Over the years, factors such as pregnancy,
nursing, and the force of gravity 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. Breast lift, or mastopexy, is a surgical
procedure to raise and reshape sagging breasts at least, for a time. (No
surgery can permanently delay the effects of gravity).
Mastopexy can also reduce the size of the areola, the darker skin
surrounding the nipple. If your breasts are small or have lost volume -
for example, after pregnancy--breast implants inserted in conjunction
with mastopexy can increase both their firmness and their size.
breast lift can enhance your appearance and your self-confidence, but it
won't necessarily change your looks to match your ideal, or cause other
people to treat you differently. Before you decide to have surgery,
think carefully about your expectations.
best candidates for mastopexy are healthy, emotionally stable women who
are realistic about what the surgery can accomplish. 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
women seek mastopexy because pregnancy and nursing 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 lift. While there are no special risks that affect future
pregnancies (for example, mastopexy usually doesn't interfere with
breast-feeding), pregnancy is likely to stretch your breasts again and
offset the results of the procedure.
Mastopexy does leave noticeable, permanent scars, although they'll be
covered by your bra or bathing suit. (Poor healing and wider scars are
more common in smokers.) The procedure can also leave you with unevenly
positioned nipples, or a permanent loss of feeling in your nipples or
Mastopexy usually takes one and a half to three and a half hours. The
procedure involves an anchor-shaped incision following the natural
contour of the breast.
the excess skin has been removed, the nipple and areola are moved to the
higher position. The skin surrounding the areola is then brought down
and together to reshape the breast. Stitches are located around the
areola, in a vertical line extending downwards from the nipple area, and
along the lower crease of the breast.
breasts will be bruised, swollen, and uncomfortable for a day or two,
but the pain shouldn't be severe. Any discomfort you do feel can be
relieved with medications.
stitches will be removed after a week.
expect some loss of feeling in your nipples and breast skin, caused by
the swelling after surgery. This numbness usually fades as the swelling
subsides over the next six weeks or so. In some patients, however, it
may last a year or more, and occasionally it may be permanent.
is a gradual process. Although you may be up and about in a day or two,
don't plan on returning to work for a week or more, depending on how you
feel. And avoid lifting anything over your head for three to four weeks.
sex for 2 weeks, and avoid strenuous sports for about a month. After
that, you can resume these activities slowly. If you become pregnant,
the operation should not affect your ability to breast-feed, since your
milk ducts and nipples will be left intact.
carries some uncertainty and risk A breast lift is not a simple
operation, but it's normally safe. Nevertheless, as with any surgery,
there is always a possibility of complications or a reaction to the
anesthesia. Bleeding and infection following a breast lift are uncommon,
but they can cause scars to widen.
nipple sensibility may also occur, but is rare.
stay in Costa Rica at least 10 days after surgery.
I recommend the Las Cumbres
Inn where you will receive personal attention, required medication and
transportation to and from surgery. I visit my patients at Las Cumbres
frequently following surgery to check on your recovery.