Breast Lift

Breast Lift Surgery / Mastopexy in Bangkok, Thailand

          A woman’s breast profile often changes shape, size, or ptosis. Losing skin elasticity and firmness leads to breast ptosis. A breast lift or Mastopexy is a surgical procedure to lift, reshape, and tighten the breasts. Sometimes, the areola becomes too oversized. The surgeon will reduce the balance during the same operation. A breast lift cannot make the upper part of the breast look fuller.

          In some cases, they need breast augmentation with a breast lift. In some cases, the breast size is too big compared to the body. The patients require breast reduction surgery with a breast lift.

Breast Lift Technique

Degee_of_posis_breas

Picture 1. Shows the degree of ptosis of breast

          Various incision patterns will be determined based on breast size and shape, and the size and position of the areolar will include a degree of ptosis and skin elasticity.  Kamol Cosmetic Hospital Bangkok offers 3 incision patterns for Breast lift procedures as follows;

  • The incision around the areolar (O- Scar)

breast_lift_by_incision_scar_around_areola_(O-scar)

Picture 2. Shows breast lift by incision scar around the areola (O-scar)

Breast Lift by Keyhole Scar

  • The incision around the areolar and vertically down from the areolar to the breast crease (Keyhole- Scar)

breast_lift_by_keyhole_scar

Picture 3. Shows breast lift by keyhole scar

Breast Lift by Inverted T-Scar

  • The incision around the areolar, vertically down from the areolar to the breast crease and horizontally along the breast crease. (Inverted T -Scar)

breast_lift_by_inverted_T-scar

Picture 4. Shows breast lift by inverted T-scar

A good candidate for Breast Lift Surgery

You will be the right candidate if you have

  • Feeling your breasts sag or lose shape and volume
  • A flatter breast, elongated shape, or pendulous
  • The nipples fall below the breast crease
  • The nipples and areolar point downward
  • Stretched skin and enlarged areolar
  • One breast is lower than the other.
  • Physically healthy and stable weight.

Preparation for Breast Lift Surgery

  • Consult with the surgeon about your goals, lab test, and medical evaluation
  • Stop smoking at least two weeks before and after surgery
  • Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements that may increase bleeding

Procedure for Breast Lift

  1. Anesthesia, we offer general anesthesia
  2. For the incisions, we offer three incision patterns, depending on the degree of ptosis—the areolar and nipple position. The surgeon marks the incision following the required design.
  3. After opening the incision, the breast tissue is lifted and adjusted in shape. The nipples and areolas are moved up to a natural look. If the patient has enlarged areolas, they are reduced by excising the skin. The excess breast tissue and skin are removed to tighten.
  4. Suture tissue is used to create the breast shape by absorbable sutures, followed by skin sutures or medical tape to close the skin.

Post-operative Care for Breast Lift Surgery

The post-operative care for a breast lift is similar to breast augmentation to minimize any post-operative discomfort after surgery can be done as follows;

  • You should wear a compression bra for extra support and positioning to prevent fluid accumulation and control swelling.
  • Sleeping with torso slightly elevated to control bruising and swelling
  • The dressing will be applied to the incisions until stitches are off seven days after surgery.
  • Keep clean and dry the incision every day.
  • Take medicine for pain relief.
  • Take stitches off seven days after surgery.
  • You will need a follow-up for every appointment
  • Avoid strenuous activities for at least two weeks

Risks and Complications from Breast Lift Surgery

Any operation might have complications, including:

  • Keloid from the incision scar
  • Bleeding
  • Bruising
  • Itching
  • Soreness
  • Poor healing
  • Asymmetry
  • Infection: if you notice warmth and redness in your breast due to fever, you might have an infection; contact the surgeon as soon as possible
  • Decreased or lost sensation
  • Capsular contracture might need a second surgery
  • Risk from anesthesia

Recovery for Breast Lift Surgery

The recovery is similar to breast implant revision, with minimal discomfort.  However, The length of the breast lift will depend on the type of incision performed.

  • Recovery after breast lift with the O-scar. The patients feel mild discomfort for a few days but can return to work within a few days.
  • Recovery after a breast lift with a keyhole scar or Inverted T scar may take more time, maybe 4-5 days. The discomfort symptoms include Pain, stiffness, swelling, and bruising. It may take several weeks or months to settle the final result, such as numbness or tingling around the incision.
  • Recovery after breast implant replacement with lifting: The recovery time will take more time due to discomfort. The patient can return to work in maybe one week. The patients need to wear a compression bra to support them, improve swelling, excrete seroma, and maintain their positioning.

During the breast lift recovery, patients should avoid moderate to strenuous exercise and heavy lifting for at least six weeks.

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