Breast Lift Surgery

In the course of a woman’s life, the breasts often change in size, shape, contour and position resulting in sagging (ptosis) and loss of breast tissue elasticity. These changes can be exacerbated by pregnancy, breast feeding, aging, weight fluctuations, genetics and gravity.

Breast lift surgery (mastopexy) is a cosmetic surgical procedure to correct the size, contour and position of sagging breasts. This surgical procedure involves removing excess tissues (skin, fat and breast tissues), reshaping surrounding breast tissue and repositioning the nipple-areola complex to create new youthful and uplifted breasts. Breast lift surgery does not significantly change the size or create fuller upper part of the breasts. In order to achieve fuller breasts, combination of breast lift and augmentation surgery can be performed. Likewise, if smaller breasts are desirable, breast lift and reduction surgery may be considered.

There are a variety of techniques for breast lift surgery. The selection of appropriate techniques and incision patterns are determined by:

  • Breast size and shape
  • The size and position of the nipple-areola complex
  • The degree of breast sagging
  • Skin quality and elasticity as well as the amount of extra skin

The common incision patterns for breast lift surgery are:

  • Periareolar incision: around the areola incision
  • Lollipop incision: around the areola and vertically down from the areola to the breast crease
  • Anchor incision: around the areola, vertically down from the breast crease and horizontally  along the breast crease

Following the incision made, the breast is reshaped by:

  • Lifting and reshaping the underlying breast tissue to improve breast contour and firmness
  • Repositioning the nipple and areola to a natural, more youthful height
  • Reducing the enlarged areolas (if necessary) by excising skin at the perimeter
  • Removing excess breast skin to compensate for loss of breast tissue elasticity

Ideal candidates for breast lift surgery 

  • Loss of breast shape and breast sag after pregnancy, weight loss, or with aging
  • Breasts that are flatter, elongated shape or are pendulous
  • Unsupported breasts (without bra), the nipples fall below the breast crease
  • Nipples and areolas pointing downward
  • Stretched skin around the breasts and enlarged areolas
  • Unequal position of the breasts
  • Healthy individuals who do not have medical conditions that can impair healing or increase risk of surgery
  • Individuals with a positive outlook and realistic expectations
  • Non-smokers

Preoperative evaluation for breast lift surgery

Communication is vital in order to achieve the patient’s goals. During the initial consultation, patients will have the opportunity to discuss their goals and desirable results with the plastic surgeon. The plastic surgeon will work closely with the patients to reach an agreement about the expectations from the surgical procedures involved and their long term benefits.  Every patient is different, therefore a specific treatment regimen is planned to suits an individual’s need. The preoperative evaluation for breast lift surgery includes:

  • Discussion about patients’ expectations and desired outcome
  • Medical conditions, drug allergies and previous medical or surgical treatment
  • Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
  • Discussion on anaesthesia and its risks
  • Physical examination
  • Breast examination including detailed measurements of their size and shape, skin quality, placement of nipples and areolas
  • Photography for preoperative and postoperative evaluation

Preparation for breast lift surgery

  • Get laboratory testing or a medical evaluation
  • Get a baseline mammogram before surgery and  after surgery to help detect any future changes in the breast tissue
  • Adjust medications if for certain medical conditions
  • Stop smoking and alcohol well in advance before the scheduled date for surgery
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements before surgery
  • Special instructions will be given on the day before and after surgery

The risks and safety information on breast lift surgery 

It is important for patients to understand that every surgical procedure has its own complications and down time. However, if a patient is assessed properly before the surgery and postoperative care is given adequately, these risks can be eliminated or reduced.

Some of the common risks of breast lift surgery:

  • Infection
  • Bleeding
  • Poor wound healing
  • Wound breakdown
  • Skin discoloration
  • Swelling due to blood clot or fluid accumulation
  • Fluid accumulation
  • Unfavourable scarring (hypertrophy or keloidal scar)
  • Temporary numbness or changes in the skin sensation around the nipple or breast
  • Breast contour and shape irregularities
  • Excessive firmness of the breast
  • Potential partial or total loss of nipple and areola
  • Asymmetry
  • Injury to deeper structures such as nerves, blood vessels or muscles
  • Possibility of revision surgery
  • Anaesthesia risks

Postoperative expectations

After the surgery, temporary dressings or bandages are applied to the incision sites. Small tubes may be temporarily placed under the skin for 24-48 hours to remove any excess blood or fluid that may be collected after the surgery. During the first 2-3 days, there may be discomfort, swelling, bruises and tightness around the breasts. Once the tubes and temporary dressings are removed, patient is advised to wear sports bra (for 4-6 weeks) to minimize the swelling and support the breasts during the healing phase. It is advisable to avoid strenuous activities such as heavy weight lifting or strenuous exercise for the first 4-6 weeks after the surgery. However, light physical and social activities can be resumed 7-10 days after the surgery. Oral antibiotics and analgesics will be prescribed to reduce the risk of infection and postoperative pain respectively. Stitches will be removed 7-14 days after the surgery. The symptoms of discomfort, swelling, bruises and tightness around the breasts may disappear completely about 3-4 weeks after the surgery but the breasts may gradually take several months or a year to soften and feel more natural.

Postoperative care

  • Regular application of antibiotic ointment and cleaning the operated areas for the first 1 week after the surgery
  • Bed rest with arms elevated to reduce swelling
  • Avoid  excessive arm movement or weight lifting for the first 4-6 weeks after surgery
  • Arm movement should be limited for up to 4-6 weeks following the surgery
  • Wear sport bra (no underwire bra) for 4-6 weeks after the surgery
  • Regular use of scar gel and massage after the surgery to improve the scar and breast shape

How much will a breast lift surgery cost?

Cost is always a consideration in elective surgery. The cost of breast lift surgery can vary widely.

The cost of breast lift surgery may include:

  • Surgeon’s fee
  • Hospital or surgical facility costs
  • Anaesthesia fees
  • Medical tests and x-rays
  • Breast implants (optional, if breast augmentation surgery is performed)
  • Prescriptions for medication

Breast lift surgery is a cosmetic surgical procedure and most of the health insurance companies do not cover cosmetic surgeries or their complications.