Breast lift, or mastopexy, is a cosmetic surgery used to remove excess skin, raise and reshape sagging breasts. Mastopexy can also reduce the size of the areola. If your breasts are small or have lost volume (for example, after pregnancy), breast implants along with mastopexy can increase both your breasts’ firmness and size.
Breast uplift surgery is a common requested operation by women after pregnancies, as the breast becomes empty and sagging.
The main goals are removing skin excess, reshape your breasts and lift the breast tissue. Techniques vary, but the most common procedure involves a periareolar incision (“doughnut”) or vertical (also known as “lollipop”). We try to avoid as much as possible the classic inverted T (anchor-like) scar, but if the result will be superior using it, we do not hesitate to do it. The final scar will depend on the amount of skin to be removed and if an implant is needed or not. Stitches are usually located around the areola, and even a vertical line extending downwards from the nipple area.
Over the years, factors such as pregnancy, nursing and the force of gravity itself take their toll on a woman’s breasts. As the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag.
The commonest sign is “bottoming out” of the breast. So we have to manage this in different ways. There are severeal options which will be discussed with you:
Our priority is to make the scars as less visible as possible. Still, it’s important to remember that mastopexy scars are extensive and permanent. Fortunately, we place the scars so that you can wear even lowcut tops. You should also keep in mind that a breast uplift won’t keep your breasts firm forever (the effects of gravity, pregnancy, aging, and weight fluctuations will eventually take their toll again.) Women who have implants along with their breast lift may find the results last longer. According to our experience with hundreds of patients, your satisfaction with a mastopexy is likely to be greater if you understand the procedure thoroughly and if your expectations are realistic.
He worked at the Hospital Clínic in Barcelona as a specialist in Plastic and Reconstructive Surgery for 16 years.
Fifteen years ago, together with two other professionals, he founded Antiaging Group Barcelona, at the forefront of Aesthetic Medicine and Surgery. He has developed professionally in the field of care, research and teaching, being his fields of interest facial surgery, breast surgery and body contouring with implants.
In breast surgery he is a specialist in transaxillary breast augmentation and secondary breast surgery. He has introduced the use of ultrasound in Plastic Surgery and recently the use of 3D implants in thoracic malformations.
University Specialist in Plastic, Reconstructive and Aesthetic Surgery, having completed his training at the Hospital Clinic in Barcelona.
He has worked in hospitals in the United Kingdom and Zaragoza and is currently part of the Breast Unit of the Plastic Surgery Service of the Hospital de Bellvitge in Barcelona.
The best results are usually achieved in women with small, sagging breasts. Breasts of any size can be lifted, but the results may not last as long in heavy breasts, because of gravity force. Many women seek mastopexy because pregnancy and breastfeeding have left them with stretched skin and less volume in their breasts. However, if you’re planning to have more children, it may be a good idea to postpone your breast uplift. While there are no special risks that affect future pregnancies (for example, mastopexy usually doesn’t interfere with breastfeeding), pregnancy is likely to stretch your breasts again and offset the results of the procedure.
Depending on your age and family history, we may require you to have a mammogram (breast x-ray) before surgery. You’ll also get specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Your breast uplift will be performed under general anesthesia and one night of admission is required.
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