction to anesthesia.
In each case the Plastic Surgeon takes preventive measures. Thus, preoperatively an intravenous antibiotic is started to prevent an infection. We pay special attention to hemostasis so that there is no postoperative bleeding and hematoma. The perfect technique is the one that ensures the aesthetics and the perspiration of the nipple. I have never encountered such a problem as the correct planning of the operation and its lege artis execution determine the good postoperative healing. As for milk production and the possibility of breastfeeding, I should mention that it is not a risk factor as the incisions are made away from the milk ducts.
- Breast lift (mastopexy)
- 2 - 2,5 hours
- Recovery time
- 3 - 4 weeks