The surgeon starts by assessing the required lift and fullness needed to achieve the desired outcome. The location of the new nipple position will be based on breast size and shape, position, size of the areola and degree of sagging. Using a scalpel, the surgeon then makes an incision along the pre-marked lines and separates the skin from the tissues below. The excess breast fat and skin is then removed, the nipple relocated to its new position and finally the new breast shape is reconstructed.
There are various techniques in reshaping breast and removing breast skin. The following are the types of incision sites:
• Donut Lift or Peri-Areolar Incision. This technique is recommended for woman with mild to moderate degree of breast sagging. The surgeon makes the incision around the perimeter of the areola only.
• Vertical or Lollipop Incision. This is the most common technique used in breast lift surgery. This is recommended for woman who has moderate degree of breast sagging. The surgeon makes the incision around the perimeter of the areola and vertically down from the areola to the breast crease.
• Inverted T or Anchor Incision. This technique is commonly used for woman with massive degree of breast sagging. The surgeon makes the incision around the perimeter of the areola, vertically down from the areola to the breast crease and horizontally along the breast crease. This is often used for breast lift in conjunction with a breast reduction.
• Crescent Lift Incision. This technique is less commonly used as this is performed to woman with minor sagging and usually in conjunction with breast implants. The incision lies just along the upper half of the areola. A full lifting is not achieved with this procedure compared to other techniques.
The surgeons recommend a one night hospital admission
Duration of Operation
The procedure may take four to six hours.
Breast Lift is done using General anaesthesia in which the patient is asleep for the surgery.
Pre Operative Care
Surgeons advised that patients to do the following prior to the mastopexy surgery to avoid post operation bleeding or any complications:
• Inform the surgeon of any allergies, all medical conditions, and any medication that the patient are taking (both prescription and non-prescription)
• Avoid aspirin and any medication containing aspirin or brufen for two weeks before surgery.
• Avoid smoking for two weeks as smoking can affect body’s reaction to the anaesthetic and slow down the healing process.
• Checkup for any major medical problems such as diabetes, high blood pressure, heart disease
During your consultation, you should discuss your expectations of the outcome of the surgery and listen to the surgeon’s opinion.
Post Operative Care
After Breast Lift, the patient may experience some pain associated with the surgery. When the procedure is completed, a patient is advised of the following:
• Bandage and support garment. The patient breast will be wrapped in elastic bandages, gauze dressings and a surgical bra. A couple of days after surgery the pressure bandages will be removed. The surgical bra must be worn at all times for several weeks until the swelling and bruising subsides, or until your surgeon advises you otherwise. You should only remove the surgical bra to bathe and to wash the garment.
• Surgical Drainage. A small tube may be placed in each breast to drain blood and fluids for the first day or two.
• Swelling and bruising. The extent of the post operative swelling and bruising depends on whether you tend to bruise or swell easily.
• Stitches and Wound Care. Most of the surgeons use non-dissolvable sutures which will be taken out after a week. If the breast skin is very dry following surgery, a moisturizer can be applied several times a day. Vitamin E cream is extremely effective and also helps the scarring to heal, however, the suture area must be kept dry at all times, particularly after bathing. They may be red for months, and then slowly become fainter, eventually fading to thin white lines. The surgeon will try to ensure that your incisions as subtle as possible, however the patients are advised that the scars are extensive and permanent.
• Heavy lifting and strenuous exercise. For the first few months, it is important not to place tension on the wound by performing strenuous activities like lifting or stretching your arms above your head, as this may increase scarring by stretching the tissue. The patient will only be able to resume to regular activities after two weeks, although you should abstain from heavy lifting and strenuous exercise for several months.
• Recovery. Recuperation usually takes about two weeks. Most people are back to work after three weeks.
Risks and Complications
Risks are inherent to any surgical procedure. But do not worry, all precautions are taken by Plastic Surgery Phuket’s surgeons to avoid these risks.
Here are the most common risks of this surgery:
• Long and heavy Scarring
• Changes or loss of nipple sensation due to damage nerve and blood supply of the nipple
Breast lift does not prevent future breast-feeding as a breast reduction can. Scars will fade gradually but nipple numbness may take up to 12 months before sensation returns.