Breast Lift

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Candidates

Time, weight loss, pregnancy and breast-feeding can all contribute to the loss of the skin’s elasticity. A Breast Lift is ideal for women who have lower placed nipples or feel their breasts lack firmness, but are satisfied with their breast size.

Incisions and technique:

There are three incision techniques for a breast lift and the most appropriate is decided during consultation on a case-by-case basis depending on the type of breast and desired shape.

The “inverted T” technique makes three incisions: one around the nipple, one across the fold below the breast and a third vertical incision joins the two. The “vertical” technique has two incisions, one vertical and one around the nipple. The “periareolar” incision is made solely around the nipple. More incisions generally mean a better shape can be achieved but may result in more conspicuous scarring.

Possible Complications

Discomfort, numbness, temporary bruising, swelling, and dry breast skin may occur. The patient may experience temporary or permanent loss of feeling in breast or nipples. Delays in healing can be caused by collections of fluid (seroma) that would require draining, infection or bleeding under the skin flap. Poor healing can result in visible scarring or skin loss. Wide scars (keloids) are also possible in patients with an existing tendency to scar that way. Rarely there may be a need for a second procedure.

Recovery

There will be temporary soreness and sensitivity, swelling, a change in nipple sensation and possibly bruising for two to three weeks.

Patient is back to work in 1 to 2 weeks. Strenuous activities can usually be resumed after one month.

Dressings are applied and will be changed every other day for the first two weeks. Stitches will be removed in stages over a period of one or two weeks.

Temporary pain will be treated with analgesics.

Small drains are used immediately post-op to help avoid accumulation of fluids but are removed after a few days.

The patient may be required to wear a support bra for 20 to 30 days.

Swelling, bruising, tiredness, numbness of skin and tenderness may occur and last up to several weeks.

Fading of of scars can take from several months to a year.

During the computer consultation, the desired breast shape and size will be decided with the surgeon. The nipples and areolas will be virtually repositioned and the necessary incisions will be informed. There is no age limit to perform a breast lift once development has stopped.

Duration of the Results

Pregnancy and breast-feeding may affect and change the size and shape of the breast, so if a patient undergoes breast-lift surgery before having children, further changes in breast shape may occur after bearing children. However, breast lift surgery does not interfere with the ability to breast-feed as the milk ducts are left intact. Gravity, aging, and weight changes may also cause the breast to change shape.

Objective

Excess skin is removed and nipples repositioned to elevate and reshape breasts to restore a more youthful appearance. Some patients undergo breast lifts to adjust uneven breasts; in the case where one breast is markedly bigger than the other, an implant is inserted, usually on one side, in conjunction with a breast lift to restore a more balanced appearance.

Anesthesia

Breast lift surgery can be performed under local with sedation or general anesthesia. Decided on a case-by-case basis.

Operating Time

1 to 3 hours

In/Outpatient:

Breast lift surgery is usually scheduled as an outpatient procedure but can include an overnight stay depending on the patient.

Recovery period

Once breast development has stopped there is no age limit to perform a breast lift.

During the computer imaging consultation, the desired breast shape will be decided with the surgeon. Digital imaging will show the re-positioning of the nipples and illustrate the incisions to be performed.

PROCEDURES

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Dr. Luiz Toledo