Breast Lift – Mastopexy

April 18, 2018 Written by Beautiphi - 0 Comments

When should you opt for Breast Lift –

Breast Lift can restore the size or shape of the breasts after significant weight loss, pregnancy, and the ravages of time. A breast lift may also be done at the same time as an enlargement.

Breast lifts make the breasts more evenly proportioned. In many women, one breast may be larger or sit higher than the other and proportionally a breast lift may be of benefit. The simple effects of gravity over time can also be reversed with a breast lift.

To Prepare for your surgery

Initially, you’ll consult with your doctor about your preferences for breast size and shape and any other details that you would like to discuss.

This will help the doctor understand your expectations and determine whether they can be met. Factors such as weight gain, weight loss, and hormonal factors will continue to affect the breast tissue, so it’s not possible to exactly predict the final outcome of breast size and shape.

Inform your doctor if you intend to lose a large amount of weight, as he may recommend that you stabilize your weight before breast surgery.

The process starts with an examination and taking measurements of your breasts while you are sitting and/or standing. Photographs are usually taken for your medical records.

Based on the detailed examination, the doctor will discuss the surgical options that are available, including how and where the nipple and areola will be repositioned, and the sites and numbers of incisions.

The shape and size of the breasts before surgery will influence the surgical procedure and outcome.

Important factors to consider before opting for Breast Surgery

Before you decide to go ahead, take note of the below aspects related to the breast surgery –

  • You might need lab tests or a baseline mammogram ahead of time.
  • The doctor might adjust certain medications before the surgery as well. For example, it’s important to avoid aspirin or other medications that can increase bleeding.
  • Inform beforehand if you have had an allergic or bad reaction to antibiotics, anesthetic drugs, any other medicines, surgical tapes, or dressings.

Also, advise if you have experienced any of the following:

  • Prolonged bleeding or excessive bruising when injured; previous problems with blood clots in the legs or lungs; any recent or long-term illness; previous surgery for breast cancer, or radiotherapy to the breast; any bad scarring or poorly healed scars after previous surgeries; any psychological or psychiatric illness.
  • If you smoke, you will be asked to stop smoking for a certain period of time before the surgery.
  • Do not drink alcohol for at least 3 days – 2 weeks prior to surgery.
  • Do not take aspirin, unless discussed with your doctor in advance for urgent medical reasons.
  • Do not take any other anti-inflammatories for two weeks before surgery.
  • Notify well before about any other drugs or natural remedies you are taking.
  • Fish, fish oil, spicy food, and green tea are also known to increase your bleeding by thinning your blood and adding to bruising and bleeding complications during and after surgery.
  • Do not take arnica, as this also can increase bruising.
  • Arrange for someone to drive you home after the surgery and to stay with you for at least the first night.

Risks associated with Breast Lift –

  • Temporary loss of feeling in the nipples or breast tissue due to nerve damage. Often this is temporary, but it can sometimes be permanent in some women.
  • Infection (not common). This can occur at any time, but it typically occurs during the first week after surgery.
  • Blood collection under the skin, or hematoma (uncommon).
  • Abnormal scarring (uncommon).
  • Having more than one procedure at the same time, such as a breast lift and breast enlargement, increases the risk of problems after the surgery.
  • Asymmetry: Your doctor cannot guarantee the symmetry of the breast shape and size after the procedure. Some differences are likely to occur, and the position of the nipples may vary slightly.
  • In most breast lift procedures, the nipples and areolas remain attached to their blood and nerve supplies while they are repositioned.  However, if breasts are extremely large, where the nipples are near the level of the waist, the nipples and areolas may have to be removed before they can be repositioned at a higher level. This will result in the permanent loss of sensation in the nipple and areola and the inability to breastfeed.

What is the downtime –

  • Usually, breast lift surgery takes between 1-2 hours and is carried out under general anesthesia at our day-stay surgical facility.
  • You will typically go home the same day after at least an hour of recovery in our rooms. Rarely, the procedure requires a hospital stay.
  • You will also be given a mild sedative, so you will not be allowed to drive.
  • When you are at home, rest completely for 48 hours.
  • Take panadol 4 hourly for 3 days.
  • No heavy lifting.

