Breast Reshaping

Breasts may lose elasticity and sag over time because of age, pregnancy and weight changes. Breast lift, or mastopexy, is surgery to lift, reshape and tighten them. It can also improve asymmetry and other imperfections. Breast lift can be combined with breast augmentation or reduction. Results are noticeable immediately, but there are risks.

What is a Breast Lift?

A breast lift, also known as mastopexy, is a surgical procedure designed to enhance the shape and appearance of the breasts. During mastopexy, a plastic surgeon can:

  • Elevate the breasts higher on the chest.
  • Achieve better symmetry between the breasts.
  • Reduce the size of the areola (the darkened area surrounding the nipple) and reposition it to face forward.
  • Remove excess skin that may have stretched over time.
  • Reshape the breast for a more rounded appearance.
  • Tighten breast tissue for improved support of the nipples and areolas.

Why Consider Breast Lift Surgery?

As we age, the breasts may lose their elasticity, leading to sagging or drooping. Factors contributing to this change include:

  • Aging
  • Breastfeeding
  • Genetic predisposition to sagging
  • Gravity
  • Pregnancy
  • Significant weight loss

Mastopexy can restore a firmer, more youthful appearance to the breasts and address concerns such as:

  • Downward-facing areolas
  • Uneven or asymmetrical breasts
  • Nipples pointing in different directions

Will a Breast Lift Change Breast Size?

While a breast lift primarily focuses on lifting and reshaping, it does not inherently change breast size. However, many individuals opt to combine the procedure with breast augmentation (implants) for increased volume or breast reduction for smaller size.

Cost of a Breast Lift in Pakistan

Typically, cosmetic surgeries, including breast lifts, are not covered by health insurance. It is advisable to consult your insurance provider for specific coverage details and discuss the potential costs with your healthcare provider.

Procedure Details

Pre-Surgery Consultation

Before undergoing mastopexy, you will have a consultation with a qualified plastic surgeon. This meeting will cover:

  • Your aesthetic goals
  • Medical history, including any health conditions, allergies, previous surgeries, and mammogram results
  • Family history of breast cancer
  • Current medications, including blood thinners and supplements
  • Lifestyle factors such as smoking and alcohol consumption

Your surgeon will conduct a physical examination, measure your breasts, and mark areas for surgical reference. They will also explain anesthesia options and the associated risks of the procedure. If you decide to proceed, you will be required to sign a consent form.

Preoperative Instructions

Prior to surgery, your surgeon may request that you:

  • Undergo blood work or a physical examination with your primary care provider
  • Get a mammogram
  • Cease smoking and the use of tobacco products
  • Stop taking certain medications (like aspirin and NSAIDs)

What Happens During Mastopexy?

Breast lift surgeries are typically performed in a surgical center or hospital and last about one to two hours, depending on the extent of the procedure. The surgical team will:

  1. Provide you with a hospital gown.
  2. Position you on a surgical table.
  3. Administer anesthesia for pain control.
  4. Clean and prepare the surgical area.
  5. Mark your skin for incision placement.
  6. Create incisions around the areola, and potentially downward or outward, depending on the surgical approach.
  7. Reshape and reposition breast tissue and excess fat.
  8. Lift the areola and nipple to a higher position.
  9. Remove excess skin as necessary.
  10. Close incisions and apply bandages or a surgical bra for support during recovery.

Incision Types

The type of incision your surgeon recommends will depend on:

  • Your breast size and shape
  • Skin elasticity
  • Degree of sagging
  • Areola size and placement

Common incision types include:

  • Crescent: A half-circle along the top half of the areola, generally used for minimal sagging.
  • Donut: Circles the entire areola.
  • Vertical or Lollipop Lift: Circles the areola and then runs vertically down to the breast crease.
  • Inverted T or Anchor: Circles the areola, then runs vertically down to the breast crease and horizontally along the crease.

Scarring

While scars from mastopexy may be visible, they are often hidden within the natural contours of the breast and along the edges of the areolas. Scarring will fade over time but may remain permanent.

Post-Surgery Care

Most patients can return home the same day as the procedure, but it’s advisable to have someone accompany you. You may have a thin drain near the incision to prevent fluid buildup. Recovery instructions may include:

  • Caring for drains and changing bandages.
  • Limiting arm movement and sleeping on your back.
  • Reporting any complications to your healthcare provider.
  • Wearing a specialized bra to support the breasts.

What to Expect During Recovery

Post-surgery, expect some discomfort, swelling, and bruising, with symptoms generally improving within two weeks. Incisions may take several months to heal fully.

Returning to Activities

Your surgeon will provide tailored guidance on resuming work and daily activities. Many individuals can return to light work and gentle activities within a week, while more vigorous activities should be avoided for up to six weeks.

Longevity of Results

The results of a breast lift can last for several years; however, normal aging, weight fluctuations, and potential pregnancies can impact the results over time.

When to Contact Your Surgeon

Your surgical team will schedule follow-up appointments to monitor your recovery. Contact your healthcare provider immediately if you experience any of the following:

  • Redness, warmth, or swelling in either breast
  • Excessive bleeding or drainage from the incision site
  • Chest pain or dizziness
  • Fever over 100.5 degrees Fahrenheit
  • Severe pain not alleviated by medication
  • Nausea or vomiting