A breast lift, also known as mastopexy, is a surgical process that involves raising the breasts by the removal of excess skin and tightening the surrounding tissue to reshape and support the new breast contour. Sometimes when the nipple becomes enlarged over time, a breast lift surgery will address this issue as well, for women with breasts that have lost their youthful shape and firmness due to changes and loss of skin elasticity resulting from pregnancy, breastfeeding, ageing, gravity, etc.
Therefore, the realignment and reconstruction of the nipple and breast to correct loose breast tissues that are compressed and compacted to produce firm, perky, great-looking breasts can be achieved through our expert surgeons at Beverly Wilshire here in Kuala Lumpur.
Prior to surgery, you may be asked to:
- Get lab testing or a medical evaluation
- Take certain medications or adjust your current medications
- Get a baseline mammogram before surgery and another one after surgery to help detect any future changes in your breast tissue
- Stop smoking well in advance of surgery
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
Special instructions you receive will cover:
- What to do on the day of surgery
- Post-operative care and follow-up
What happens during breast lift surgery?
Your breast lift surgery can be achieved through a variety of incision patterns and techniques. The appropriate technique for you will be determined based on:
- Breast size and shape
- The size and position of your areolas
- The degree of breast sagging
- Skin quality and elasticity as well as the amount of extra skin
Step 1 – Anaesthesia
Medications are administered for your comfort during the surgical procedure. This procedure is done under General Anesthesia.
Step 2 – The incision
Incision is made; the type of incision will be described upon consultation with the surgeons. There are three common incision patterns:
- Around the areola.
- Around the areola and vertically down from the areola to the breast crease.
- Around the areola, vertically down from the breast crease and horizontally along the breast crease.
Step 3 – Reshaping your breasts
After your doctor makes the incisions:
- The underlying breast tissue is lifted and reshaped to improve breast contour and firmness.
- The nipple and areola are repositioned to a natural, more youthful height
- If necessary, enlarged areolas are reduced by excising skin at the perimeter.
- Excess breast skin is removed to compensate for a loss of elasticity.
Step 4 – Closing the incisions
After your breasts are reshaped and excess skin is removed, the remaining skin is tightened as the incisions are closed. Some incision lines resulting from breast lift are concealed in the natural breast contours; however, others are visible on the breast surface. Incision lines are permanent, but in most cases will fade and significantly improve over time. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts. Sutures, skin
adhesives and/or surgical tape may be used to close the skin.
Step 5 – See the results
The results of your breast lift surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for breasts which have been restored to a more youthful and uplifted position.
The decision to have breast lift surgery is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable. Your plastic surgeon will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.
The risks include:
- Unfavorable scarring
- Bleeding (hematoma)
- Poor healing of incisions
- Changes in nipple or breast sensation, which may be temporary or permanent
- Anesthesia risks
- Breast contour and shape irregularities
- Skin discoloration, permanent pigmentation changes, swelling and bruising
- Damage to deeper structures – such as nerves, blood vessels and muscles – can occur and may be temporary or permanent
- Allergies to tape, suture materials and glues, blood products, topical preparations or injected agents
- Breast asymmetry
- Fatty tissue deep in the skin could die (fat necrosis)
- Fluid accumulation
- Excessive firmness of the breast
- Potential partial or total loss of nipple and areola
- Deep vein thrombosis, cardiac and pulmonary complications
- Blood clots
- Pain, which may persist
- Possibility of revisional surgery