The shape of female breasts is rather individual. The breasts are formed by the developed mammary gland, ligaments and fat. The upper border is only estimated as the chest wall changes into breast very slowly. Usually it is around the 3rd rib. The lower border is in the area of the inframammary fold, normally around the 6th rib. The breast development is concluded between 16 and 18 years of age and the shape changes due to the age, during a menstruation cycle and during important hormonal swings (puberty, climacteric, childbirth, lactation). In young women the nipple-areola complex is above the inframammary fold; however with the growing age it sinks to the level of this fold and below – breast ptosis. The breast lift is not usually performed before the age of 18; the only exception is a serious health condition. In such a case a legal representative of the patient must be present at the pre-operative consultation.
Ptosis may be a result of a significant breast weight reduction, significant reduction of breast fat or reduction of glandular tissue. It is categorized in three grades:
Mild ptosis: the nipple-areola complex is slightly below or in the level of the inframammary fold.
Mild to moderate ptosis: the nipple-areola complex falls less than 3 cm below the inframammary fold.
Severe ptosis: the nipple-areola complex falls significantly below the inframammary fold. The fall is bigger than 3 cm.
Progressive breast slacking
Semi-circular: the shape is typical of breasts in young white and Asiatic women. The horizontal dimension of the upper breast line is approx. 12 cm, the vertical dimension is 11 cm.
Cylindrical breasts: sagging breasts with extended vertical dimension.
Pedicle breasts: typical shape of negro race; the breast base attached to the chest wall is narrower than the horizontal dimension of the pendulous part.
What is a breast lift (mastopexy)?
Breast lift or mastopexy is required by all women who want to lift and shape their sagging breasts. The operation aims to restore the juvenile appearance of the breasts. Mostly it includes the height adjustment of the nipple-areola complex and the modelation of the mammary gland. The less sagging the breasts are the less it is necessary to intervene in the mammary gland and the operation is thus based on the upward transport of the nipple-areola complex. The operation does not prevent the influence of gravitation and time and therefore the effect is not permanent. The surgery is mostly performed from aesthetic reasons. From the medicinal viewpoint the surgery is recommended in case of significant asymmetry or after a partial reduction of the mammary gland. Breast lift is necessary when the breast implants are removed. The correction of your breast may also result in the reduction of the areola size as it usually boosts together with the breast sagging. If the breast droop is accompanied by a more significant loss of volume, in some cases the shape may be improved and the breast strengthened by breast implants adding volume.
Why breast lift Prague?
Prague has many attractive features for those considering breast lift surgery abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and breast lift surgeons ensure you'll receive the best possible care. Breast lift Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
Are you a good candidate for breast lift (mastopexy)?
A breast lift can enhance your appearance and your self-confidence, but it won't necessarily change your looks or cause other people to treat you differently.
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. Breasts of any size can be lifted, but the results may not last as long in heavy breasts.
Many women seek mastopexy because pregnancy and lactation have left them with stretched skin and less volume in their breasts. However, if you're 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 or breast-feeding, pregnancy is likely to stretch your breasts again and offset the results of the procedure. Mastopexy brings other risks for patients with the danger of repeated breast cancer as the recurrence of the disease is worse diagnosed in the scarred tissue of the gland. If you are a patient who has a scarred breast interior or another complication after the insertion of implants, the mastopexy is also contraindicated.
During your initial consultation, your surgeon will explain the surgery in detail, discussing which surgical techniques are most appropriate for you.
Be sure to discuss your expectations frankly with your surgeon. He or she should be equally frank with you, describing your alternatives and the risks and limitations of each.
Your surgeon will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. You may be asked not to use any medications containing acetylsalicylic acid (such as Acylpyrin, Aspirin, Alnagon, Mironal, etc.) They can increase bleeding during and after surgery.
It is assumed that no acute illnesses (viral illness, cold, etc.) will have occurred at least three weeks before the planned operation. Report any illnesses to your doctor.
If you smoke, you are advised to interrupt smoking to heal without problems. Smoking may complicate the healing process because the blood supply is disturbed as the result of vasoconstriction.
While making preparations, be sure to arrange for someone to drive you home after your breast lift and to help out for a few days, if needed.
Remodeling using implants
As in any other surgery bleeding complications and infections should be envisaged. The patients are most often disturbed by the change of skin sensitivity. It is a natural condition after the operation and it should adjust within 3 months. In this time period the scars should become softer. A significant asymmetry may exceptionally occur after the surgery. The necrosis in the nipple area is encountered rarely. The necrosis is usually caused by tension or pressure in the scar. In people with inclination to keloid scars (rigid punched out scars) every cosmetic surgery is contraindicated. The stretching of areola is unpleasant and aesthetically undesirable. Blood clots may form in vessels during the post-operative stage. This complication may be prevented by an early mobilization (it is suitable to start walking slowly after the operation).
How long will the effect of a breast lift last?
Your surgeon will make every effort to make your scars as inconspicuous as possible. Still, it's important to remember that mastopexy scars are extensive and permanent.
The duration of a breast lift is variable depending on size (effects of gravity), pregnancy, aging, and weight fluctuations.
How to choose the right plastic surgeon
As breast lift is a substantial surgery which in case of success may boost your self-confidence and vice versa; the choice of a surgeon is a rather discussed topic. There are no 100% sure instructions not to put a foot wrong. Even with the best surgeon you cannot be sure of a surgery without complications. However there are few suggestions to make the choice.
Find out where in your surroundings breast reductions are performed.
If you have the chance, ask the clients of the particular clinic about their satisfaction. This method however cannot assure that if they were satisfied you shall be as well, but it is certain evidence.
Do not economize and undergo initial consultations with more surgeons and make the choice according to your own intuition and good feeling. Own experience is priceless.
Do not be afraid to ask the surgeon during the initial consultation what kind of education he/she has, if he/she is attested (examined by an expert committee) for plastic surgery, what kinds of surgeries he/she performs most often and how many breast reduction surgeries he/she performs annually.
The procedure is not refunded by the health insurance. The patients pay.
This text has been created with kind assistance of Tomas Dolezal, M.D.