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Mastopexy (Breast Lift)
Mastopexy (Breast Lift)
s surgery that raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour.

Factors, such as, genetics, age, breast feeding, excess weight loss are common causes of dropping breasts. With a breast life, the breasts regain fullness and youthful appearance by removing excess skin and tightening the surrounding tissue.  

A breast lift may be combined with either a breast augmentation or breast reduction depending on the size and the desired fullness of the breast. If the breasts are small and more fullness is desired, breast implants might be used. If the breasts are proportionally too big and cause problems, such as, back pain, bad posture, a breast reduction might be considered. It is best to discuss these options with an experienced surgeon.

Breast Lift Procedure Choices
Beyond this, you may be presented with several incision options based on the size of your breasts, how much they are sagging, and whether you want implants. Here are three of the most common incision patterns:

There are several incision options depending on the size of the breasts, the degree of droopiness, and whether the surgery will be complimented with a breast augmentation. THe traditional breast lift incision pattern in an inverted T, which goes around the areola, down the center of the bottom side of the breast, and along the breast crease.  It is recommended for women with lots of excess skin and when an implant is going to be placed. A vertical incision goes around the areola down the underside of the breast, but it stops at the crease. It is moderate invasive and can be ideal for women with moderate skin laxity and drooping. Circumareolar incision is the least invasive approach and provides good results for women who have smaller breasts and little skin laxity. If breast augmentation is also desired, a saline implant may be placed.  

Breast Lift Procedure Overview
After surgery, a bulky gauze dressing is wrapped around the breasts and chest. Sometimes a surgical bra is used. Pain is controlled by medication, and usually subsides in a day or two. Most patients stay in the hospital for two days. The dressing is replaced by a soft bra within the first week, and it must be worn for several weeks. Generally, the swelling and discoloration around the incisions subside within a few days. There may be temporary loss of sensation in the breast skin and nipples after surgery. This condition improves with time. Within two weeks of surgery, stitches (sutures) are removed.

This procedure is usually performed under general anesthesia (although other sedation/anesthetic options are sometimes available). The surgeon makes the incisions, repositions the underlying breast tissue into the desired position, and places sutures deep in the tissue to hold everything in place. The surgeon also removes any excess skin to create a firmer, smoother breast. The incisions are sutured closed and may be fitted with small draining tubes to allow fluid to escape. These will usually be taken out after a couple of days. Exterior stitches generally come out after about a week.