Breast lift surgery
Before the breast lift surgery
Before a surgery of this character the surgeon shall devote you enough time to discuss your expectations and suggest the method which will suit you the best as from the viewpoint of operation goals as well as the actual situation (breast shape, skin quality, other surgeries performed in the breast area). Normally the surgeon takes photographs from front and side view. At some clinics the computer modeling is used, which enables you to imagine better the final effect of the surgery. Your breasts shall be measured and according to your age and family history you shall be sent to the breast X-ray (mammograph). Usually this examination is repeated soon after the operation and the third X-ray is made when the healing process is over.
In most cases, breast lifts will be performed under general anesthesia. Typically, people are requested not to drink, eat and smoke for about six hours before the general anesthesia and may need to stay overnight in the hospital.
Breast lift surgery
Mastopexy usually takes one and a half to three and a half hours. Techniques vary according to the breast lift scar position. The surgeon decides for a breast lift type according to the extent of ptosis and the requested post-operative effect. The size and weight of the patient’s breasts influence the decision.
Periareolar skin resection (around areola): This technique is used by surgeons to treat mild ptosis. An egg-like incision is performed around the areola. The surgeon separates the skin from the underlying tissue and moves it upwards. The method treats the ptosis only in small not too heavy breasts. If the breast was too heavy, the scar would be deformed.
B technique: to treat mild and mild to moderate ptosis. The principle is identical as in periareolar resection but a little side incision is added to the main one. The result is the so-called S-shape scar.
Periareolar resection with vertical incision: Like the previous technique it treats mostly the mild to moderate ptosis. The incision is performed around the nipple and then downwards to the inframammary fold.
Inverted T incision (anchor): This incision is used to perform mastopexy in severe ptosis. The incision is made around the areola and downwards to the inframammary fold and in the fold.
Modification of the nipple-areola complex: It is also a modeling surgery which however includes only the nipple-areola complex. This technique is used to treat inverted nipples, hypertrophy (nipple growth) or the variability and asymmetry of areolas.
Inverted nipple: a genetically influenced anomaly may be also a result of a reductive mastectomy or a tumor. The nipple is pulled into the breast interior. The inverted nipples must be treated not only from the aesthetic reasons but also due to often infections which are the result of difficult hygiene in this place. The therapy is surgical and there are many techniques dealing with the issue. The effort to maintain the nipple function for lactation is balanced by the unreliability of a technique. The most often method include the fixation of nipple with a stitch and silicone drain. The nipple is inverted using the stitch and an incision is made in the lower part. The fixing drain is inserted into the incised tissue. The effect is rather aesthetic. The surgery is performed in out-patients under local anesthesia. The client must count with the nipple function disturbance and therefore in younger women the release of lateral ligaments is recommended. (Inverted nipples)
Nipple hypertrophy: it is a modification of nipple with a growth of tissue either congenital or acquired during the life. There are many techniques which are not demanding unless the young age of the patient requires maintaining the breastfeeding function of the nipple. The incisions may be made across the nipple to narrow it, or a horizontal V-shape incision. The incision may be also performed only from one side. The nipple scarring is minute and the procedure may be performed independently under local anesthesia.
Areola lift: An average areola has 40 x 40 mm in size. The surgery must also consider the underlying muscle which shrinks the areola and may influence the final result. The procedure is performed together with breast lift or as an independent procedure under local anesthesia. The scar is located around the areola from which the excess skin is removed.
Re-operation: The primary dissatisfaction of the patient is not often in breast lift surgeries; much more often the ptosis reappears as the result of time influence. The re-operation is not advised earlier than a year after the first operation. Larger complications and more scarring of breast tissue should be counted with. The incisions may be done in the original scars.
In all cases the incisions and scars are as little visible as possible; always hidden in underwear or swimsuits. Breast lift is also performed in patients who previously underwent the treatment with breast implants. It is often a rather difficult procedure and it often includes the change of implants due to their worse quality.
New nipple placement