What is breast lift (mastopexy) surgery?

What is Breast Lift Surgery?

When the breast tissue loses its shape due to gravity, breastfeeding, hormonal changes over the years, the tissues it contains and therefore the volume it has change place in the downward direction. In such patients, there may be a significant downward displacement of the breast tissue, as well as loss of volume.

The purpose of breast lift surgery; It is to replace the lack of volume by providing tissue restructuring in a way that will provide a cosmetically beautiful appearance in the breast, which has impaired tissue distribution and thus causes cosmetic problems.

How is Breast Lift Surgery Performed?

The main problem in the breasts, which is called sagging breasts among the people;

· displacement of submammary fat and gland tissue over time,

· partial loss of volume of these tissues

· It is the relaxation of the natural ligaments that fix the breast tissue to the anterior chest wall.

As a result, in such patients;

ü The nipple and its surrounding pink/brown tissue (nipple-areola) are displaced downwards

ü The breast loses the fullness in the upper half it normally has and the volume it has is piled up in the lower half.

ü The consistency of the breast becomes soft

ü Excess skin is seen to occur

The aim of breast lift surgeries is to change the above-mentioned deformations in the most natural way.

There are dozens of surgical methods defined for breast lift. Each plastic surgeon performs these operations in the light of their experience and training. There is no single surgical method that provides the same positive improvement in every patient with sagging breasts. Therefore, surgery; It should be planned and performed according to the degree of deformation of the person and the needs of the patient.

Breast lift surgery is performed under general anesthesia, except in very rare cases. Breast lift surgeries are technically similar to breast reduction surgeries. The scars that are likely to remain after this operation are similar to the scars that occur after breast reduction surgery. The main difference between breast lift surgery and breast reduction surgery is; It is the very minimal or non-existent procedures for reducing breast volume. In fact, as I mentioned above, if there is a missing volume, procedures to replace it (such as fat injection, prosthesis placement) may come to the fore.

The two most frequently used breast lift surgery methods are as follows;

Lollipop scarring breast lift surgery (verticalscar surgery)

Anchor-shaped scarred breast lift surgery

In the lollipop scar surgery, one of the above operations, a flat scar remains, which fades over time, extending from the areola (pink-brown tissue around the nipple) down to the breast fold. After this surgery, some wrinkles can be seen on the scar under the breast. These wrinkles are expected and will disappear in the following weeks.

In the surgery that leaves a scar in the form of an anchor, in addition to the scar similar to the one that leaves a trace in the form of a lollipop, there are traces that continue from the lower border of the scar to the right and left along the breast fold.

When deciding on the technique to be used in breast reduction surgery; It is decided by considering factors such as how much excess tissue is, how much the nipple has moved downwards, the age of the patient, and the flexibility of the skin.

Do Breast Lift A surgeries carry risks?

Like any surgical procedure, breast lift operations carry some risks. Although very rarely, some patients may experience wound healing problems, infection and tissue loss. In order to minimize such risks, the preoperative health status, the chronic diseases you have, the medications you have used recently, and the fact that you smoke are important. Therefore, when you decide on breast lift surgery, you should clearly inform your responsible plastic surgeon about this in your pre-operative meetings.

In this type of surgery, the nerves that receive the sensation of the breast tissue and the main milk channels, which are important in lactation, are preserved as much as possible. For this reason, breastfeeding problems and loss of sensation are not experienced after these surgeries, except in very rare cases. However, it may take months for some patients to regain nipple sensation. Moreover, in another case that should not be forgotten; If even the original breast structure of women can be deformed over time, it is the fact that the deformation process may manifest itself at different levels over time after these operations. In particular, it may be appropriate for people who are currently planning to have a baby to warn their physician about this issue, and even to postpone the surgery until the next period, if deemed necessary.

After breast lift surgeries, a certain amount of surgical scar remains, even if it will be under the laundry. Usually, these scars fade to become vaguely over time.

What Should I Consider Before Breast Lift Surgery?

In your interviews before breast lift surgery, you should explain your general health status in detail to your plastic surgeon. If you have a recent or ongoing infection (cold, flu, urinary tract infection, etc.), it may be appropriate to postpone your surgery for a few days. If you have drugs that you use constantly, you should inform your plastic surgeon about this situation (diabetes, high blood pressure, psychiatric drugs, etc.). Your related physician may ask a physician from another branch to express an opinion regarding these health problems.

Surgery candidates who smoke should stop smoking at least 10-14 days before the surgery. It should not be forgotten that smoking will adversely affect wound healing.

It would be appropriate for patients who use blood thinners and products (aspirin, any brand of pain reliever, herbal teas, herbal supplements) to stop using these drugs at least eight days in advance, if possible.

Before breast lift surgery, it is important that all your worries are cleared. It is extremely important that the smallest question marks in your mind are conveyed to your doctor and that you are mentally ready for the surgery before going into the surgery.

What Should I Pay Attention to After Breast Lift Surgery?

After breast lift surgery, an elastic bandage or surgical bra that applies compression is placed on the dressing applied to your breasts. Silicone tubes called drains may be placed to prevent blood from accumulating in the surgical area. These tubes are usually 1-2 days after surgery. Generally, the dressings are removed after 3-5 days. After this period, non-wired bras are started to be worn and this bra is continued to be worn for about 1 month. It is important to lie in a high position with your torso in order to have less pain in the early postoperative period.

Regularly using the drugs prescribed by your doctor in the postoperative period will allow you to spend the early postoperative period with a low level of pain. After this surgery, it is usually sufficient to stay in the hospital for one night. You can be discharged the next morning, provided that you are checked before discharge by your doctor.

In breast lift surgery, sutures that are not removed under the skin are generally used. Therefore, no stitches are required. However, in some rare cases where the stitches that need to be removed are used, the stitches are removed on the 10th day.

It would be appropriate to restrict your physical activities for about 10 days after the surgery.

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