What is breast lift surgery?

Breast Lift, also known as mastopexy, is a cosmetic surgical procedure that aims to lift and reshape sagging breasts. It is designed to restore a more youthful and lifted appearance to the breasts by removing excess skin, tightening the surrounding tissue, and repositioning the nipple and areola.

Over time, factors such as pregnancy, breastfeeding, weight fluctuations, aging, and gravity can cause the breasts to lose their natural firmness and elasticity. As a result, they may droop or sag, and the nipple-areola complex can descend lower on the breast.

During a breast lift surgery, the surgeon will make incisions on the breasts, following a predetermined pattern depending on the degree of sagging and the desired outcome. The excess skin is then removed, and the underlying breast tissue is reshaped and lifted to achieve a more youthful contour. If necessary, the surgeon may also reposition the nipple and areola to a higher and more aesthetically pleasing position.

In some cases, breast lift surgery may be combined with breast augmentation (implants) or breast reduction to further enhance the shape, size, or symmetry of the breasts.

Am I a good candidate for a breast lift?

Determining whether you are a good candidate for a breast lift is best done through a consultation with a qualified plastic surgeon. However, here are some general factors that may indicate you could be a suitable candidate for a breast lift:

Sagging or drooping breasts: If your breasts have lost their shape and have started to sag or droop, a breast lift may help restore a more youthful and lifted appearance.

Nipple and areola position: If your nipple-areola complex has descended below the breast crease or points downward, a breast lift can reposition them to a more aesthetically pleasing location.

Excess skin: Breast lift surgery is typically beneficial for individuals with excess skin, which contributes to breast sagging. Removing this excess skin can help achieve a firmer and more uplifted breast appearance.

Breast asymmetry: If your breasts have noticeable asymmetry in terms of shape, position, or nipple-areola complex, a breast lift can help achieve a more balanced and symmetrical appearance.

Stable weight: It is generally recommended that individuals considering a breast lift have a stable weight. Significant weight fluctuations can affect the long-term results of the surgery.

No plans for future pregnancies: Pregnancy and breastfeeding can affect the shape and position of the breasts. It is often advisable to postpone a breast lift until after you have completed your family, as future pregnancies can potentially impact the results.

Good overall health: Like any surgical procedure, breast lift surgery requires general good health and the absence of underlying medical conditions that could increase the risks associated with surgery and recovery.

How is a breast lift procedure performed?

A breast lift procedure, also known as mastopexy, involves several steps that are typically performed by a plastic surgeon. While the exact technique may vary based on individual needs and surgeon preference, here is a general overview of how a breast lift procedure is performed:

Anesthesia: Breast lift surgery is typically performed under general anesthesia, which means you will be asleep and feel no pain during the procedure.

Incision placement: The surgeon will create incisions on the breasts based on the predetermined surgical plan. The type and length of the incisions depend on the degree of breast sagging and the desired outcome. Common incision patterns include:

Around the areola (periareolar or donut incision)

Around the areola and vertically down to the breast crease (lollipop or keyhole incision)

Around the areola, vertically down to the breast crease, and horizontally along the breast crease (anchor or inverted T incision)

Reshaping and lifting: Once the incisions are made, the surgeon will remove excess skin from the breasts. The underlying breast tissue is then reshaped and lifted to create a more youthful contour. The nipple and areola complex are repositioned to a higher position on the breast mound.

Areola resizing: If desired or necessary, the surgeon may resize the areola to achieve better proportions with the newly lifted breasts.

Incision closure: After the necessary reshaping and repositioning, the surgeon will close the incisions with sutures, skin adhesive, or surgical tape. The incision closure technique may vary depending on the surgeon’s preference and the specific case.

Recovery and post-operative care: After the procedure, you will be taken to a recovery area where you will be monitored as you wake up from anesthesia. The surgeon may place surgical dressings or a supportive bra to minimize swelling and support the healing process. You will receive instructions on post-operative care, including medication management, follow-up appointments, and restrictions on activities such as lifting heavy objects and strenuous exercise.

What is the difference between a breast lift and breast augmentation?

A breast lift and breast augmentation are two distinct procedures that address different concerns related to the breasts:

Breast lift (Mastopexy): A breast lift is a surgical procedure designed to lift and reshape sagging or drooping breasts. It primarily focuses on repositioning the breasts and nipples to a more youthful position and improving breast contour. During a breast lift, excess skin is removed, and the breast tissue is reshaped and tightened. The procedure does not significantly change the size of the breasts, although it can create a more lifted and youthful appearance.

Breast augmentation (Augmentation mammoplasty): Breast augmentation, commonly referred to as a “boob job,” is a surgical procedure that aims to increase the size and volume of the breasts. It involves the placement of implants to enhance breast size, shape, and fullness.

Breast augmentation is suitable for individuals who desire larger breasts or want to restore lost breast volume due to factors such as pregnancy, weight loss, or aging. The procedure does not correct sagging breasts, but it can be combined with a breast lift if both volume enhancement and lifting are desired.

While breast lift and breast augmentation are distinct procedures, they can also be performed together in certain cases. This combination procedure involves lifting and reshaping the breasts while simultaneously adding volume with the use of implants. This approach allows for comprehensive rejuvenation and enhancement of the breasts by addressing both sagging and volume concerns.

Will a breast lift procedure change the size of my breasts?

A breast lift procedure, also known as mastopexy, is primarily focused on lifting and reshaping the breasts rather than changing their size. While a breast lift can make the breasts appear fuller and more youthful, it does not significantly alter their volume.

