Cosmetic breast surgery has become one of the most popular cosmetic surgeries
in the world today. The vast majority of cosmetic breast procedures are for
augmentation. However, the number of breast lifts (mastopexy) has also seen
a significant surge in popularity.
Who would choose to have their breasts lifted?
Most people think a breast lift is requested more often by older women. However,
the average age of patients choosing to have the procedure is only 39. This
is just slightly older than those having augmentation and reduction procedures.
Why choose a breast lift?
As women age and/or have children, their breasts tend to lose fat and the breast
tissue begins to thin. In most cases, when the breast tissue shrinks, the skin
does not and the areola/nipple droops down below the inframammary crease. Lifting
the nipple above the crease will restore a youthful look.
Will a breast lift affect nursing?
While it is possible to nurse after a breast lift, it is generally recommended
that you wait. Should you become pregnant your breasts will swell and stretch
the skin and you may lose the benefits of the procedure.
Can a breast lift be combined with another procedure?
Yes. Many patients who request a breast lift also want to have the fullness
back. These patients usually decide to have implants as well. In certain instances,
the augmentation will aid in stretching the skin, enabling your surgeon to do
a breast lift with shorter scars. Other patients may require a breast reduction
as well as a breast lift to restore the look they desire.
How is a breast lift performed?
Breast lifts are performed on an outpatient basis using a general or local
anesthesia. A breast lift may take two hours depending on the complexity. Your
surgeon may choose from a variety of surgical approaches. The most common approach,
the anchor incision, is actually three incisions. The first incision
is made around the areola. The next runs from the bottom of the areola down
to the breast crease and the third incision follows the horizontal breast crease.
Working through these incisions, excess skin is removed from the lower portion
of the breast. Areolas that have been stretched over time can be resized and
the tissue is repositioned to reshape the breast. The breast tissue and nipple
are lifted into the higher position, and the nipple is repositioned.
Like many surgeries, the trend in breast lifts has been to smaller, shorter
incisions resulting in less scarring. These smaller scar techniques include
the lollipop incision which avoids the horizontal incision beneath
the breast, and the peri-areola or donut incision around
the areola which avoids both the vertical incision from the breast crease to
the areola and the horizontal incision beneath the breast.
Which procedure is best for me?
After examining the size, shape, and sagging of your breasts and the size of
your areolas, your surgeon will discuss the technique best suited for your procedure.
What about scarring?
The size and amount of scarring is different for every patient. However, the
use of silicone sheathing, topical liquid silicone or laser treatments can greatly
diminish the appearance of scars.
What is recovery like?
Bed rest is recommended for the first day. For the first few days following
any breast surgery, you may be asked to wear surgical dressings or a special
post-surgical garment. Most discomfort associated with breast surgery can be
controlled with oral medication prescribed by your surgeon. Antibiotics may
also be prescribed. Most women experience some degree of swelling, bruising
and tenderness. These symptoms should subside in a short time. All sutures are
removed within 1 - 2 weeks. Your surgeon will advise you on a proper schedule
for returning to your normal activities. Most patients are back to work within
the first week. Following your cosmetic breast surgery, you will enjoy a new,
more pleasing shape, with more comfortable breasts that are in better proportion
to your physique.
This information is intended to supplement, not replace, a consultation with a board certified physician. To
find out if you could be a candidate for one of these procedures
or to learn more information about these procedures, we invite you
to contact one of our doctors for a private consultation.
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