Breast lift (tightening, lifting) surgery (mastopexy, mastopexy)

Breast lift surgery includes basically similar stages to breast reduction surgery. Differently, tissues such as mammary gland and fat are not removed from the breast since there is no excess and sometimes even a deficiency in the breast volume and tissue. Only the excess skin that causes sagging is removed, and if necessary, support is provided with a breast prosthesis.

Who should have the surgery? Why surgery?

Sagging breasts are a common condition in plastic surgery, but even the same plastic surgeon can offer different alternatives to the patient, let alone different plastic surgeons. It is the incompatibility of the breast skin and the intramammary tissue that creates this situation. Sagging occurs due to genetic and external factors. Most of the time, although the breast volume is sufficient, the breast becomes deflated and has lost its resistance to gravity as a result of the skin covering the breast more than normal and the loosening of the tissues that hang the breast from the inside. At the same time, what needs to be done is to resolve this inconsistency. This inconsistency can be either by reducing the excess skin, increasing the relatively small amount of intramammary tissue, or both. However, in some cases, the sagging is so great that only increasing the intramammary tissue is incompatible with human body proportions. In such cases, it is inevitable to remove the excess skin and create a breast shape again.

There are many methods for grading sagging. However, the easiest method for patients to apply is the position of the nipple. If the nipple is above the lower fold of the breast in a woman who has not had surgery before, it can be said that there is no sagging. If the breast is at the level of the lower fold, there is mild sagging, and if it is below the fold, there is moderate or severe sagging depending on where it is located. It can be said that the greater the sagging, the longer the amount of skin to be removed and your scars. In mild sagging, such an operation may not be necessary for now, this situation can be corrected only with a breast prosthesis, that is, without a trace, according to the condition of the breast volume and the wishes of the patient. Apart from this, it does not seem possible to correct breast sagging without surgery. Improvements in the breast skin can be achieved with sports and other medical treatments, but practically, sagging cannot be corrected.

What can’t this surgery do?

With this surgery, your sagging breasts will be straighter but smaller. Breast augmentation surgery is a separate operation, in some cases it can be performed together with this surgery.

This surgery is an operation that leaves a scar, unfortunately there is no procedure without a scar.

With this surgery, cracks on the breast may not be completely removed. Especially the cracks in the upper half of the breast above the nipple will remain the same.

What does this surgery do?

Your drooping, empty downward-facing nipples are surgically corrected. You will have full, forward-facing nipples.

You can get rid of the cracks and scars on the lower half of the breast if they are in the area of ​​excess skin to be removed.

If the nipple (dark colored part) is very enlarged or asymmetrical, it is reduced and made symmetrical.

What should be done before and after the operation, what are the risks?

It is the same as breast reduction surgery.


Should prosthetic breast lift surgeries be done at the same time? Which should be done first?

Depends on patient condition and urgency. Healing and final shaping time will be shorter when done at the same time. However, the scars may remain wider. Apart from that, it is a technically more difficult operation.

If it is to be done separately, it is more appropriate to perform breast lift surgery first and then prosthesis surgery.

Is there a risk of breast cancer after surgery?

Every woman has a risk of breast cancer. This risk is also related to the amount of breast tissue. Since the amount of breast tissue will be reduced in this surgery, the risk of subsequent breast cancer is also reduced, but the risk of breast cancer is not completely removed. The tissues taken in breast reduction surgery are sent for pathological examination, so that non-cancerous diseases of the breast (cyst, fibroma, fibrocyst, etc.) are also diagnosed and treated. Like women who have not had surgery, you have to have breast follow-up. However, there is no increased risk associated with surgery.

Who can have surgery?

Anyone who has completed the age of 18, who is not medically prevented from undergoing surgery, whose breast growth has stopped in the last 6 months, and who is in line with the expected results of the surgery can have this surgery.

Can the resulting scars be reduced after surgery?

When necessary, scars can be thinned, straightened, brought to the same level and color as the skin, but not shortened, but lengthened.

Will the ability to breastfeed disappear after the operation?

After this surgery, the ability to give milk may be lost. For this reason, it would be useful to talk to your doctor about such situations and explain your expectations in advance. Breast reduction surgery is not a standard surgery and many points will need to be taken into account when choosing a technique. However, if the lactation (lactation) protective technique is chosen, there is no problem in lactation, in summary, there is as much risk as women who have not had surgery.

Why does loss of sensation occur in the nipple?

One of the reasons why the techniques applied in this surgery are different is that the blood supply of the nipple and its sensation-taking structures can be protected in different ways (pedicle). Apart from making the wrong choice of the appropriate technique, the factors belonging to the patient play a more important role in this regard. Underlying reasons such as the breast being too large or sagging, wanting to reduce more than the safe reduction range, smoking, circulatory problems, infection, diabetes, and heart diseases increase the risk of loss of circulation and sensation of the nipple. There may be complete or partial nipple loss. Loss of sensation, which occurs without loss of circulation, usually returns to normal within months.

Will there be regrowth and sagging after the surgery?

Growth and sagging that may occur in someone who has not been operated on is also present, although less in someone who has had surgery. In other words, if you gain weight, you will naturally gain weight from your breast area. Over time, sagging will occur again, so a little more lifting / recovery is performed in the surgery than normal.

When will the breasts take their final shape and shape?

Wound healing takes 6 months in all surgeries. In general, we can say that it takes its final form roughly after 3-4 months, no change is expected after 1 year.

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