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Breast Lift (Mastopexy)

What is a Breast Lift (Mastopexy)?

A Breast Lift, medically known as Mastopexy, is a surgical procedure that raises the position of the breasts by removing excess skin and tightening the surrounding tissue. This procedure alters breast positioning and shape without significantly changing breast size unless combined with the removal of excess tissue. Mastopexy addresses ptosis, a condition where the breasts sit lower on the chest due to factors such as pregnancy, weight fluctuations, or natural changes over time.

During the procedure, the surgeon makes carefully placed incisions around the areola and, in some cases, vertically down to the breast fold and along it to remove excess skin and reshape the breast tissue. The nipple may also be repositioned to align with the adjusted breast shape. This procedure is suitable for patients who have experienced changes in breast volume due to pregnancy, breastfeeding, weight loss or ageing. A breast lift does not increase or decrease breast size but focuses on adjusting shape and positioning.

Beyond cosmetic considerations, a Breast Lift (Mastopexy) may also address physical discomfort in cases where breast position contributes to strain on the neck, shoulders, or back. Repositioning the breast tissue and adjusting excess skin may help alleviate some of these concerns. For patients seeking both a lift and a change in breast volume, a breast implant or fat transfer can be combined with the procedure. The decision to undergo a Breast Lift (Mastopexy) is based on individual factors, with each patient considering options that align with their physical concerns and personal preferences.

Different Methods of Performing Breast Lift (Mastopexy)

The traditional Breast Lift (Mastopexy) method, also known as the anchor technique, involves three incisions: around the areola, vertically down the breast, and along the breast fold. This approach is suitable for patients with significant ptosis, where the breasts have shifted lower on the chest due to changes in skin and tissue over time. The procedure involves removing excess skin and reshaping the breast tissue to adjust breast position and proportions. The nipple is also repositioned to align with the new breast shape.

This method involves longer incisions, which result in more visible scarring compared to other techniques. However, the scars are positioned in areas that can be covered by clothing. The anchor technique is suitable for patients who have experienced changes in breast shape due to factors such as pregnancy, weight fluctuations, or ageing, as it allows for more extensive adjustments to breast structure and positioning.

The vertical Breast Lift (Mastopexy), also known as the lollipop technique, involves two incisions: one around the areola and a vertical incision extending from the areola to the breast fold. This method is suitable for patients with moderate ptosis, where the breasts have shifted lower on the chest due to changes in skin and tissue over time. The vertical technique removes less skin than the traditional anchor method but still allows for reshaping of the breast tissue and repositioning of the nipple. This approach uses a different incision pattern than the anchor technique and does not include a horizontal incision along the breast fold.

This method is suitable for patients who do not require extensive adjustments but still need changes to breast position. The vertical Breast Lift (Mastopexy) allows for reshaping while minimising scar visibility, making it an option for those seeking structural adjustments without additional incisions. While the level of tissue adjustment differs from the anchor technique, this method provides noticeable changes in breast positioning and proportions.

The peri-areolar incision technique is used for women who usually require a very minor lift, solely moving the nipple and areola higher. Similar to the above, not when extensive adjustments are required. This method is generally suitable for repositioning the nipple-areola complex by approximately 2 cm when minor lifting is needed

Aftercare and Recovery

The recovery process following Breast Lift (Mastopexy) surgery involves a period of rest and careful monitoring to support proper healing. Swelling and discomfort are common in the initial days and can be managed with prescribed pain medication. A surgical bra or compression garment is typically worn to provide support and minimise swelling. Patients are advised to rest and avoid strenuous activities, particularly lifting, in the early stages of recovery. Light activities may be resumed within a week or two, but more physically demanding movements, including heavy lifting and intense exercise, should be avoided for at least 4–6 weeks to allow for adequate healing.

Follow-up appointments are scheduled to monitor healing and assess how the breasts are adjusting to their new position. Swelling and bruising will gradually subside over the first few weeks, but it may take several months for the tissues to fully settle. Patients are encouraged to follow all post-operative care instructions to reduce the risk of complications and support proper recovery. While healing times vary, final changes in breast shape and positioning become more noticeable as the body adjusts over time.

Risks

As with any surgical procedure, Breast Lift (Mastopexy) surgery carries certain risks, including:

It is important for patients to discuss these risks with Dr Maree Kekeff during the consultation to ensure they are fully informed and prepared for the procedure. Every surgical procedure carries potential risks, and understanding these complications allows patients to make an informed decision based on accurate and comprehensive information.

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