A breast lift, also known as mastopexy, is a surgical procedure performed by a plastic surgeon to raise the sagging breasts or nipples. Breast lift surgery procedure can be combined either with breast enlargement (augmentation) or breast reduction. The overall outcome of breast lift surgery is to reshape the breast for many women and boost their self-confidence.
The breast lift surgery is performed to change the shape of the breasts by removing excess skin and tightening the surrounding tissues to reshape and raise the breasts. The correction of breast positions can be done either with breast augmentation or with the breast reduction to enhance the expected shape and yield positive results.
There are several factors contributing to sagging or loss of skin elasticity that changes the shape of the women’s bodies. Some of the common reasons associated with changes and loss of skin elasticity include Pregnancy, Breastfeeding, Ageing, Weight Fluctuations, Gravity, and Hereditary.
The breast lift can either be done in a hospital or with an outpatient surgical facility. The procedure can be done under intravenous sedation or general anesthesia.
Techniques used for the procedure may vary according to the patient’s needs. Your plastic surgeon will perform the specific methods to mark different incision patterns around the areola, vertically down from the areola to breast creases and horizontally along the breast crease.
After the surgeon makes the incisions, the underlying breast tissue is lifted upward and reshaped to improve the breast shape and firmness. Both the nipple and the areola are repositioned to a natural, more youthful height. If necessary, the enlarged areolas are minimized by excising skin at the perimeter. Then, excess skin is removed to compensate for a loss of elasticity. Once the breasts are reshaped, and excess skin is removed, the surgeon will tighten the remaining skin as the incisions are closed. However, some incision lines resulting from breast lifts are concealed in the natural breast contours, while others are visible on the breast surface. The incision lines are permanent, but in most cases will fade and significantly improve over time. Your surgeon will bring together the breast skin and close the incisions with sutures, skin adhesives, or surgical tape.
After the surgery, dressings or bandages will be applied to the incisions.
A patient has to wear an elastic bandage or a surgical support bra, which can help to minimize swelling and during the healing process of the breasts.
Slight discomfort will be there as a thin tube may be placed temporarily under the skin to drain out excess blood or fluid.
Breasts will be swollen, bruised, and uncomfortable for a few days to two weeks, however, swelling and bruising will subside.
Pain medication is given to you by your surgeon if the pain is severe around the incisions.
Numbness around the nipples, areole, and breast skin will be there for about six weeks.
Avoid straining, bending, and lifting as they can cause and even increase swelling.
Avoid sexual activity for at least one or two weeks or upon your surgeon’s instruction.
Avoid doing exercises, household activities, and work for a few weeks. Arrange for the helper to perform household work and looking after the child/children.
Upon strictly following post-surgical recovery care, you will have significant and visible improvements.
Every surgical procedure has certain risks and complications. Some of them include Scarring, changes in nipple or breast sensation, asymmetry in shape and size of the breasts, potential or total loss of nipple and areola, and anesthesia risks. However, if performed by an experienced plastic surgeon, breast lift surgery will be safe.
Initial consultation with the qualified plastic surgeon at SurgiDerma will help you know about the procedure, techniques, and review the past medical record. Always be prepared to answer questions asked by your surgeon.
Getting lab tests prescribed by the surgeon will help to evaluate overall medical condition. Before surgery, get a baseline mammogram or breast biopsies and get another one after the surgery. It will help your medical team to see the changing results.
Talk about the current medication (if any), and the doctor might prescribe alternative medications.
If you are smoking, then stop immediately, as it may lead to complications.
You may also ask to avoid aspirin, anti-inflammatory drugs, and herbal supplements as they can increase bleeding.
Arrange for someone to drive you back home after the surgery.
The breast lift surgery is suited for those with the following criteria:
Those who have good physical health and maintain a stable weight
Breasts have dropped with the lower nipple than the cease (pencil test)
One or both breasts have lost a lot of volumes or may have decreased
One or both the breasts are noticeably different from each other
Breasts are pendulous but of satisfactory size
As the breast lift surgery is the individualized surgery procedure, it can vary from one patient to another. Normally, to get full recovery and return back to routine activities will be about four to six weeks.
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Breast reduction surgery, also known as reduction mammoplasty, is a surgical technique conducted on women to extract excess fat, glandular tissue, and skin from the breasts to reduce discomfort and to achieve to correct proportion of the breast size symmetric to the body.
For women who have larger breasts can prefer to have breast reduction surgery to lessen discomfort or achieve the breast size proportionate to their body.
Breast reduction surgery is the answer if you are experiencing problems of having large breasts causing back pain, neck pain, poor posture, or issues related to the limitations of physical activities.
The breast reduction surgery can either be done in a hospital or as an outpatient facility. The procedure can be done under general anesthesia. It usually takes about 2 hours for the surgery to get complete.
The specific technique is executed by the qualified plastic surgeon based on the size of the breasts, individual condition, breast composition, your expectations, and surgeon’s advice. Usually, the breast reduction surgery process is done by making incisions on the breasts with surgical remove excess fat. Liposuction procedure might also be included to remove excess fat from the breasts.
