Breast lift

The Breast lift surgery is conducted by plastic surgeon, who removes extra skin and reshapes the breast tissue to tighten and uplift the breast, making it look firm. It is important to know that breast lift surgery will not change the breast size. To increase or decrease the breast size breast lift surgery can sometimes be combined with a breast augmentation procedure.

The procedure is performed to restore the breast elasticity and firmness, especially, when breasts start to droop or sag due to aging, pregnancy, breastfeeding, or significant weight loss or gain.  To understand and more about the surgery, always consult a certified plastic surgeon to check whether a breast lift is the right choice for you. They can provide you with detailed information tailored to your personal health situation.

Criteria for Breast Lift Surgery:

Breast lift surgery is subjective and not recommended for everyone. A plastic surgeon will examine the overall body health and decide whether to go with breast lift surgery. Here are some of the general measures that a surgeon may advise before going through any such surgery.

• A period of waiting is required until the breast development occurs.
• If pregnancy is being considered, surgery is not recommended.
• Prior to undergoing breast lift surgery, the period of breast feeding should be completed or discontinued.
• Also, it is essential to understand that breast lift surgery may alter the shape but does not change breast size. Despite making the breast firm and uplifted, the outcomes may not last for women with larger breasts.

A right candidate for breast lift surgery is someone who are.

• Having realistic expectations
• Physically fit
• Having complete breast development
• Loss of breast shape and firmness
• When nipples start to descend below the crease of the breast.
• Nipples and areolas are facing downwards.
• When the skin has been stretched, the areolas have increased in size.
• Noticeable difference in height between the two breasts

Procedure

A breast lift, which is also called mastopexy, is a surgical action that changes and raises sagging breasts to improve their shape. A person's individual needs and the way a surgeon decides to operate determine several specific steps in the process known as “breast lift”.  Nevertheless generally –

Pre-operative consultation:

It is important for you to have a thorough discussion with an experienced plastic surgeon so that you can talk about the results you want, check if you are fit for the procedure and establish the best way of doing it according to your specific requirements.

During this discussion, your doctor will assess such things as the size and shape of your breasts, the position of your areolas, how much they sag, and elasticity in the skin.

Having reviewed these features, they shall then advise on which among different designs’ incisions would be appropriate for this operation, which is mainly dependent on drooping severity and taking into account what outcome one desires.

Pre-surgery procedure: 

Before surgery, the surgeon will recommend certain lifestyle modifications along with a laboratory examination to ensure an optimal outcome. Here are some of them:

• The surgeon may advise you to stop smoking.
• May also suggest stopping certain medications, such as non-steroidal anti-inflammatory drugs.
• In a few cases, they may also ask to stop naturopathic substances such as garlic and ginkgo as they may interact with anaesthesia and blood clotting.
• Antibiotics may be prescribed before surgery to avoid infections.
• The surgeon may advise blood tests, X-ray examinations, or an Electrocardiograph (ECG) to assess your heart.

 Administer Anaesthesia:

The surgeon will give you either intravenous sedation or general anaesthesia to numb pain during operation and help relax your body systems for effective results. This decision is based on individual patient need so be sure to tell them how much discomfort bothers before surgery begins.

Incision:

After marking the cutting lines using a special pen – which may be of different shapes following a planned course. Depending on various factors, the doctor makes incisions on the below positions:

• Near the areola
• Around the areola and straight down to the crease at the breast base
• Around the areola, then straight down from the crease at the breast base and horizontally along it
• The choice of incision pattern depends on how much the breast is sagging and how the patient would like it to appear after the surgery.
• After this, the surgeon will cut off extra skin from the body and take the remaining tissue up so as to change shape of your breasts and also elevate them. 

Lifting and Reshaping the Breasts:

At certain point, the surgeon elevates and reshapes underlying breast tissues to get an intended firm outline.

The procedure involves moving nipples and areolas to a more natural height that can make someone look young again.

Big areolas could sometimes be corrected by removing some of the skin at their edges.

Closure and Dressing:

Once breasts have been reshaped, the remaining skin is pulled tighter, and incisions are closed gently.

The decision to close the incisions may be taken using sutures, skin adhesives, or surgical tape by the operator depending on the surgeon’s choice and this specific procedure.

Usually, these cuts are made at natural folds near breasts so as not to make them noticeable when seen briefly; however, there are sometimes when they might appear on the breast surface. Though permanent these lines will fade away with time and heal considerably. 

Recovery and Results:

You are likely to experience some swelling followed by pain after the procedure which can be managed by using painkillers.

After the operation, your surgeon will give you special guidelines such as how you should take care of the area where the surgery was done or even tell you not to do any tiring work.

This process allows you to see your lifted breasts immediately after surgery, but it takes several months before they fully assume their actual appearance because the swelling is reduced, and the tissue settles in new positions.

Risk and complications:

Breast lift surgery is usually a safe procedure. Like other surgeries breast lift surgery can have common risks which includes:

• Post surgery risk such as bleeding, infection, scarring.
• Fluid accumulation at the surgical site
• Allergic reactions to suture materials, tape and sometimes to anaesthesia. 
• Discoloration of skin, pigmentation, swelling, bruising
• In breasts, the sensation of nipples changes, which can be temporary or permanent numbness.
• Unevenness in breast size, shape
• Partial or complete loss of nipple-areola

Conclusion

As age advances, the breast starts getting looser and may look sagging because of gravity during pregnancy or weight fluctuations. Mastopexy or Breast lift surgery can solve these problems by tightening and lifting the breast, improving its shape and appearance. 

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