How Is a Breast Lift Performed?

Basics

A breast lift, also known as a mastoplexy, is a procedure used to shape and lift the breasts by removing excess skin and fat and tightening the remaining skin to shape the contour of the breast. Women often look to a breast lift for rejuvenation of a youthful silhouette following weight loss or pregnancy or just to fight gravity that happens during the aging process. A breast lift also can reduce the size of an enlarged areola. Breast size is not increased and enhanced cleavage does not typically occur as the result of a mastoplexy. Implants or breast augmentation is required to increase breast size.

Procedure

A breast lift is done under general anesthesia or intravenous sedation in a hospital or cosmetic surgeon's office equipped with a surgical suite. An incision is made around or below the areola and downward through the underside of each breast. The cut continues along the crease of each breast. The doctor manipulates the underlying breast tissue to a higher area and repositions the nipple so that it is higher on the breast and not pointing downwards. Excess skin is cut off and the incisions are closed. The skin is tightened as the surgeon sews the breast back together and sutures are placed deep in the breast tissue to hold the breast up for a longer period of time. Scars are usually hidden under the breasts, although some light scarring may be seen on top of the breast.

Risks

As with any surgery, there are always risks that include a reaction to anesthesia, infection and excessive bleeding. Nerves may be altered so that feeling is not fully restored to the breast. Scarring can be worse than expected and the shape of each breast may turn out to be noticeably different. Blood clots, pain and allergies can arise as well as discoloration or disintegration of the nipple. The best prevention against adverse side effects is to thoroughly check out the surgeon and the facility where the procedure will take place. Ask for and follow up on references.

Recovery

Follow instructions after surgery and do not place any excessive force on the tender breast incisions for at least three weeks. Immediately return to the hospital if you experience heart palpitations or shortness of breath. Over-the-counter pain relievers are usually enough to manage any discomfort. As the breast tissue settles, you will have a better idea of how they will look in the long run. The effects of a breast lift should last a lifetime as long as proper weight and exercise is maintained.

References

• American Society of Plastic Surgeons

Resources

• Consumer guide to plastic surgery