Name of the Procedure:

Mastopexy

Common name(s): Breast Lift
Medical term: Mastopexy

Summary

A mastopexy, commonly known as a breast lift, is a surgical procedure that aims to raise and reshape sagging breasts. This is achieved by removing excess skin and tightening the surrounding tissue to support the new breast contour.

Purpose

The procedure is designed to address breast sagging (ptosis), which can result from aging, pregnancy, breastfeeding, weight fluctuations, or genetics. The goal is to achieve a more youthful and aesthetically pleasing breast appearance.

Indications

• Sagging or drooping breasts
• Breasts that have lost shape and volume
• Nipples that fall below the breast crease
• Stretch marks on the breasts
• Asymmetry between breasts

Patient candidates typically include those in good overall health, non-smokers, and individuals with realistic expectations.

Preparation

• Pre-operative consultation to discuss goals, medical history, and surgical options
• Physical exam and possibly a mammogram
• Instructions to stop smoking and avoid certain medications or supplements
• Pre-surgical fasting, if general anesthesia is planned
• Arrange for post-surgery transportation and assistance

Procedure Description

1. Anesthesia: Administered either general anesthesia or intravenous sedation.
2. Incisions: Made around the areola, and possibly extending downward and horizontally across the breast crease, depending on the technique.
3. Reshaping: The underlying breast tissue is lifted and reshaped, and excess skin is removed.
4. Nipple and Areola Repositioning: Elevated to a more natural position.
5. Incision Closure: Sutures are layered deep within the breast tissue to create and support the newly shaped breasts.

Duration

Typically takes about 2 to 3 hours.

Setting

Performed in a hospital, outpatient clinic, or surgical center.

Personnel

The procedure is conducted by a board-certified plastic surgeon, with the support of surgical nurses and an anesthesiologist.

Risks and Complications

• Common: Swelling, bruising, temporary numbness
• Rare: Infection, bleeding, adverse reaction to anesthesia, changes in nipple or breast sensation, asymmetry, scarring

Post-surgical complications may require additional treatment or corrective surgery.

Benefits

• Enhanced breast shape and contour
• Improved breast firmness
• Elevated nipple and areola position
• Symmetry between breasts

Benefits are typically noticeable immediately but improve over several weeks as swelling decreases.

Recovery

• Post-surgical care includes wearing a support bra, caring for incision sites, and managing pain with prescribed medications.
• Recovery time is generally 1 to 2 weeks for initial healing, with activity restrictions for several weeks.
• Follow-up appointments with the surgeon to monitor healing and remove sutures, if necessary.

Alternatives

• Breast augmentation (implants): Adds volume but doesn't lift
• Non-surgical options: Limited improvement, temporary effects
• Pros: Less invasive options may have quicker recovery
• Cons: May not achieve desired lift or firmness without surgery

Patient Experience

• Procedure is generally well-tolerated with anesthesia, so patients remain comfortable.
• Post-operative discomfort and swelling managed with medications.
• Patients typically experience a boost in confidence and satisfaction with their breast appearance after full recovery.