BREASTS GO THROUGH MANY CHANGES IN A LIFETIME, AND THESE CHANGES ARE INFLUENCED BY MANY CONDITIONS. AMONG THEM ARE:
• Weight fluctuations
The breast lift, medically known as the mastopexy, is often used in combination with a breast augmentation or a breast reduction. Implants are typically used to “liftâ€ the breasts by adding volume and substance. Excess skin is removed and the surrounding tissue is tightened and reshaped to fit the new contour. Over time, the areola may become enlarged. The breast lift will reduce this as well.
The breast lift does not significantly change the size of your breasts, or round out the upper breast area. If fuller or smaller breasts are desired, you may want to consider either a breast augmentation or a breast reduction surgery.
A BREAST LIFT IS A GOOD OPTION FOR YOU IF:
• You maintain a stable weight
• You do not smoke or have quit smoking
• You are emotionally stable
• You have realistic expectations for your results
• You are bothered by the feeling that your breasts sag, or have lost their shape and/or volume
• Your breasts have a flatter, elongated shape, or are pendulous
• When unsupported, your nipples fall below the breast crease
• Your nipples and areolas point downward towards your feet
• You have stretched skin and enlarged areolas
• One breast falls lower than the other breast
If you are pregnant or are planning to become pregnant and would like to undergo a breast lift procedure, it would be wise to postpone the surgery until after you are finished having children.
BEFORE AND DURING THE SURGERY
Your doctor will want you to schedule a consultation in which he or she will determine if you are a good candidate for this procedure. The information you should be prepared to discuss during your consultation will include:
• Details concerning your personal medical history
• Details concerning your family medical history
BEFORE AND AFTER
AS PART OF YOUR CONSULTATION, YOUR DOCTOR MAY WANT TO:
• Evaluate your current health condition and investigate any pre-existing medical conditions and risk factors
• Complete a breast examination and take detailed measurements of your breast size, shape, skin quality, and the placement of your nipples and areolas
• Take photographs of your breasts as part of your medical history and to evaluate the improvements
• Discuss treatment options
• Discuss likely outcomes, risks, and complications
• Discuss the extent of the use of anesthesia
BEFORE THE DAY OF THE SURGERY, YOU WILL BE ADVISED OR REQUIRED TO:
• Complete routine blood tests to determine overall physical health
• Avoid taking aspirin, anti-inflammatory drugs, or herbal supplements that increase bleeding
• Have a baseline mammogram before and after surgery to help determine any future changes in breast tissue
Your doctor will also inform you of what to do on the day of the surgery, and the post-operative care and follow-up that will be required for the procedure.
THE DESIRED RESULT IS ACHIEVED BY USING ONE OF THREE INCISION PATTERNS. THE SUITABLE TECHNIQUE FOR YOUR SITUATION WILL BE DETERMINED BY:
• Your breast size and shape
• The size and position of your areolas
• The severity of breast sagging
• The quality and elasticity of your skin
• The amount of extra skin that has to be dealt with
After anesthesia is administered, the incisions begin. The first possible incision type is made around the areola and is doughnut-shaped. This incision reduces the size of the areola and allows the remaining skin and breast tissue to be tightened around the now smaller areola.
The second incision type is made around the areola and then vertically on the breast between the areola and the breast crease. The size of the areola is reduced and the amount of skin the breasts are made up of is reduced. This allows the breast to be lifted.
The third incision type is made around the areola, vertically between the areola and breast crease, and horizontally along the breast crease. This incision allows for a more serious amount of lift.
IN ALL CASES, AFTER THE SURGEON MAKES THE INCISION:
• The principal breast tissue is lifted and reshaped to increase contour and firmness
• The areola is repositioned to a more youthful height
• Enlarged areolas are reduced around their perimeter
• Excess breast skin is removed to compensate for the lack of elasticity
After the Procedure is Complete
After the surgery is complete, the patient is usually allowed to go home. Surgical dressings are placed over the incisions, and a soft, supportive bra is required for the first three weeks or so. The breasts will be swollen and bruised for a few days and any pain can be treated with over-the-counter medication. The breasts and nipples will be numb until the swelling subsides, typically over the next six weeks. Breasts heal progressively. Light activity levels can be resumed within a few days; routine activities and vigorous exercise should be avoided for a while. Your surgeon will detail when normal activities can begin again. You must follow the directions your surgeon gives you in order to have successful results. Surgical incisions should not be exposed excessive force, abrasion, or motion while they are healing.
If you experience shortness of breath, chest pains, or unusual or irregular heartbeats, seek immediate medical attention. You may be hospitalized if any of these serious medical conditions occur.
The practice of medicine is not an exact science. Good results are always expected, but not guaranteed. Some situations may require multiple surgeries in order to achieve the best results. A similar procedure (like a tummy tuck or liposuction) may also be required.
Your results will be long-lasting and will help relieve you from the pain and discomfort you were experiencing. Your breasts will begin to change again due to factors such as aging, weight fluctuations, hormonal factors, and gravity.
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