Breast lift or mastopexy is a surgical procedure that raises and shapes the sagging breasts. Breast enlargement may occur after pregnancy and breastfeeding, changes in body weight or as part of the normal aging process. There are also patients with genetic predisposition towards ptosis. The procedure may also reduce the dimensions of the areola.
Do you need this procedure?
Mastopexy can achieve lifting of breasts of any size, but better results are usually obtained in smaller breasts. Additional procedures such as breast reduction may be needed to lower the risk of ptosis recurrence in older breasts. If you want to get pregnant, it is preferable to wait until after birth for a breast lift, so that any breast overload caused by pregnancy and breastfeeding can be corrected surgically.
If you are healthy and have realistic expectations on the results, you are the ideal candidate for this intervention. Although breast lift will improve the breast size and shape, it is important to understand the limits of the procedure. Both the technical details and any possible problems will be discussed with you during the first consultation in our clinic.
Before surgery, you will benefit from a consultation and an initial evaluation with Dr. Sinescu to determine if mastopexy is appropriate for you and to explain the details of the procedure.
We will discuss what you can expect from this surgery and we’ll review all the options for breast lift. You will be given a detailed explanation of the procedure, steps to be followed before and after surgery, potential risks and complications, costs and payment methods. We will answer all your questions. We’ll ask for medical history, information on cigarette and alcohol consumption and a list of all the medicines you use, including the over the counter ones. In addition, we’ll have you perform a mammogram or mammary ultrasound before surgery to certify the absence of any other medical problems. If necessary, our doctors will recommend a suitable medical imaging center.
Surgery will take place in one of the ultramodern private clinics where our doctors work. The operation requires general anesthesia and takes about two to three hours. You will usually spend one night in the clinic, but there is also the possibility to go home the same evening. The breast incisions are placed either around the areola or in the inframammary fold. Incision placement largely depends on the individual anatomical features and there are many options that will be presented during the initial consultation. As a general rule, the severer the sagging, the longer the required incisions and resulting scars.
The surgery continues with removal of the excess skin, breast remodeling and nipple and areola repositioning. If a breast augmentation is performed at the same time, an implant will be inserted into the dissected pocket, either sub-glandular or sub-muscular. The next steps are suturing the wound, a sterile dressing and an elastic garment that holds the breasts in the optimal position for healing.
What to expect after surgery
Activity – Moment
Shower – The third day after surgery
Back to work – 7-10 days
Driving – About a week
Physical contact with the breasts – 3-4 weeks
Intense physical activity – 4-5 weeks
Fading of scars- A few months – 1 year
Risks and complications of surgery
Any surgery has a degree of risk, and breast surgery is no exception. During the first consultation, Dr. Sinescu will evaluate your individual risk level, all potential problems will be discussed and we will establish together if you have a strong indication for mastopexy. Strict adherence to all pre- and postoperative medical recommendations is crucial to reducing any danger. We will always be at your side to achieve a satisfactory and safe end result.
The most common complications include:
– postoperative bleeding and hematoma
– skin or areola-nipple complex necrosis
– skin dehiscence
– modified local sensibility
– hypertrophic scarring
– breast asymmetry
– malposition of areola and nipple
How long do the results last?
Mastopexy will lift your breasts, giving them a youthful outline, bringing the areola and nipple closer to the desired position and size, but that does not mean the results are definitive. The effects of aging, gravity, pregnancy, breastfeeding and weight changes will eventually cause a recurrence of ptosis. The degree of this “new” ptosis can not be estimated in advance and varies from woman to woman. Breast augmentation associated with breast lift has more stable results over time than simple mastopexy.
Frequently Asked Questions
What other procedures can be associated with mastopexy to improve breast shape and size?
Breast augmentation or breast reduction can enhance the results of mastopexy. These options will be presented in detail during preoperative consultations.
Is the surgical intervention covered by health insurance?
Mastopexy is considered an aesthetic surgery and therefore it is not covered by medical insurance. You are solely responsible for all the costs. The costs and ways of payment will be presented during the initial consultation.
Are there alternatives to the procedure?
Depending on the degree of ptosis, breast enlargement only can produce a satisfying aesthetic result. If the areola and nipple are positioned too low or if the skin is too lax, mastopexy is the only solution for getting an attractive breast shape.