Incisions are made around the areola and vertically down on each breast in the form of a keyhole or racquet-shaped pattern. The surgical team removes excess tissue, fat, and skin from the breasts and reposition the nipple and areola. The remaining tissue attached to the breast will be removed and transplanted to a higher position on the breast as a skin graft. The areolas are can be reduced to a more proportional size to achieve symmetry breast size. But some variation in size and shape might occur.
After the surgery, the patient has to wear an elastic bandage or a surgical bra over gauze dressings to protect the breasts.
Breasts might be bruised, swollen, and uncomfortable for a few days or a week. Pain should not be severe, however, if there is severe pain or excess discomfort, the surgeon will prescribe you with the medications.
It is required to take off from work or refrain any household activity for a week or upon doctor’s advice.
Physical activity should be limited for two to four weeks or till you are healed completely.
You can feel numbness and loss of feeling in your nipples and breast skin. But it will subside as the swelling decreases for over six weeks or even one year in some cases.
For better healing and achievable results, follow-up appointments prescribed by the surgeon and strictly follow instructions.
Every surgical procedure has some potential risks and complications, which are discussed with you by your surgeon during the initial consultation. Although breast reduction surgery is a complicated surgery, it is commonly a safe and simple procedure if done by a highly qualified plastic surgeon.
Bleeding, infection and adverse reaction to anesthesia are the possible risks. You can also notice unfavorable scarring, loss of sensation in nipples and breasts. Potential inability to breastfeed is one of the complications. Breast asymmetry, the difference in size, and shape may also experience. Possibility of the provisional surgery may be required to improve appearance.
Before initiating breast reduction surgery, you may ask to get the lab test and other medical evaluations. Discuss your current medication as you may have to adjust the medication or prescribed by the surgeon. Get baseline mammogram or breast biopsies before and after surgery to detect changes in the breast tissue.
Stop smoking well in advance as it may lead to complications.
Stop taking aspirins or anti-inflammatory drugs and herbal supplements as they can increase bleeding.
Arrange for self-help to drive you back home after the surgery.
Also, your surgeon will discuss pre-surgery and post-surgery instructions.
If any of the following conditions may apply to you for suitable candidature for breast reduction surgery:
Large and sagging breasts
Disproportional breasts, especially vary in size or shape.
Feeling discomfort, experiencing back problems, or other health due to oversized breasts.
Shoulder indentations due to wearing tight bra straps.
Those who are looking for realistic expectations.
However, breast reduction is not advisable for women who want to breast-feed. It is also not recommended for those who have health issues like diabetes and other ailments that can lead to further complications.
While many patients immediately get relief from upper back, neck, and shoulders, they also need to understand to achieve final results, and it will take months for the swelling to come down. Scars will be gradually fade over time. Overall, breast reduction surgery results last long, enhance self-image, and gain self-confidence.
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Breast augmentation is considered one of the most popular surgical procedures that involve enlargement of breasts, which can be done either through the fat grafting technique or with breast implantation. Also known as augmentation mammoplasty, the ultimate goal of the surgical procedure is to customize the individual needs of the patient with realistic expectations.
Fat transfer breast augmentation with the liposuction method is delivered to take excess fat from other areas of your body (donor) and injected into your breasts. This technique is a breast augmentation option for women gives natural results.
Usually, the fat grafting procedure involves taking fat from other parts of the body and inject autologous fat grafts (adipocyte tissue) into the breasts. This type of breast augmentation involves women requiring breast reconstruction, congenital defect correction, and primary augmentation.
Fat grafting (also known as fat transfer) breast augmentation uses liposuction to harvest the fat tissue by removing from the other regions of the body targeting areas that have excess fat and transferring it to the breasts.
Breast augmentation with fat transfer can be done using the liposuction methods, where the excess fat particles are taken from other parts of the body, carefully harvested and gently transfer to the breasts to enhance the desired shape. After the fat from the body areas or donor sites is removed or harvested using the liposuction method, it is subjected to wash, purify, and filter through a centrifugal refinement process.
The next process of the surgical technique involves the injection of harvested fat into the breasts to give a desired symmetric shape. The fat can be removed from the areas of the abdomen, hips, thighs, legs, or other parts of the body where there is an accumulation of the stubborn fat, which is suitable for harvesting.
During the fat grafting procedure for breast augmentation, the incisions are required but minimal and discreet. Incisions are closed with sutures and wrapped in surgical gauze. The fat grafting technique is done by local sedation anesthesia.
Breast augmentation procedure of fat grafting may take anywhere between 2 to 3 hours or more, depending on the additional volume to improve the appearance and number of liposuction harvesting sites.
Arrange for someone to take you back to your home after the procedure is over.
Generally, the recovery is fast, and one can start seeing the desired progress in two to three days. However, the fat grafting or fat transfer results are long-lasting and can take up to 6 months for the surgical fat to be fully effective. Prescribed medications are given to you for any pain or discomfort. The surgeon will also prescribe antibiotics to prevent any infection in treated areas. A compression garment is needed to be worn to protect the areas where liposuction is carried.
