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About the procedure Breast Lift (Mastopexy)

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Disclaimer:

The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors, including the individual’s genetics, diet and exercise. Some images may have the patient’s tattoos, jewellery or other identifiable items blurred to protect patient identities.

Our Philosophy on Breast Lift (Mastopexy)

The surgeons who operate at AR Plastic Surgery bring many years of experience performing breast lift (mastopexy) procedures, taking great pride in working towards results that align with the aesthetic expectations discussed with each patient. Through their skill and commitment, they aim to create outcomes that reflect the patient’s goals.

Our approach to mastopexy is centred on understanding each patient’s unique anatomical needs and personal goals. We provide customised care, ensuring that every step of the process—from consultation to recovery—is tailored to the patient’s specific requirements. The surgeons take the time to thoroughly assess breast structure, skin quality, and the degree of breast descent to develop a surgical plan that aligns with the patient’s preferences and expectations.

We prioritise informed consent and comprehensive patient education, ensuring patients are fully aware of the technical aspects of a breast mastopexy, the expected changes, and the recovery process. Open communication is maintained throughout the surgical journey, fostering realistic expectations. With meticulous planning and the latest surgical techniques, each mastopexy is customised to the patient’s needs. This approach includes detailed pre-operative assessments and personalised aftercare instructions to support recovery, including managing swelling, protecting incisions, and maintaining the new breast shape.

Understanding Mastopexy Surgery

Mastopexy, commonly known as a breast lift, is a surgical procedure that repositions and reshapes the breasts by removing excess skin and tightening the surrounding tissue. This surgery may be suitable for patients who want to change the natural position of their breasts due to changes caused by pregnancy, breastfeeding, significant weight loss, or the natural effects of ageing.

During pre-operative consultations, the surgeon thoroughly explains the techniques involved in the procedure, which may include repositioning the nipple to a higher position, tightening the underlying tissues, and removing any excess skin. Depending on the patient’s anatomy and personal goals, different incision patterns may be recommended, such as periareolar, vertical, or anchor-shaped incisions. These options allow the surgeon to tailor the procedure to each patient’s needs.

A breast mastopexy focuses on repositioning the existing breast tissue without altering the size of the breasts. However, if a patient wants to increase or decrease their breast size, mastopexy can be combined with breast augmentation mammoplasty or reduction mammoplasty. This allows for a more comprehensive approach, addressing both the size and position of the breasts to achieve the patient’s aesthetic goals.

Different Methods of Mastopexy

  • Crescent Lift: The crescent lift involves a small, crescent-shaped incision along the upper half of the areola. This technique can be suitable for patients who require a minimal lift, typically those with mild breast descent. The procedure offers a subtle adjustment to the breast position and is less extensive than other mastopexy methods, making it a potentially suitable option for patients needing only a slight repositioning of the nipple.
  • Peri-Areolar or ‘Donut’ Lift: The peri-areolar or “donut” lift involves making a circular incision around the areola. This technique may be suitable for patients with mild to moderate breast descent and can also adjust the size of the areola, if needed. It is a versatile option and is often combined with breast augmentation mammoplasty for those seeking additional volume. The donut lift provides more noticeable reshaping than the crescent lift, allowing for a moderate lift while maintaining a natural breast contour.
  • Vertical or ‘Lollipop’ Lift: The vertical lift, also known as the “lollipop” lift, involves two incisions—one around the areola and another that extends vertically from the bottom of the areola to the breast crease. This technique is often suitable for patients with moderate breast descent who require a significant lift and reshaping. The vertical lift allows for the removal of excess skin, tightening of the underlying tissue, and repositioning of the nipple to a higher position on the chest.
  • Inverted T or ‘Anchor’ Lift: The anchor lift involves incisions around the areola, vertically down from the areola to the breast crease and along the breast crease. It is the most extensive mastopexy technique and is used for patients with more prominent breast descent. This method allows for the substantial removal of excess skin and the tightening of breast tissue.

Suitable Candidates for Mastopexy Surgery

Suitable candidates for mastopexy are patients who experience changes in breast position and shape due to factors such as ageing, weight fluctuations, or hormonal changes. These patients should be in good overall health, maintain a stable body weight, and be non-smokers, as smoking can impair the healing process. Significant weight changes after surgery may affect the longevity of the results, so it is important for candidates to have stable breast size and not be planning future pregnancies, which could impact breast shape. Additionally, candidates must have realistic expectations about what the surgery can achieve.

