Breast Lift

(Mastopexy)
  • Definition

    A breast lift is a cosmetic surgery of the breast. The procedure involves tightening of the breast tissue and removal of excess skin and surrounding tissue to reshape and support the breast.
    Cosmetic Surgery of the Breast
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  • Reasons for Procedure

    A breast lift is done to raise and firms the breasts. It is often done to counteract changes caused by:
    • Pregnancy
    • Breastfeeding
    • Changes in body weight
    • The aging process
  • Possible Complications

    Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
    • Excess bleeding
    • Reaction to anesthesia
    • Infection
    • Poor healing of incisions
    • Changes in nipple or breast sensation
    • Breast shape irregularities
    • Breasts that are not the same in size or appearance
    • Changes in skin color
    • Damage to surrounding structures, such as nerves
    • Fluid build up
    • Blood clots
    • Pain
    • The need for future procedures
    • Failure to meet expectations
    Smoking may increase the risk of complications.
    This is an elective procedure. If you have any illnesses or you are in poor health, you should not have this procedure.
    Talk to your doctor about these risks before the procedure.
  • What to Expect

    Prior to Procedure
    Before your procedure, your doctor will:
    • Do a physical exam, including a careful breast exam
    • Take blood tests
    • Ask if you have a family history of breast cancer or if you have had abnormal mammograms or biopsies
    • Order a mammogram
    • Talk to you about your expectations regarding the outcome of your surgery
    • Take photographs for comparison after surgery
    • Ask you about any medications, herbs, or supplements that you are taking.
    Leading up to your procedure:
    • Arrange for a ride to and from the procedure.
    • Arrange for help at home after returning from the hospital.
    • Avoid eating and drinking beginning at midnight the night before the procedure.
    • You may be asked to shower the morning of the procedure. You may be given special antibacterial soap to use.
    You may need to stop taking some medicines up to one week before the procedure, like:
    • Nonsteroidal anti-inflammatory drugs, such as ibuprofen and naproxen
    • Blood thinners
    • Anti-platelet medications
    Anesthesia
    Local anesthesia may be used, but general anesthesia is usually used. With general anesthesia, you will be asleep. With local anesthesia, the selected area will be numbed.
    Description of the Procedure
    This procedure is usually done in an outpatient setting with no need for an overnight stay.
    An incision will be made. Your surgeon will choose the incision pattern. The underlying breast tissue will be lifted and reshaped. The nipple and areola will be repositioned. The areolas may be reduced in size. Excess breast tissue will be removed. The remaining skin will be tightened and the incision will be closed with stitches, skin adhesives, and/or surgical tape. A small, thin tube may be temporarily placed under the skin to drain fluids.
    How Long Will It Take?
    About three hours
    Will It Hurt?
    Anesthesia prevents pain during surgery. You may have some bruising and tenderness around the breasts for several weeks after surgery. Talk to your doctor about medication to help manage the pain.
    Post-procedure Care
    To help your recovery, your doctor may recommend:
    • A special bra or bandage to put pressure on the breasts to help support your breasts and decrease the chance of bleeding.
    • Pain medication or be advised to take an over-the-counter pain medication.
    • Follow your doctor’s instructions on cleaning the incision site.
    • Ask your doctor about when it is safe to shower, bathe, or soak in water.
    • Follow your doctor’s instructions regarding physical activity.
    • Be sure to follow your doctor’s instructions.
  • Call Your Doctor

    Call your doctor if any of these occurs:
    • Signs of infection, including fever and chills
    • Redness, swelling, increasing pain, excessive bleeding, or discharge at the incision site
    • Discoloration in either breast
    • Nausea and/or vomiting that you cannot control with the medications you have been given or which lasts for more than two days after you leave the hospital
    • Pain that you cannot control with the medications you have been given
    • Pain and/or swelling in your feet, calves, or legs
    If you have an emergency, call for medical help right away.
  • RESOURCES

    American Society of Plastic Surgeons http://www.plasticsurgery.org

    The American Society for Aesthetic Plastic Surgery http://www.surgery.org

    CANADIAN RESOURCES

    The Canadian Society of Plastic Surgeons http://www.plasticsurgery.ca

    Canadian Society for Aesthetic Plastic Surgery http://csaps.ca

    References

    Breast lift. The American Society for Aesthetic Plastic Surgery website. Available at: http://www.surgery.org/consumers/procedures/breast/breast-lift. Accessed December 4, 2013.

    Breast lift (mastopexy). University of Michigan website. Available at: http://surgery.med.umich.edu/plastic/patient/adult%5Fprocedures/breastlift/. Accessed December 4, 2013.

    Breast lift surgery. American Society of Plastic Surgeons website. Available at: http://www.plasticsurgery.org/cosmetic-procedures/breast-lift.html. Accessed December 4, 2013.

    Mastopexy. The American Society of Bariatric Plastic Surgeons website. Available at: https://www.asbps.org/mastopexy.php. Accessed December 4, 2013.

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