Breast Lift (Mastopexy)
A breast lift or “mastopexy” procedure is performed to raise and reshape sagging breasts. The procedure can also reduce the size of the areola (the darker skin around the nipple). An augmentation procedure can be done at the same time if you wish larger breasts.
Many patients after breastfeeding lose breast volume and wish to have this replaced. If only a small amount of sagging is present, a breast augmentation procedure alone may be all that is necessary. If your breasts are very large, a breast reduction procedure can be performed at the same time.
At the initial consultation, it is important to discuss what exactly you are wanting in regards to nipple position and breast size. We will examine your breast to assess the tone of your skin, areolar size, and quality of your breast tissue. If you are 35 years old or older you should have had a recent mammogram prior to surgery. Providing photos of the look you want to achieve is helpful.
The surgery is performed under a general anesthetic and usually takes about 2 to 3 hours. After the surgery, you will recover for 1 to 2 hours before you go home. Incision options include around the areola (round block), around the areola and a vertical incision (known as the lollipop), and the last is around the areola with a vertical incision and an incision in the fold of the breast (known as the anchor). Your doctor will discuss these options at the time of your consultation.
Day of Surgery
You will spend 1-2 hours in the Recovery Room. Bring a pillow to place between you and the seat belt. Wear a shirt that buttons or zips up the front to allow easier dressing. A family member or friend will need to drive you home. Sleep with your head and shoulders elevated to reduce swelling.
Day 1 After Surgery
It is not uncommon to notice drainage from your incision. You may resume light activity. You may notice more pain and swelling on one side. Asymmetry during the healing process is normal.
Days 2-7 After Surgery
Shower today but do not remove the incision tape. You may wear a front closure sports bra while laundering the surgical bra. Tapering off of the pain medication usually begins by day 4 or 5. A 1 week post op appointment should be made.
After 1st Week
Pain and swelling improve. You may return to work and light activities. Steri strips will begin to come off the second week after surgery. Cardio exercise may begin at the 2nd week but avoid arm exercises.
After 1st Month
After this visit, you will have no restrictions after 6 weeks. Swelling will continue to decrease.
A breast lift procedure will give your breasts a much more youthful appearance. The nipple will be elevated and excess skin removed making the breasts feel firmer. Decreased nipple sensation should be expected, but this resolves in most patients in several months.