During initial consultations, the surgeon conducts a thorough assessment of the patient’s breast condition, evaluating skin quality, the degree of breast descent, and overall breast health. The consultation also involves reviewing the patient’s medical history, including any previous breast surgeries, such as breast cancer treatments or the presence of implants. These factors are critical in determining the most appropriate surgical approach to achieve the patient’s goals.

This comprehensive assessment allows the surgeon to personalise the surgical plan based on the patient’s physical needs and aesthetic preferences, ensuring the procedure aligns with both functional and cosmetic goals. By evaluating the breast shape, skin elasticity, and other important factors, the surgeon can create a customised approach to address specific concerns. The consultation also considers any health conditions or lifestyle factors, such as smoking, hormonal imbalances, or plans for future pregnancies, which could influence the longevity of the results and the overall success of the procedure.

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What to Expect During the Day of the Procedure

On the day of the mastopexy surgery, patients go through final pre-operative preparations to help ensure everything is ready for the procedure. This process includes a thorough review of the surgical plan, providing an opportunity for the patient to ask any last-minute questions or clarify concerns. In addition, anaesthesia is administered to minimise discomfort during the procedure.

The surgery is performed precisely, following the pre-determined plan tailored to the patient’s aesthetic goals and breast structure. The surgeon begins by making the necessary incisions, depending on the technique chosen, such as a crescent, lollipop, or anchor lift. These incisions provide access to the underlying breast tissue, allowing the surgeon to reshape and reposition it. Excess skin is removed, and the nipples are repositioned as needed to achieve the patient’s aesthetic goals.

After the surgery is complete, patients are taken to a recovery area, where they are carefully monitored as they recover from the effects of the anaesthesia. The initial recovery phase focuses on managing any discomfort and ensuring the patient is stable before discharge. Detailed aftercare instructions are provided, including guidelines on managing swelling, caring for incisions, and recognising signs of potential complications.

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Disclaimer: The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors, including the individual’s genetics, diet and exercise. Some images may have the patient’s tattoos, jewellery or other identifiable items blurred to protect patient identities.

Aftercare and Recovery

Recovery from a breast lift (mastopexy) requires specific care to encourage proper healing and minimise the risk of complications. Patients are provided with detailed post-operative care instructions, including guidelines on activity restrictions, wound care, and managing discomfort. Wearing a supportive bra is essential during recovery to help maintain the new breast shape and reduce swelling, offering the necessary support to aid in healing.

Patients are advised to avoid strenuous activities, heavy lifting, and direct pressure on the breasts for several weeks to allow the body ample time to heal. Regular follow-up appointments are an important part of the recovery process, as they enable the surgeon to monitor progress, assess how well the incisions are healing, and make any necessary adjustments to the post-operative care plan.

Adhering to the aftercare instructions is crucial for preventing complications and supporting the overall recovery. Patients should keep the surgical area clean, consistently wear the prescribed surgical bra, and avoid any activities that could strain the healing tissues. Sleeping on the back with the head elevated can help reduce swelling, while light activities like walking are encouraged to promote circulation. Smoking and alcohol consumption should be avoided, as they can interfere with the healing process and increase the risk of complications.

Potential Risks

Like any surgical procedure, breast mastopexy surgery carries potential risks, which need to be thoroughly discussed during pre-operative consultations. These risks include:

  • Infection at the surgical site
  • Bleeding or haematoma
  • Changes in breast sensation
  • Scarring, which may be visible depending on the technique used
  • Complications related to anaesthesia

Risk management in breast lift surgery (mastopexy) relies on meticulous surgical techniques, thorough pre-operative assessments, and diligent post-operative care. Patients are evaluated beforehand to identify and address any potential risks, and they receive clear guidance on recognising early signs of complications, such as infection or swelling. Our approach emphasises education, transparency, and continuous support, helping patients understand the recovery process and follow post-operative care instructions to minimise risks. Regular follow-up visits encourage close monitoring of healing, allowing for timely adjustments and reinforcing patient safety throughout the surgical journey.

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