Breast Lift

Why is breast lift done?
When is breast lift done?
What types of implants are used in breast lift?
Who are the best candidates for breast lift?
What are the risks and complications associated with breast lift?
What are the preoperative procedures involved in breast lift?
How is breast lift done?
What are the post operative symptoms and procedures in breast lift?
What are the recuperative guidelines to be followed?

Why is breast lift surgery done?
Breast lift surgery is a procedure done to raise and reshape sagging breasts occurring as a result of pregnancy, nursing or the ageing process. It is also possible to

  • reduce the size of the areola and/or
  • increase breast size by having an implant
  • during the procedure.

When is breast lift surgery done?
Breast surgery is done when women have drooping breasts with the nipple below the breast crease.

Who are the best candidates for breast lift?
        • Women with small, sagging breasts as the results may not last as long in heavy breasts.
        • Women with stretched skin and less volume in their breasts as a result of pregnancy and nursing
        • Women who are not planning on a future pregnancy as it is likely to stretch the breast again
        • Women who are physically healthy, psychologically healthy and have realistic expectations from the procedure
        • Women who seek improvement rather than perfection

What are the risks and complications associated with breast lift?
Though risks of complications occur in very rare cases, they may include
        • Bleeding and infection causing scars to widen.
        • Unevenly positioned nipples
        • A permanent loss of feeling in the nipples or breasts

What are the preoperative procedures involved in breast lift?
        • During the initial consultation, a thorough discussion on the expectations of the patient is understood.
        • The breasts are examined and measured in the standing and sitting positions.
        • The various factors affecting the procedure are discussed such as the age, the size and shape of the breasts, and the condition of the skin, necessity of an implant, positioning of the nipple and areola.
        • Photographs are taken for further comparison after procedure.
        • The doctor discusses and advises on options of anaesthesia, implants, type of facilities and cost with the patient.
        • The doctor provides guidelines on eating and drinking, smoking, taking or avoiding certain vitamins and medications
        • The patient must arrange for transportation and assistance to leave for home after the surgery.
        • Depending upon the age and family history, the patient may be required to have a mammogram

How is breast lift surgery done?
        • The patient is given either a local or general anaesthesia before the surgery. If local anaesthesia is to be given, the patient is given a sedative to relax through an intravenous line after which the local anaesthesia is injected to numb the area.
        • Incision 
                - An anchor shaped incision is made along the natural contour of the breast which outlines the area from where the breast skin will be removed and also defines the new location for the nipple.
                - In case of small breasts and minimal sagging, circular incisions are made around the areola, and a doughnut-shaped area of skin is removed.
        • The excess skin is removed, the nipple and areola are moved to the new position and the skin surrounding the areola is brought down together to reshape the breast.
        • Finally the incisions are sutured and the breast bandaged to aid healing. 
The procedure may take 1- 3 hours to complete.

What are the post operative symptoms and procedures in breast lift?
The surgery is mostly done on an outpatient basis except for rare complex cases where a short stay in hospital is required after surgery.
        • The breasts will be bruised, swollen, and uncomfortable for a day or two, though no severe pain will be present. . Medication is prescribed to provide relief from any discomfort.
        • There may be some loss of feeling in the nipples and breast skin, caused by the swelling which fades away within six weeks
        • The breast skin may become dry for which a moisturizer may be applied several times a day.
        • The patient is made to wear an elastic bandage or a surgical bra over gauze dressings
        • The bandages or surgical bra are replaced by a soft support bra after a few days which must be worn throughout for three to four weeks, over a layer of gauze.
        • The stitches will be removed after a week or two.

What are the recuperative guidelines to be followed?
        • The patient is advised not return to work for 1-2 weeks
        • The patient must not lift anything over the head for 3-4 weeks
        • Any unusual symptoms must be reported to the doctor immediately
        • The patient must follow the guidelines charted out by the surgeon regarding returning to normal routine
        • The patient must avoid sex for 1-2 weeks and other strenuous activities or sports for a month.

Though the scars remain lumpy and red for months, they gradually fade to thin white lines.

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