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Breast Lift (Mastopexy) As the years pass by, factors such as pregnancy, nursing, and the force of gravity take their toll on a woman's breasts. As the skin looses its elasticity, the breasts often lose their shape and firmness and begin to sag. Breast Lift, or Mastopexy, is a surgical procedure to raise and reshape sagging breasts, at least, for a time. No surgery can permanently delay the effects of gravity or of future pregnancies after the surgery is carried out.
Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple. If your breasts are small or have lost volume, for example after pregnancy, Breast Implants inserted in conjunction with Mastopexy can increase both their firmness and their size.
Who is best for Breast Lift? A Breast Lift can enhance your appearance and your-self confidence. Before you decide to have surgery, think carefully about your expectations and discuss them during consultation. The best candidates for Mastopexy are healthy, emotionally-stable women who are realistic about what the surgery can accomplish. The best results are usually achieved in women with small, sagging breasts but breasts of any size can be lifted. You must consider the fact that if you become pregnant again, the surgical results may be altered, and a new procedure may be necessary afterwards. Many women seek Mastopexy because pregnancy and nursing have left them with stretched skin and less volume in their breasts. However, if you are planning to have more children, it may be a good idea to postpone your Breast Lift. While there are no special risks that affect future pregnancies, pregnancy is likely to stretch your breasts again and offset the results of the procedure. Mastopexy usually does not interfere with breast-feeding, so if by any reason you become pregnant again, you may be able to nurse once again.

Anesthesia

Breast Lifts are usually performed under general Anesthesia, which means you will sleep through the operation.

Surgery

Mastopexy usually takes one and a half to three and a half hours. Techniques vary, but the most common procedure involves an anchor-shaped incision following the natural contour of the breast.

The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. When the excess skin has been removed, the nipple and areola are moved to the higher, more youthful appearing position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are usually located around the areola, in a vertical line extending downwards from the nipple area, and along the lower crease of the breast.

Some patients, especially those with relatively small breasts and minimal sagging, may be candidates for modified procedures requiring less extensive incisions. One such procedure is the "Concentric Mastopexy", in which circular incisions are made around the areola, and a doughnut-shaped area of skin is removed. Another procedure involves an inverted teardrop incision which results in a periareolar scar along with a vertical one below the areola. This last incision is usually combined with the use of Breast Implants.

If you are having an implant inserted along with your Breast Lift, it will be placed in a pocket directly under the breast tissue, or deeper, under the muscle of the chest wall.

Your new Appearance:

Every effort will be made to make your scars as inconspicuous as possible. Still, it is important to remember that Mastopexy scars are permanent. They often remain lumpy and red for some time, then gradually become less obvious, sometimes fading to thin white lines. Fortunately, the scars can usually be placed so that you can wear even low cut tops.

You should also keep in mind that a Breast Lift won't keep you firm forever; the effects of gravity, pregnancy, aging, and weight fluctuations will eventually take their toll once more. Women who have implants along with their Breast Lift may find the results longer lasting.

Your satisfaction with a Breast Lift is likely to be greater if you understand the procedure thoroughly and if your expectations are realistic. Feel free to have your questions answered in your next consultation.