During a breast lift, excess skin is removed, and the breast tissue is reshaped and tightened to create a more lifted and youthful contour. The nipple and areola complex may also be repositioned to a higher position on the breast. These adjustments can result in a more aesthetically pleasing breast shape, improved symmetry, and a lifted appearance.

However, it’s important to note that a breast lift alone does not add volume or increase breast size. If you desire an increase in breast size, a breast augmentation with implants may be more appropriate. Breast augmentation involves the placement of implants to enhance breast volume and size while maintaining a natural-looking result.

What are the benefits of a breast lift surgery?

Breast lift surgery, or mastopexy, offers several potential benefits for individuals who are concerned about sagging or drooping breasts. Some of the benefits of a breast lift surgery include:

Restored Breast Position: A breast lift can reposition the breasts to a more youthful and lifted position on the chest. This can help reverse the effects of gravity, aging, and factors like pregnancy and breastfeeding that can cause the breasts to sag or lose their shape.

Improved Breast Shape and Contour: A breast lift can reshape the breasts, giving them a more aesthetically pleasing contour. Excess skin is removed, and the remaining breast tissue is tightened and lifted to create a firmer, more youthful appearance.

Enhanced Breast Symmetry: If you have asymmetrical breasts, a breast lift can help improve symmetry. The procedure can address differences in breast position, shape, and nipple placement, resulting in a more balanced and harmonious appearance.

Nipple and Areola Repositioning: As part of a breast lift, the surgeon can reposition the nipple and areola to a higher, more proportionate location on the breast mound. This can help achieve a more natural and youthful breast appearance.

Improved Clothing Fit: With lifted and reshaped breasts, clothing can fit more comfortably and flatteringly. Many individuals find that a breast lift allows them to wear certain styles of clothing that they may have felt self-conscious about before the procedure.

Boost in Confidence and Self-Esteem: Sagging breasts can impact how a person feels about their body and appearance. By restoring a more lifted and youthful breast contour, a breast lift can boost confidence and improve overall self-esteem.

It’s important to note that while a breast lift provides significant benefits, it does not increase breast volume or change breast size. If you desire larger breasts, a breast lift can be combined with breast augmentation using implants to achieve both lifting and volume enhancement.

Is a breast lift procedure permanent?

While a breast lift procedure can provide long-lasting results, it’s important to understand that the effects are not permanent. The breasts will continue to age naturally over time, and factors such as gravity, pregnancy, weight fluctuations, and the natural aging process can affect the breast shape and position.

The longevity of the results from a breast lift can vary among individuals and is influenced by several factors, including:

Age: The age at which the procedure is performed can impact the longevity of the results. A breast lift performed at a younger age may provide longer-lasting results compared to one performed later in life.

Skin elasticity: The quality and elasticity of the skin play a role in maintaining the results of a breast lift. Good skin elasticity can help the breasts retain their shape and position for a longer period.

Lifestyle factors: Factors such as weight fluctuations, pregnancy, and breastfeeding can impact the longevity of breast lift results. Maintaining a stable weight and avoiding significant changes in breast volume can help preserve the results of the procedure.

Post-operative care: Following the post-operative care instructions provided by your surgeon is crucial in ensuring optimal healing and long-lasting results. This may include wearing a supportive bra, avoiding strenuous activities, and protecting the breasts from excessive sun exposure.

While a breast lift cannot stop the natural aging process or prevent further changes in breast appearance over time, it can provide long-lasting improvements. Many individuals enjoy the benefits of a breast lift for several years. If you notice significant changes in breast position or shape over time, a revisional procedure may be considered to maintain or further enhance the results.

What is the recovery process like after a breast lift surgery?

The recovery process after a breast lift surgery, or mastopexy, can vary from individual to individual. It’s important to note that the following information provides a general overview of what to expect, but the specific instructions and timeline for your recovery will be provided by your surgeon. Here are some key points regarding the recovery process after a breast lift:

Post-operative care: Your surgeon will provide specific post-operative care instructions that you should follow diligently. This may include wearing a supportive bra, taking prescribed medications, and avoiding certain activities and movements.

Initial recovery period: The initial recovery period typically lasts a few days to a week. During this time, you may experience some swelling, bruising, and discomfort in the breast area. Pain medications prescribed by your surgeon can help manage any discomfort.

Dressings and bandages: Your surgeon may place dressings or bandages on your incisions, and you may be required to wear a supportive bra or surgical garment to provide support and minimize swelling.

Stitches removal: If your surgeon used traditional stitches, they will typically be removed within a week or two after the surgery. Dissolvable stitches will disappear on their own over time.

Physical activity: You should avoid strenuous activities, heavy lifting, and vigorous exercise for several weeks following the surgery to allow proper healing. Your surgeon will provide guidelines on when it is safe to resume various activities.

Swelling and bruising: Swelling and bruising are common after a breast lift and will gradually subside over time. Your surgeon may recommend specific techniques or medications to help reduce swelling and promote healing.

Follow-up appointments: You will have follow-up appointments with your surgeon to monitor your healing progress, remove any remaining sutures, and address any concerns or questions you may have.

Scarring: Scarring is an inevitable part of any surgical procedure, including breast lift surgery. Initially, your incision scars may be red and raised, but they will gradually fade and flatten over time. Your surgeon may provide recommendations for scar management, such as scar creams or silicone sheets.