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Breast Lift Surgery
Mastopexy is a surgical procedure to lift and improve the shape of sagging breasts. Over the years, and after circumstances such as pregnancy, breastfeeding, and the force of gravity cause the breast tends to fall; in addition, as the skin loses its elasticity, the breast loses its shape and falls, a phenomenon known as breast ptosis. When the breast has failed or has little volume, you can also place a prosthesis to correct it. Mastopexy can also reduce the size of the areola when it is substantial.
Planning the surgery
During the first consultation, the plastic surgeon will evaluate the size and shape of the breasts, skin tone, and general health.
A physical examination of the breasts will also be performed. A mammographic study (Ecosonogram or mammography) will be requested.
The different surgical techniques will be explained. The size and shape of your breasts and the options or combination of best for the patient will be discussed.
You should plainly state your expectations so that the plastic surgeon will also be frank and show you the alternatives available for your problem, with the risks and limitations of each one of them.
Your history, smoking habit, consumption of medications such as Aspirin ®, steroids or vitamins, number of previous pregnancies, and the possibility of new pregnancies will be evaluated. Do not hesitate to ask any questions that arise, especially those related to your expectations about the results.
You will be given instructions on preparing for surgery, including rules about food and fluid intake, smoking, or taking or stopping medications, vitamins, and iron supplements. Blood does not need to be transfused during surgery. Also, make sure that a family member or companion can take you home when you are discharged and, if necessary, can help you for a couple of days.
This procedure is performed under general anesthesia, with the patient remaining asleep during the operation.
After the surgery
After breast surgery, it is normal to feel a little tired for a few days, with chest pain and pressure in the breasts, but you will be able to live almost generally after 24-48 hours. Most of the discomfort is well controlled with medication prescribed by your plastic surgeon, although the breasts may persist discomfort for a couple of weeks. The bandage or dressings will be removed in a few days, replaced by a special bra, to be worn as directed by your surgeon. It is normal to have a burning sensation in the nipples during the first two weeks.
After mastopexy can be normal to decrease sensation in the nipples; this situation is usually temporary, except in some reductions that may be permanent. The stitches are removed between 7 and 14 days; the edema does not subside entirely until 3 to 6 weeks.
After the mastopexy, you will be able to return to work in a few days, depending on the activity you do. You should follow your surgeon’s instructions about what exercises you can do; overhead lifting should be avoided for 2 to 3 weeks. Your breasts will be more sensitive than average for 2 to 3 weeks, so it may be wise to avoid excessive physical contact until 3 to 4 weeks. Initially, the scars will be pink, an appearance that will improve steadily from 6 weeks. Age-appropriate mammographic checks for each woman can continue to be performed.
Breast Lift Surgery FAQ
- Is it possible to perform a mastopexy without silicone implants?
Yes, we can perform a breast lift operation without using a silicone prosthesis. However, it is crucial to keep in mind that:
The breasts will be smaller since part of the skin, and breast tissue will be removed during the breast lift surgery.
The neckline will look very natural.
Mastopexy is only indicated for patients with medium to large breasts. We use your breast tissue to redistribute and shape it into a new, lifted breast.
- Can my breasts sag again?
The breast tissue that remains after a mastopexy or breast lift will still be susceptible to weight changes, pregnancy, breastfeeding, and hormonal changes. Therefore, the breasts can sag again after breast lift surgery.
If the patient has little breast tissue, remains stable in weight, and does not become pregnant, the results are likely to stay for a long time.
- Will silicone implants keep my breasts from sagging?
Many patients are under the misconception that using breast implants will prevent them from having a mastopexy. Others believe that an implant will prevent the breasts from sagging in the future.
It is essential to explain that the implant will be positioned behind the pectoralis muscle, and the mammary gland is in front of the pectoralis muscle. For this reason, the implant will add volume and shape to the breast, but it will not prevent your breast tissue from changing and falling out over time.
- What are the scars like after a mastopexy?
Depending on the degree of breast sagging or ptosis, it will be necessary to make different scars to lift or reaffirm the breasts. In general terms, we can speak of 3 types of scars:
- The scar around the areola or periareolar scar. It’s located on every edge of the 360 degrees of the areola.
- Circumvertical scar, which is the combination of a scar around the areola + a vertical scar.
- Anchor scar or inverted T-shaped scar. This scar is around the areola + a horizontal scar that will be hidden in the mammary fold, + a vertical scar that joins the two previous ones.
- How is breastfeeding after mastopexy? Will I be able to breastfeed?
Yes, you can breastfeed. Although we remove some glandular tissue and skin during breast lift surgery, it is not enough to affect breastfeeding. Therefore, it is expected that the patient can breastfeed without any inconvenience after a mastopexy or breast lift.
Breast Lift Before & After gallery
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Our team of surgeons
Dr. Nidal Masri
Doctor Masri has longstanding ties to the South Florida medical community. Originally from Louisville, Kentucky, Dr. Masri received his undergraduate degree from Indiana University…
Dr. Harry Intsiful MD
Dr. Harry Intsiful graduated summa cum laude from the historic Howard University in Washington, D.C. He continued his medical studies at Howard University, where he graduated.
Dr. Keith Berman
Keith S. Berman, M.D. is a board-certified plastic surgeon who specializes in cosmetic plastic surgery of the face, breast, and body. He is a Diplomate of the American Board of Plastic…