Frequently Asked Questions About Breast Lift Surgery
What is a breast lift?
- Weight fluctuations
Also known as mastopexy, a breast lift raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. Sometimes the areola becomes enlarged over time, and a breast lift will reduce this as well. A breast lift can rejuvenate your figure with a breast profile that is youthful and uplifted.
Will breast lift surgery change the size of my breasts?
Is it right for me?
A breast lift is a good option for you if:
- You are physically healthy and maintain a stable weight
- You do not smoke
- You have realistic expectations
- You are bothered by the feeling that your breasts sag, have lost shape and volume
- Your breasts have a flatter, elongated shape or are pendulous
- When unsupported, your nipples fall below the breast crease
- Your nipples and areolas point downward
- You have stretched skin and enlarged areolas
- One breast is lower than the other
- You are happy with your breast size in a bra but unhappy with their appearance outside the bra
What will happen during my consultation?
Be prepared to discuss:
- Why you want the surgery, your expectations, and desired outcome
- Medical conditions, drug allergies, and medical treatments
- Use of current medications, vitamins, herbal supplements, alcohol, tobacco, and drugs
- Previous surgeries
- A family history of breast cancer and results of any mammograms or previous biopsies
Dr. Rocheford may also:
- Evaluate your general health status and any pre-existing health conditions or risk factors
- Examine your breasts, and may take detailed measurements of their size and shape, skin quality, placement of your nipples and areolas
- Take photographs for your medical record
- Discuss your options and recommend a course of treatment
- Discuss likely outcomes of breast lift surgery and any risks or potential complications
- Discuss the use of anesthesia during your breast lift
How should I prepare for surgery?
Prior to surgery, you may be asked to:
- Get lab testing or a medical evaluation
- Take certain medications or adjust your current medications
- Get a baseline mammogram before surgery and another one after surgery to help detect any future changes in your breast tissue
- Stop smoking well in advance of surgery
- Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements as they can increase bleeding
Special instructions you receive will cover:
- What to do on the day of surgery
- Post-operative care and follow-up
You’ll need help
If your breast lift is performed on an outpatient basis, be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.
What are the procedure steps?
- Breast size and shape
- The size and position of your areolas
- The degree of breast sagging
- Skin quality and elasticity as well as the amount of extra skin
Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
Step 2 – The incision
There are three common incision patterns:
- Around the areola
- Around the areola and vertically down from the areola to the breast crease
- Around the areola, vertically down from the breast crease and horizontally along the breast crease
Step 3 – Reshaping your breasts
After your doctor makes the incisions:
- The underlying breast tissue is lifted and reshaped to improve breast contour and firmness.
- The nipple and areola are repositioned to a natural, more youthful height.
- If necessary, enlarged areolas are reduced by excising skin at the perimeter.
- Excess breast skin is removed to compensate for a loss of elasticity.
Step 4 – Closing the incisions
After your breasts are reshaped and excess skin is removed, the remaining skin is tightened as the incisions are closed. Some incision lines resulting from a breast lift are concealed in the natural breast contours; however, others are visible on the breast surface. Incision lines are permanent, but in most cases will fade and significantly improve over time. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts. Sutures, skin adhesives and/or surgical tape may be used to close the skin.
Step 5 – See the results
The results of your breast lift surgery in Minneapolis-St. Paul is immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for breasts which have been restored to a more youthful and uplifted position.
What risks are associated with breast lift surgery?
The risks include:
- Unfavorable scarring
- Bleeding (hematoma)
- Poor healing of incisions
- Changes in nipple or breast sensation, which may be temporary or permanent
- Anesthesia risks
- Breast contour and shape irregularities
- Skin discoloration, permanent pigmentation changes, swelling and bruising
- Damage to deeper structures – such as nerves, blood vessels, muscles, and lungs – can occur and may be temporary or permanent
- Allergies to tape, suture materials, and glues, blood products, topical preparations or injected agents
- Breast asymmetry
- Fatty tissue deep in the skin could die (fat necrosis)
- Fluid accumulation
- Excessive firmness of the breast
- Potential partial or total loss of nipple and areola
- Deep vein thrombosis, cardiac and pulmonary complications
- Blood clots
- Pain, which may persist
- A possibility of revision surgery
What are some important facts?
- Breast lift surgery can interfere with diagnostic procedures
- Breast and nipple piercing can cause an infection
- Breast lift surgery does not normally interfere with pregnancy, but if you are planning to have a baby, your breast skin may stretch and offset the results of mastopexy and you may have more difficulty breastfeeding after this operation
When you go home
Following Dr. Rocheford’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.
Be sure to ask questions
It’s very important to ask Dr. Rocheford questions about your breast lift procedure. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with her.
What’s the recovery process like?
- Where will I be taken after my surgery is complete?
- What medication will I be given or prescribed after surgery?
- Will I have dressings/bandages after surgery? When will they be removed?
- Are stitches removed? When?
- When can I resume normal activity and exercise?
- When do I return for follow-up care?
How long will my results last?
- Maintain your weight
- Keep a healthy lifestyle
Special note: While a breast lift does not usually affect breast function if you are planning to become pregnant, discuss this with your plastic surgeon. Changes that occur in the breasts during pregnancy can minimize or reverse the improvement a breast lift provides. Likewise, plans for significant weight loss should also be discussed.
Questions to ask Dr. Rocheford
- Are you certified by the American Board of Plastic Surgery?
- Were you trained specifically in the field of plastic surgery?
- How many years of plastic surgery training have you had?
- Do you have hospital privileges to perform this procedure? If so, at which hospitals?
- Is the office-based surgical facility accredited by a nationally- or state-recognized accrediting agency, or is it state-licensed or Medicare-certified?
- Am I a good candidate for this procedure?
- Where and how will you perform my procedure?
- What surgical technique is recommended for me?
- How long of a recovery period can I expect, and what kind of help will I need during my recovery?
- What are the risks and complications associated with my procedure?
- How are complications handled?
- How will my ability to breastfeed be affected?
- How can I expect my lifted breasts to look over time? After pregnancy? After breastfeeding?
- What are my options if I am dissatisfied with the cosmetic outcome of my lifted breasts?
- Do you have before-and-after photos I can look at for this procedure and what results are reasonable for me?