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There are different techniques that are used for breast lifts. A common method of lifting the breast involves three separate incisions. One incision is made around the areola, another vertical incision runs from the bottom edge of the areola to the crease under the breast, and the third incision is horizontal from beneath the breast and follows the natural curve of the breast crease.
Breast lift surgery can vary in the design of the incisions. Size and shape of your breasts, size of your areolas, and extent of the sagging are some of the factors that will help the plastic surgeon determine the best technique for the patient. Sometimes the horizontal incision beneath the breast can be avoided and the vertical incision can be avoided in other techniques. The plastic surgeon will discuss modified techniques if you are a candidate for it.
The surgeon removes the excess breast skin
and then shifts the nipple and areola to a
higher position. The areola can also be
reduced in size. The skin that had been
located above the areola is brought down and
together beneath it. Sensation is preserved
because the nipples and areolas remain
attached to underlying mounds of tissue,
which also allows the ability to
breast-feed.
Surgery is performed with a general
anesthetic in most cases. Gauze or other
dressings may be placed on your breasts and
covered with an elastic bandage or surgical
bra after the surgery. Normally you are
allowed to go home within a few hours after
the breast lift.
Recovery
The day following the breast lift it is
advised to get out of bed for short periods
of time. After several days you will be able
to move about more comfortably. Activities
that can cause increased swelling or
bleeding, like straining, bending, and
lifting. Less sensation in the nipple and
areola areas may result but is usually just
temporary. It can take up to a year for
sensation to return to normal and for a more
natural shape to occur.
One week after a breast lift is normally
enough time to return to work. Mild forms of
exercise can resume after several weeks.
Though there will be periodic discomfort
during this time, these feelings are normal.
Sexual activity should be avoided for a
minimum of 1-2 weeks, but some surgeons may
advise a longer period of time.
Breast lifts should last and remain constant. Significant weight fluctuations, pregnancy, and aging can affect the shape of the breasts. Incisions from the surgery heal and fade over time. The incision lines eventually become faint lines, but the appearance of the lines vary. Since the breast lift incisions are located low on the breasts they are easily concealed by low-cut necklines.
Complications
Possible breast lift complications can
include bleeding, infection, and reactions
to anesthesia. Breasts may not be perfectly
symmetrical or nipple height may vary
slightly following a breast lift.
Adjustments can be made at a later time.
Permanent loss of sensation in the nipples
or areas of breast skin occurs, though very
rarely. Some incisions may heal poorly after
breast lifts.
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