Breast lift, also known as mastopexy, is a surgery to eliminate breast tissue ptosis (breast sagging) in order to improve their shape. The core of the operation is to raise the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. There are minor changes in the breast shape.
The most common causes of breast sagging (ptosis):
- after-effects of pregnancy and breastfeeding;
- significant weight lose of a patient;
- loss of breast elasticity due to the age-related changes;
The degree of ptosis is determined by the position of the nipple-areolar complex on the hemisphere of the breast tissue. The lower the nipple is located relative to the inframammary (under the breast) fold, the more expressed the ptosis is.
Indications for mastopexy
The surgery is carried out with the following purpose:
- to elminate breast sagging;
- to set the normal breast hight;
- to get rid of breast asymmetry;
- to reshape and support the breast contour;
- to keep the breast tissues sensation;
- to save the lactation function (if possible).
General contraindications: mastopathy, cancer, cardiovascular and acute infectious diseases, chronic hypertensive disease, thyroid disorders, diabetes mellitus, blood-clotting disorder, under-age patients, high hyperadiposis (obesity), pre-arranged pregnancy, recent lactation.
Types of mastopexy
Depending on size, shape and the extent of breast sagging, there are four types of mastopexy (breast lift):
- Peri-areolar mastopexy is performed for small or medium-sized breasts with minimal or moderate ptosis. The incision is made at the junction of the breast skin and the areola, along the upper contour of the crescent-shaped areola.
- Circum-areolar mastopexy is used for slightly expressed ptosis, when you need to remove larger amount of skin (larger than while peri-areolar lifting) and lift the nipple more than 2 cm higher. The scar is located around the areola (Benelli method).
- Vertical mastopexy is suitable for various degrees of ptosis and stretched skin excess. It includes two types of incisions – the one around the areola and the vertical one from the areola to the inframammary fold (Benelli-Lollipop method).
- T-shaped (anchor) mastopexy is indicated for patients with severe breast ptosis and involves incisions around the areola with vertical and horizontal components.
The postoperative scar has the shape of the inverse letter “T” or an anchor.
How is the surgery performed in “Certus” clinic?
Pre-surgery examination: 1-3 hours.
Duration of the surgery: 2-3 hours (depending on the complexity of the surgery). The patient stays in a clinical setting for 1-3 days.
Anaesthesis: general anesthesia or local anesthesia with sedating medications.
Incision options: the insicion is made around the areola with a vertical or T-shaped component. The incision options and the size of the removed breast tissues depend on the breast sagging extent (ptosis). The process of scars healing takes 6-12 months, after which they are hardly noticeable.
Recovery period. After the surgery the patient wears special compression garments for 4-6 weeks. The stitches are removed on day 7-14. The swells and bruises disappear in a few weeks. The final formation of the mammary glands take place in 3-4 months after the surgery.
Side effects: temporary bruises, swelling, reduced breast sensation, slight soreness.
Risks: infectious complications, hematomas, sustainable healing process, poor (asymmetric) scarring, reduced nipple, areoles or breast sensation; asymmetry of breast’s shape and size, deformation of the breast contours, the capsular contracture formation, loss of breastfeeding possibility.
Result is long-term. Pregnancy, aging, weight fluctations can lead to the subsequent breast sagging.
mammary gland lift (periareolar)
mammary gland lift (vertical)
mammary gland lift (in the form of an inverted "T")
increasing a mammary gland with periareolar mastopexy
increasing a mammary gland with vertical mastopexy
increasing a mammary gland with mastopexy in the form of an inverted "T"
Is it necessary to be examined or tested before the procedure/surgery?
You can undergo a laboratory examination before the procedure/surgery in our clinic or at the place of your residence, depending on the type of anesthesia.
If the surgery is performed under general anesthesia, then the following tests should be taken:
1. General blood and urine tests.
2. Blood sugar test.
3. Blood group and Rh factor.
4. Coagulogram (blood coagulation).
5. Biochemical blood test.
6. Blood test for Australian antigen, hepatitis "C", HIV.
7. Wassermann reaction.
9. Therapeutic consequence.
10. Fluorography examination.
11. A medical note from a gynecologist - for women.
If the surgery is performed under the local anesthesia, then the following tests should be taken:
1. Complete blood count (with formula) + platelet count.
2. Blood sugar test.
3. Blood clotting time.
4. Blood test for Australian antigen, hepatitis "C", HIV.
5. General urine test.
6. Blood group.
7. Fluorography examination.
The cost of the examination in our clinic is 50-100 USD.
Is anesthesia included in the service cost?
The cost of anesthesia is not included and it is paid additionally, depending on its type and duration.
Can I stay at your clinic after the surgery for the follow-up care?
You can stay at the in-patient department of our clinic during the post-surgical period. This service is paid separately - from 100 USD. up to 200 USD. per day.