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 Often, pregnancy or nursing stretches breast skin, causing breasts to sag or become pendulous. Excessive weight gain or loss or the natural aging process can also take its toll. But there is no reason for a woman to hide behind a droopy bust line. Breast lift, or mastopexy, can take years off a woman's body by creating a firmer, and tighter bust line and more voluminous breasts.
During breast lift surgery Dr. Citron trims away excess tissue and skin, and remaining tissue and skin are tightened and lifted. In some cases, the areola is reduced in size, making it more proportionate to the reshaped breasts. Breast lift, which is often performed in conjunction with breast augmentation, is not permanent; gravity, age, and additional pregnancies can affect results over time, but effects are still very satisfying for the vast majority of patients.
Am I a good candidate for a breast lift?
You may be a good candidate for breast lift surgery if you have one or more of the following conditions:
- breasts that are pendulous, but of satisfactory size
- breasts that lack substance or firmness
- nipples and areolas that point downward, especially if they are positioned below the breast crease
A breast lift can be performed at any age, but plastic surgeons usually recommend waiting until breast development has stopped. Pregnancy and breast-feeding may have significant and unpredictable effects on the size and shape of your breasts. Nevertheless, many women decide to undergo breast lift surgery before having children and feel that they can address any subsequent changes later. Since the milk ducts and nipples are left intact, breast lift surgery usually will not affect your ability to breast-feed; however, you should discuss this with your plastic surgeon.
Where are the incisions placed?
A common method of lifting the breasts involves three incisions. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision is horizontal beneath the breast and follows the natural curve of the breast crease.
After the plastic surgeon has removed excess breast skin, the nipple and areola are shifted to a higher position. The areola, which in a sagging breast may have been stretched, can be reduced in size. Skin that was formerly located above the areola is brought down and together beneath it to reshape the breast. The nipples and areolas remain attached to underlying mounds of tissue, and this usually allows for the preservation of sensation and the ability to breast-feed.
When can I resume my normal activities?
After breast lift surgery, it is often possible to return to work within a week or so, depending on your job. In many instances, you can resume most of your normal activities, including some form of mild exercise, after several weeks. You may continue to experience some mild, periodic discomfort during this time, but such feelings are normal. Severe pain should be reported to your doctor.
Any sexual activity should be avoided for a minimum of one or two weeks, and your plastic surgeon may advise you to wait longer. After that, care must be taken to be extremely gentle with your breasts for at least the next several weeks.
How long will the results last?
Unless you gain or lose a significant amount of weight or become pregnant, your new breast shape should remain fairly constant. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman's breasts. If, after a period of years, you again become dissatisfied with the appearance of your breasts, you may choose to undergo a second breast lift procedure to restore their more youthful contour and appearance.
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