During the procedure

Surgical Techniques

The location of incisions will depend on the size and shape of your breasts, the amount of skin and tissue to be moved, The Doctor’s recommendations, and your preferences. Your doctor will use a skin pen to mark your breasts immediately before surgery to map out the incision lines.

Three methods may be used to lift breasts, or reduce breast size, as follows.

  1. Robbins (inferior pedicle) Method

This is the most common procedure. It involves three incisions:

  1. Around the areola
  2. Vertically down from the lower edge of the areola to the crease under the breast (inframammary fold)
  3. Horizontally, along with the natural curve of the breast crease.

After excess skin, fat and breast tissue are removed, the nipple and areola are moved into a higher position.  The skin and breast tissue are stitched into place to reshape the breast.  The horizontal scar is typically 20-25 cm long but hidden in the skin fold.

  1. Lejour Method

The Lejour method is similar to the Robbins method but does not use the horizontal incision along the breast fold.  The vertical scar is puckered and takes several weeks to smooth out.

  1. Benelli (peri-areolar) Method

The Benelli method involves 2 circular incisions around the areola, one outside the other.  Skin and breast tissue are removed from between the two.  The result is only one scar around the areola, but it can lead to the impression of flat-looking breasts.

Breast Lift surgery

Post-procedure precautions –

You will leave the surgery with medication for pain and sleeping.

Immediately after the surgery, gauze is taped over the stitched incisions, and the breasts are wrapped in an elastic bandage or supported by a special bra.

You will have support bandaging across your breasts and you may have 2 small drains for collecting any excess blood.  These drains will be removed a day or two following your surgery. The bandages stay in place for a week.

Most women have some swelling, bruising, and soreness in their breasts for several days after the procedure. Medicine can help relieve pain. Swelling and bruising may last for several weeks. Some women also have a temporary burning sensation in their nipples right after surgery. Wearing a supportive bra 24 hours a day can help reduce swelling and support the breasts while they heal.

Recovery time post the surgery –

Sutures will be removed a week after surgery, although most breast augmentations will have self-absorbing sutures. At the same time, the bandages will be removed.

Most women can resume their normal work and social activities within a few days unless those activities involve heavy lifting or strenuous exercise. The doctor will tell you when you can return to more vigorous exercise and activities.

You will have to follow up appointments with your doctor for 2 weeks after surgery to assess your healing.

While you’re healing, it might help to wear a compression bandage or sports bra for extra support and positioning of the breast.

Expect your scars to fade gradually over time, although they won’t disappear completely. All breast lift procedure leave permanent scars.  These will be initially red and take six months to one year to fade. They are in places where they are hidden as much as possible, even if low-cut clothing is worn. Sometimes the final scars may be unsatisfactory, and scar revision may be required.

Take these precautions post-surgery to ensure faster healing –

  • Follow instructions about returning to regular activities. If you don’t have a physically demanding job, you might be able to return to work within a few days to a week.
  • Avoid strenuous activities — anything that could raise your pulse or blood pressure — for about three to four weeks.
  • Avoid lifting anything heavier than one kilogram, such as small children or heavy shopping bags.
  • While you’re healing, remember that your breasts will be sensitive to physical contact or jarring movements. The strain on incision lines can lead to wound breakdown.
  • Sexual activity should be avoided for the first week as sexual arousal can cause the breasts to swell.
  • Do not drive for at least three weeks. Handling a steering wheel, even with power steering, can put a strain on your incisions. The pressure of a seat belt can cause problems.

Gentle sporting activities can be started after a month with a good support bra.  You may have much less stamina for several weeks.

During this time you may find it difficult to sleep in any position but on your back.

If you notice warmth and redness in your breast or you run a fever, you might have developed an infection. Contact Your doctor’s office as soon as possible. Also, contact if you experience shortness of breath or chest pain.

What Results can you expect from Breast Lift surgery – 

As you anticipate the outcome of breast lift, keep your expectations realistic.

Breast lifts can change the size and shape of your breasts. The surgery might even improve your body image and self-esteem. If you’re looking for perfection, however, you might be disappointed.

Also, remember that your breasts will continue to age after a breast lift. Weight gain or weight loss can also change the way your breasts look.

If you become dissatisfied with the appearance of your breasts, you might need a revision operation to correct these issues.

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