Breast Lift

What is a breast lift?

A breast lift, or mastopexy, is a surgical procedure designed to lift and reshape sagging breasts. Changes in breast shape and firmness can occur due to factors such as:

• Pregnancy and breastfeeding
• Age-related loss of skin elasticity
• Gravity over time
• Significant weight changes

The procedure may also involve repositioning the nipple and areola to a higher, more appropriate position.

For some people, a breast lift alone may not provide the desired volume or firmness. In these cases, breast implants may be inserted alongside the lift to increase breast size. Implants are typically placed underneath the breast tissue or chest muscle, depending on what is most appropriate for the individual.

Note: The outcome of a breast lift varies for each person. Your surgical practitioner will discuss what changes are realistic based on your anatomy and overall health.

How is a breast lift performed?

A breast lift is generally performed under general anaesthesia. The procedure typically takes 1.5 to 3.5 hours, depending on the technique used and the degree of lifting required.

Common surgical techniques

1. Anchor-shaped incision (most common)
   • An incision is made following the natural contour of the breast.
   • Excess skin is removed, and the nipple and areola are repositioned higher on the breast.
   • The skin is then reshaped and stitched to support the new breast contour.
   • Sutures are usually placed around the areola, vertically beneath the nipple, and along the crease under the breast.
2. Donut or concentric mastopexy – for smaller breasts with minimal sagging
   • Circular incisions are made around the areola.
   • A ring-shaped (donut-shaped) section of skin is removed.
   • This technique typically results in less scarring but may not be suitable for significant sagging.

Your practitioner will recommend the most suitable method based on your anatomy and desired outcome.

What can you expect after recovery?

Recovery time varies between individuals. Immediately after the procedure:

• Your breasts will likely be bruised, swollen, and tender for a few days.
• You may experience mild discomfort, which can be managed with medication prescribed by your practitioner.
• An elastic bandage or surgical bra will be applied to support healing.
• These dressings are usually replaced with a support bra after a few days.

Other points to be aware of:

• Stitches are generally removed within 1–2 weeks.
• Temporary changes in nipple or areola sensation are common and usually improve within six weeks or longer, though some changes may be permanent.
• Light activities may resume in 1–2 weeks, but strenuous exercise should be avoided for at least 4–6 weeks, or as advised by your practitioner.
• Full recovery and final results can take several months.

Risks and possible complications

As with any surgical procedure, there are risks involved. Potential complications of a breast lift include:

• Bleeding or haematoma (blood collection under the skin)
• Infection
• Delayed wound healing
• Scarring, which may vary in appearance depending on individual healing
• Changes in nipple or breast sensation (temporary or permanent)
• Asymmetry or uneven shape of the breasts
• Unsatisfactory cosmetic outcome, which may require revision surgery
• Complications related to anaesthesia

Your surgical practitioner will discuss these risks with you in detail during your consultation.

Important considerations

• A breast lift does not stop the natural ageing process, and changes to breast shape will continue over time.
• Pregnancy, breastfeeding, weight changes, and lifestyle factors can affect the long-term results.
• Future procedures may be required to maintain or adjust the appearance of the breasts.
• Regular follow-up appointments are important to monitor healing and overall breast health.

It is essential to have realistic expectations and to make an informed decision after a thorough consultation with a registered health practitioner.