Breast Lift

A breast lift (or Mastopexy) aims to improve the shape of the breast, elevating the nipple position and improving the projection and position on the chest wall.  The procedure is most often used to correct the effects of breast droop or ptosis. Age, childbearing and weight changes can all stretch and elongate the ligaments that contribute to the youthful shape of your breast.

How can this procedure help me?

A breast lift will improve the appearance of your breasts: increasing the volume and firmness and enhancing the nipple positioning. For some women, the procedure will reduce skin irritation under the breast folds. What is probably of greatest significance to most women is the chance to regain a youthful body shape and increase self-confidence.

What can I expect in the consultation process?

The first step when you are considering a breast lift is a consultation with Dr Arianayagam. You should frankly discuss your goals and expectations at this meeting.

Dr. Arianayagam will ask you a variety of questions about your current health situation, medications, allergies and any past medical treatments. He will carefully examine your breasts and take measurements. He will then discuss the options available and his recommendations.

Ideally, a second consultation is had a week or two later to give you the opportunity to come back with more questions and to confirm your decision.

What procedure will be right for me?

Breast ptosis or droop is classified as mild, moderate or severe.

For mild ptosis, bilateral breast augmentation usually is adequate to correct the problem.

For moderate ptosis, surgical correction with a vertical mastopexy is required.

For severe ptosis, surgical correction as above, combined with bilateral breast augmentation is often required.

What does the procedure involve?

The essence of ptosis correction surgery is the lifting of the nipple-areola complex to a new, raised and better position. A pedicle, breast tissue with its blood supply intact, is created to enable the nipple-areola complex to be shifted into its new position. A small amount of breast tissue is removed in the upward shift of the nipple-areola complex. The breast tissue is then sewn together to get a good shape of the breast around the nipple-areola complex.

Surgery is done under general anaesthetic at the Baringa Private Hospital and takes about 3 hours. You will be required to spend one night in hospital for post-operative care and monitoring. 

What is recovery like?

You are likely to experience some pain and swelling after breast lift surgery. The pain can be controlled with pain relievers. The swelling is usually minimal and should settle over 3 months. Dissolving stitches are used in this procedure so they will not need to be removed.  The final shape and positioning will continue to settle for as long as 6 months.

The key healing period is the first 3 weeks. Over this period you will be asked to significantly restrict your activities. Dr Arianayagam recommends time off work during this critical recovery period and you should plan to get help with activities.

You should avoid strenuous exercise for at least 3 months to allow for good healing.

Immediately following surgery you will have surgical dressings to support the breasts. In the second week this is changed to a post-operative compression garment that must be worn for 3 months.

Will I have scars?

Any surgery will leave scars, but we make an enormous effort to make them as inconspicuous as possible, using fine stitches and positioning the incisions so the scars will be difficult to see once they fade.

Scarring can remain red and raised for several months and make take up to a year to completely diminish. Dr Arianayagam will provide you with information and advice on scar management and minimisation.

What complications can arise from this procedure?

As with all surgical procedures, there will always be risks such as post-operative bleeding, allergic reactions, infection, deep vein thrombosis and haemotoma.

There are also some risks and complications that are specific to a breast lift.

Breast asymmetry

It is possible for uneven breasts to occur after breast lift surgery. It is important to make sure you have fully healed, 6 to 8 months after surgery, before making this judgment. Usually breast asymmetry can be corrected with revision surgery.

Altered nipple sensation

Most women having a breast lift will experience no change in nipple sensation. However, a small percentage of patients experience permanent reduction or loss of nipple sensation.

Nipple necrosis

If the blood flow to the nipples is impaired during surgery, this can result in necrosis, or nipple death. Symptoms include the loss of sensation and black colouration of the nipple.

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