Refrain from doing work for at least a couple of weeks or upon your doctor’s advice.
The treating areas will probably have scarring and bruises but can fade over time. Swelling and redness can be noticeable at both the donor and injected areas. Slight numbness but temporary. During the surgery, certain risks involve are excessive bleeding, infection, clot formation, and reaction to anesthesia.
Every surgical procedure has certain potential risks and complications, however, getting treated under a qualified plastic surgeon can make the entire procedure safe.
Women who are having realistic expectations with this fat grafting technique for breast augmentation can undergo this procedure.
Women who have the required amount of body mass are ideal candidates.
Fat transfer for breast augmentation is recommended for women who want to enhance the appearance of the breasts.
Women looking for an alternative to implants can undergo this surgery.
It is essential to have a detailed discussion with your surgeon. At SurgiDerma, you will find a board-certified plastic surgeon, reconstructive, and cosmetic surgeon who will discuss the technique of fat grafting for breast augmentation process, preparing for the surgery, and gauge your eligibility after detailed medical evaluation and history.
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Breast augmentation implants are one of the most popular cosmetic surgical procedures. It involves the placement of breast implants into the breast tissue or chest muscles to enlarge the size of the breasts.
Breast augmentation (or augmentation mammoplasty) is one of the most famous surgical techniques to enlarge the breast size, which can be done through fat grafting or breast implants, depending upon the patient’s needs and surgeon’s recommendation.
To enhance the overall appearance of the breasts
To restore the breast size and shape after pregnancy
To correct uneven breasts
To enhance self-image
If you are looking forward to breast augmentation through implants, considering choosing the reputed qualified plastic surgeon who can discuss with you about techniques involved in breast augmentation implants, risk, complications, and follow-up care after the surgery.
Generally, breast augmentation can be in a surgical center or as an outpatient facility. The implantation of breast augmentation is done using general anesthesia, and it is highly recommended.
During the procedure, small incisions are made, usually a single cut in one of the places; crease under the breast (inframammary); around the areolar (axillary); and under the armpit (periareolar) in an inconspicuous spot to allow insertion. The incision places are discussed during the initial consultation with your plastic surgeon.
The incision made is based on the type of implants, degree of breast enhancement, your preferences, anatomy and your surgeon’s suggestions, which are discussed with you before undergoing breast augmentation implants surgery.
Once the incisions are made, the surgeon will carefully separate your breast tissue from the muscles and connective tissue of your chest. It will create a pocket behind the breast tissue, or in front of the outermost chest muscle over the pectoral muscle. The breast implant is inserted into this pocket.
The technique of breast implant inserting and positioning mainly depends on the type of implants.
Saline implants are inserted empty and are filled with sterile salt water after they are placed, they require a smaller incision. Whereas Silicone implants are pre-filled with silicone gel, they need a larger incision.
Once the implant is in place, the incisions are closed, typically with the layered sutures in the breast tissue, bandage it with skin adhesive and surgical tape.
The recovery time may vary depending upon the type of implantation inserted and customized procedure for breast augmentation. Usually, it will take four to six weeks to resume normal activities. It is highly recommended to avoid any strenuous activities or exercise as it might open up the sutures. As part of the post-surgery care, you will be wearing a supportive post-surgical bra that helps in supporting newly implanted breasts. Pain medication is prescribed to you if you feel pain or discomfort.
Follow up is required to monitor your condition and to check the progressive results.
Patients are requested to limit their daily activities that help during the healing process.
After the procedure is completed, it is required to arrange for someone to drive you back to your home.
Strictly following the surgeon's instructions might help you to recover faster and expected to see long-lasting results.
Bruising, soreness, and swelling are likely to have for a few days or weeks, expected to fade over time, but will not disappear completely.
Capsular contracture or the scar tissue distorts the shape of the implanted breast. Bleeding, infection and changes in nipple sensitivity may occur. Implant rupture or leakage might also occur, which may require a second surgery to replace the leaking implant.
However, every surgical procedure has certain potential risks and complications. Getting the right treatment from the best and qualified board-certified plastic surgeon can help to minimize potential risks and complications, the entire breast augmentation implants procedure can be done safely.
Your consultation with the experienced plastic surgeon is essential to discuss your preferences, size, type of implant, and overall appearance. The surgeon describes different techniques involved in breast augmentation implants.
A complete medical evaluation is needed so that you will be considered as the eligible candidate to undergo breast augmentation implants.
Certain lab tests, blood tests, and X-rays are conducted along with ultrasound and MRI scans (before and after surgery).
Baseline mammography is conducted by experienced technicians with specialized techniques at a radioactive unit.
The surgeon might adjust medications if you are under medications.
Consulting with the qualified and expert plastic surgeon for breast augmentation implants can make the procedure safe with expected results. At SurgiDerma, experienced cosmetic and plastic surgeons will decide whether you are eligible or not to undergo the breast augmentation procedure.
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