What is breast lift surgery?
Commonly referred to as a breast lift or boob lift, mastopexy surgery raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour.
Enhancing your appearance with a breast lift
A woman's breasts often change over time, losing their youthful shape and firmness. These changes and loss of skin elasticity can result from:
- Weight fluctuations
Sometimes the areola becomes enlarged over time, and a breast lift will reduce this as well. A breast lift can rejuvenate your figure with a breast profile that is youthful and uplifted.
What breast lifts don't do
Breast lift surgery does not significantly change the size of your breasts or round out the upper part of your breast. If you want your breasts to look fuller, consider breast lift and augmentation surgery. If you want smaller breasts, consider combining breast lift and reduction surgery.
Is it right for me?
Breast lift surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image.
A breast lift is a good option for you if:
- You are physically healthy and maintain a stable weight
- You do not smoke
- You have realistic expectations
- You are bothered by the feeling that your breasts sag, have lost shape and volume
- Your breasts have a flatter, elongated shape or are pendulous
- When unsupported, your nipples fall below the breast crease
- Your nipples and areolas point downward
- You have stretched skin and enlarged areolas
- One breast is lower than the other
The success and safety of your breast lift procedure depends very much on your complete candidness during your consultation. You’ll be asked a number of questions about your health, desires and lifestyle.
Be prepared to discuss:
- Why you want the surgery, your expectations and desired outcome
- Medical conditions, drug allergies and medical treatments
- Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
- Previous surgeries
- Family history of breast cancer and results of any mammograms or previous biopsies
Your mastopexy surgeon may also:
- Evaluate your general health status and any pre-existing health conditions or risk factors
- Examine your breasts, and may take detailed measurements of their size and shape, skin quality, placement of your nipples and areolas
- Take photographs for your medical record
- Discuss your options and recommend a course of treatment
- Discuss likely outcomes of breast lift surgery and any risks or potential complications
- Discuss the use of anesthesia during your breast lift
Before mastopexy 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
Your plastic surgeon will also discuss where your procedure will be performed. Breast lift surgery may be performed in an accredited office-based surgical center, outpatient / ambulatory surgical center, or a hospital.
You’ll need help
If your breast lift is performed on an outpatient basis, be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.
The decision to have surgery is extremely personal and you'll have to decide if the benefits will achieve your goals and if breast lift risks and potential complications are acceptable.
Your plastic surgeon and/or staff 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:
- An unfavorable breast lift scar
- 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, muscles, and lungs - 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
You should know that:
- Breast lift surgery can interfere with diagnostic procedures
- Breast and nipple piercing can cause an infection
- Breast lift surgery does not normally interfere with pregnancy, but if you are planning to have a baby, your breast skin may stretch and offset the results of mastopexy and you may have more difficulty breastfeeding after this operation
Where will my surgery be performed?
A breast lift procedure may be performed in your plastic surgeon's accredited office-based surgical facility, an ambulatory surgical facility or a hospital. Your plastic surgeon and the assisting staff will fully attend to your comfort and safety.
When you go home
If you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment.
The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.
Following your physician's instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing to minimize the chances of breast lift scarring. Your doctor will give you specific instructions on how to care for yourself.
Be sure to ask questions: It's very important to ask your plastic surgeon questions about your breast lift procedure. It's natural to feel some anxiety, whether it's excitement for your anticipated new look or a bit of preoperative stress. Don't be shy about discussing these feelings with your plastic surgeon.
What happens during breast augmentation surgery?
Step 1 - Anesthesia
Medications are administered for your comfort during breast augmentation surgery. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
Step 2 - The incision
Incisions are made in inconspicuous areas to minimize visible scarring. You and your plastic surgeon will discuss which incision options are appropriate for your desired outcome. Incision options include:
Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference.
Step 3 - Implant choice: Silicone breast implants or saline breast implants?
Breast size and shape are important, so be honest and open about your expectations when talking with your surgeon.
Implant type and size will be determined not just on your desired increase in size but more importantly on your breast anatomy, skin elasticity and body type.
Options for Breast Implants
Saline breast implants are filled with sterile salt water. They can be filled with varying amounts of saline which can affect the shape, firmness and feel of the breast. Should the implant shell leak, a saline breast implant will collapse and the saline will be absorbed and naturally expelled by the body.
Silicone breast implants are filled with an elastic gel. The gel feels and moves much like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket.
A leaking implant filled with silicone gel may not collapse. If you choose these implants, you may need to visit your plastic surgeon regularly to make sure the implants are functioning properly. An ultrasound or MRI screening can assess the condition of breast implants.
Implant manufacturers occasionally introduce new styles and types of implants, so there may be additional options available.
Currently Saline breast implants are FDA-approved for augmentation in women 18 years of age and older.
Currently Silicone breast implants are FDA-approved for augmentation in women 22 years of age and older.
Saline or silicone implants may be recommended at a younger age if used for reconstruction purposes.
Step 4 - Inserting and placing the breast implant
After the incision is made, a breast implant is inserted into a pocket either:
- Under the pectoral muscle (a submuscular placement), or
- Directly behind the breast tissue, over the pectoral muscle (a submammary/ subglandular placement)
The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, your body type, and your surgeon’s recommendations.
Step 5 - Closing the incisions
Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive or surgical tape to close the skin. Over time the incision lines will fade.
Step 6 - See the results
The results of breast augmentation 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 fuller breasts.
After your breast lift procedure is completed, dressings or bandages will be applied to the incisions. You’ll need to wear an elastic bandage or support bra to minimize swelling and support your breasts as they heal.
A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect after breast lift surgery.
You will be given specific instructions that may include:
How to care for your breasts following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, and when to follow-up with your plastic surgeon.
Be sure to ask your plastic surgeon specific questions about what you can expect during your individual mastopexy recovery period.
- Where will I be taken after my surgery is complete?
- What medication will I be given or prescribed after surgery?
- Will I have dressings/bandages after surgery? When will they be removed?
- Are stitches removed? When?
- When can I resume normal activity and exercise?
- When do I return for follow-up care?
The final results of your breast lift will appear over the next few months as breast shape and position continue to settle. Incision lines are permanent, but will continue to fade over time.
Your mastopexy results will be long-lasting. Over time, your breasts can continue to change due to aging and gravity. But, you’ll be able to retain your new look longer if you:
- Maintain your weight
- Keep a healthy lifestyle
Special note: While a breast lift does not usually affect breast function, if you are planning to become pregnant, discuss this with your plastic surgeon. Changes that occur in the breasts during pregnancy can minimize or reverse the improvement a breast lift provides. Likewise, plans for significant weight loss should also be discussed.
- Areola: Pigmented skin surrounding the nipple.
- Breast Augmentation: Also known as augmentation mammaplasty; breast enlargement or breast enhancement by surgery.
- Breast lift: Also known as mastopexy; surgery to lift the breasts.
- Breast reduction: Also known as reduction mammaplasty, reduction of breast size by surgery.
- Excision: To remove the skin.
- General anesthesia: Drugs and/or gases used during an operation to relieve pain and alter consciousness.
- Hematoma: Blood pooling beneath the skin.
- Intravenous sedation: Sedatives administered by injection into a vein to help you relax.
- Local anesthesia: A drug injected directly to the site of an incision during an operation to relieve pain.
- Mammogram: An x-ray image of the breast.
- Mastopexy: Surgery to lift the breasts.
- Sutures: Stitches used by surgeons to hold skin and tissue together.