Breast Lift (Mastopexy)

Breast drooping or breast sagging is a common problem following pregnancies or weight loss, or as a result of the ageing process. Sagging occurs when the skin over the breasts stretches; as a result, the breasts have a loss of shape and a less youthful appearance.

A breast lift raises and reshapes the breasts, leaving them looking fuller, firmer and more pert. Only the excess skin is removed and the nipples are then repositioned in a new, higher location.

Breast Lift Procedure

Many techniques are used but the most common uses an "anchor-shaped" incision that follows the natural contour of the breast. Excess skin is removed and the nipples are moved to a new, higher location. The skin from both sides of the breast is then brought down and around the areola, shaping the new contour of the breast. The skin is sutured in a vertical line extending downwards from the nipple and along the lower crease of the breast. Breast lift surgery is carried out under general anaesthetic and the operation usually lasts approximately two hours. An overnight stay in hospital is required.

Breast Lift Recovery

Most patients are up and about in a day or two, but it is not advisable to return to work for at least one to two weeks. The breasts will be bruised and swollen after this operation and may take two to three weeks to settle down. It is advisable to wear a support bra for four to six weeks while you gradually resume normal routines and activities.

How long will the effects last?

A breast lift will not make your breasts firm forever. The natural effects of gravity, pregnancy, ageing and weight fluctuations will eventually alter the shape and firmness of the breasts. Good support with a comfortable bra - especially during exercise - is recommended. Breast lift surgery will not significantly alter the size of your breasts, but some patients may choose to have a breast enlargement at the same time. This option has to be discussed in detail with the surgeon as it may be more difficult to predict the shape of the breasts.

Breast Lift Risks

With the use of the right technique, proper planning and meticulous surgery, risks are rare but may include bleeding, haematoma, infection, fat necrosis, scarring, wound healing problems, loss of nipple sensation, minor asymmetry between breasts, and an inability to breastfeed. The scars will be noticeable and may remain lumpy and red for several months, but will gradually become less obvious and fade to pale lines over a 12-month period. Poor healing and wider scars are more common in smokers. The operation should not affect your ability to breastfeed since the milk ducts are not interfered with by the surgery.

Mr Prinsloo will explain how the possible risks will apply to you.

Due to the Data Protection Act etc. our supply of pre/post operative pictures is currently limited.

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Breast Uplift (Mastopexy)

Description

Surgical procedure to raise and reshape sagging breasts leaving a fuller, firmer and more pert appearance. Only the excess skin is removed and the nipples are repositioned in a new higher location. The procedure returns the breasts to a more youthful shape and position.

Who are candidates?

Women with:

  • Misshapen and saggy breasts following pregnancies, weight loss or as a result of the ageing process
  • Breasts that lack firmness
  • Nipples that have stretched over time
  • Uneven (asymmetrical) breasts

How is it done?

Most common breast uplift technique is the ‘anchor’ method. Incisions are made:

  • Around areola
  • Vertically down from areola to breast crease
  • Horizontally along in the breast crease
  • Excess skin is removed to sculpt the breast into a better shape higher on the chest.

Length of surgery

11/2 to 2 hours under general anaesthetic

Hospital stay

Overnight stay

Time to heal

  • Drains may be used and will be removed within 24 hours
  • Pain for few days managed with oral medication
  • Driving possible after first week
  • Return to work in 1-2 weeks
  • Breasts will be tender and bruised, with swelling lasting several weeks
  • Avoid lifting or pushing for 4 weeks
  • Support bra to be worn for 4 weeks
  • Normal activity in 4-6 weeks

Risks

All surgery carries a degree of risk. Possible complications of surgery will be minimized and if necessary dealt with. Risks are rare but may include:

  • Bleeding, haematoma (blood clot needing drainage), infection, fat necrosis (lumpiness), permanent visible scarring, delayed wound healing, minor asymmetry between breasts, loss of nipple sensation, inability to breastfeed and risks associated with general anaesthetic (DVT, PE and chest infection).

Results can never be absolutely guaranteed and adverse results are always possible.

Duration of results

Long-lasting, although gravity, pregnancy, weight fluctuations and ageing can affect results over time.

Pro's

  • Perkier, more youthful looking breasts
  • Restores natural position of breasts without changing the size
  • Increases the firmness of the breasts
  • Lifts downward pointing nipples into higher position
  • Helpful if one breast is a different shape/size than the other
  • May help to boost self-esteem and social confidence

Con's

  • Visible scarring
  • Lumpy scars
  • Breast asymmetry/shape irregularity can return over time
  • Smokers may be at increased risk of delayed wound healing and infection

Answers to myths

  • Breast lift does not remove any breast tissue but merely tightens the skin and lifts the glandular tissue
  • Breast implants may be used at the same time as breast lift surgery to improve breast size and firmness
  • Breast screening is still possible following mastopexy

"To Dan Prinsloo, For your guidance, kindness and, above all, the amazing gift you have given me, I am very much appreciative."

TF - 18 April 2011 - Breast Uplift

"Dear Mr Prinsloo...Truly remarkable what you have been able to achieve with me! I shall be very happy for a very long time. Thanks for all your support."

JC - 7 April 2010 - Breast Lift Surgery (Mastopexy)

"To Mr Prinsloo, Just like to say thank you very much for care and professionalism with my tummy tuck and breast uplift. Kind regards."

PP - March 2007 - Tummy Tuck + Breast Uplift

"Dear Mr Prinsloo, This email is just to share good news with you. You performed a Bilateral Mastopexy on our Daughter approximately 7 years ago for medical reasons, at the time you made S aware that she would probably never be able to breast feed; you did also say that due to her medical condition she probably wouldn't be able anyway. October this year S had a beautiful baby girl who is happily munching away on mothers breasts!!! We just wanted to contact you to say thank you for not only making it possible for this to happen, but for also changing our daughter's life, she is much happier and much more confident since the surgery. Regards."

November 2009 - Mastopexy (Breast uplift)

"Dear Mr Prinsloo, I'd just like to say thank you so much for your work on me. I found the whole experience very positive, with only some discomfort and no pain and I have recovered much more quickly than I had dared to hope. Thank you for your time and expertise. Your work has allowed me to feel finished in a way I would never have been able to achieve through diet and exercise. My friends and family are amazed at the results (especially the breast lift I've gone from 36 E to a 34 D)! Thank you again it's truly made a huge impact on my confidence and life. Yours in gratitude."

HW - March 2007 Tummy Tuck + Breast Uplift

Who are good candidates for breast uplift surgery?

Women with:
Misshapen and saggy breasts following pregnancies,weight loss or as a result of the ageing process
Breasts that lack firmness
Nipples that have stretched over time
Uneven (asymmetrical) breasts

Is breast screening possible after a breast lift?

Yes screening is still possible after you had breast lift surgery

How long will breast uplift surgery take?

A Mastopexy (breast uplift surhery) will take 1 - 2 hours under general anaesthetic.

More facts about breast uplift surgery

Breast lift does not remove any breast tissue but merely tightens the skin and lifts the glandular tissue
Breast implants may be used at the same time as breast lift surgery to improve breast size and firmness
Breast screening is still possible following mastopexy

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