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Breast Lift
(Mastopexy)
As the skin loses its elasticity, the breasts
often lose their shape and firmness and begin to
sag. Breastlift, 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.
Many women seek
mastopexy because pregnancy and nursing have left
them with stretched skin and less volume in their
breasts, or because they have sagging breasts as
the result of weight loss due to bariatric
surgery or dieting. Exercise will not do anything
to correct the problem. The best candidates for
mastopexy are healthy, emotionally-stable women
who are realistic about what the surgery can
accomplish.
| Mastopexy
usually takes one and a half to three and
a half hours. Techniques vary, but the
most common procedure involves an
anchor-shaped incision following the
natural contour of the breast. The
incision outlines the area from which
breast skin will be removed and defines
the new location for the nipple. When 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 usually
located around the areola, in a vertical
line extending downwards from the nipple
area, and along the lower crease of the
breast. Some patients, especially
those with relatively small breasts and
minimal sagging, may be candidates for
modified procedures requiring less
extensive incisions. One such procedure
is the "doughnut (or concentric)
mastopexy", in which circular
incisions are made around the areola, and
a doughnut-shaped area of skin is
removed.
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If you're having
an implant inserted along with your breast lift,
it will be placed in a pocket directly under the
breast tissue, or deeper, under the muscle of the
chest wall.
Mastopexy does
leave noticeable, permanent scars, although
they'll be covered by your bra or bathing suit.
You should also
keep in mind that a breast lift won't keep you
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.
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