Breast Lift (Mastopexy)

Over time, skin loses its natural elasticity and gravity takes over, resulting in the sagging appearance of a woman’s breasts. Furthermore, pregnancies, nursing and weight loss can also contribute to breast deflation and loss of breast firmness. Mastopexy is a surgical procedure designed to restore the youthful shape and appearance of the breasts.

During a mastopexy, the breasts are tightened and reshaped, allowing them to sit higher up on the chest and restoring breast firmness. In addition, the nipple and areola can be repositioned or resized to further enhance the overall appearance. If patients also have a significant volume loss, Dr. Yau may recommend combining the mastopexy with a breast augmentation with implants.

An eligible mastopexy candidate is in good overall health, maintains a stable weight, and has one or more of the following:

  • Sagging breasts
  • Breasts that have lost shape or volume
  • Breasts that are flat or elongated
  • Nipples or areolas pointing downward
  • Breast asymmetry with one breast sagging below the other

The Breast Lift Procedure

Mastopexy is performed on an outpatient basis with no overnight stay required. The procedure usually takes 2 to 3 hours. Depending on the size and shape of the breasts, as well as the degree of sagging and amount of excess skin, surgery will usually result in one of the following types of scars:

  • Around the circumference of the areola
  • A keyhole shape: around the areola and down to the breast crease
  • An anchor shape: around the areola, down to the breast crease and extending transversely along the breast crease

During the procedure, excess skin is removed and tissues are reshaped to achieve the desired breast contour. The nipple and areola are usually moved higher up on the breast and resized. The result is a tighter, more defined appearance. Incisions are closed with stitches.

Recovery From Breast Lift

For a few days following the mastopexy, patients are likely to have bruising, soreness and swelling. However, this resolves fairly quickly and patients often return to work in 1 to 2 weeks. Breasts are usually wrapped in an elastic bandage for one week, followed by a supportive bra that is worn continuously for one month.

The results from the mastopexy are immediate. However, as swelling subsides and scars fade, the breasts continue to improve in appearance. Although the breasts are still subject to the effects of aging, mastopexy produces long-lasting results.

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