Over the years, factors such as pregnancy, nursing, and the force of gravity may alter the appearance of a woman’s breasts. As the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag. Breast lift (“Mastopexy”) is a surgical procedure to raise and reshape sagging breasts. Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple. If the breasts are small or have lost volume after pregnancy, breast implants may be used in conjunction with Mastopexy and can thereby increase both firmness and size.
Mastopexy is performed in an outpatient Surgery Center under a superficial plane of general anesthesia administered by a Board Certified Anesthesiologist. 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 a higher position. The skin is then brought together to reshape the breast. No drains are employed. Modern techniques of Mastopexy relocate the nipple in such a way that sensation to both the nipple and the breast remains intact. On the first postoperative day, the dressing is removed. The patient is allowed to shower, and may then wear an ordinary bra. Pain is modest, and bruising and swelling are minimal. The patient may generally return to normal non-athletic activities in two to four days and to full activities in approximately one month.