• Breast Lift

Introduction

Most women commonly suffer from the problem of sagging breasts after pregnancy, a decline in their weight, nursing, or when they begin to enter a more advanced age. Breast lift can be a solution that provides them with a more robust look of their breast when the nipple is placed at an elevated level. This type of operation will make a woman’s breasts sturdy and enhanced or elevated. The way your areolas and nipples are placed will improve the shape as well as the size of your breasts. The breast lift operation includes the abscission of the skin and an alteration of the breasts. Although this operation can be undertaken at any age, doctors are of the opinion that it is best to be patient until the breasts have stopped developing. This operation is favorable because it will not hinder your ability to breastfeed. There are numerous incision methods that are used for the breast lift surgery and the method settled upon will depend on a number of factors including the patient’s present breast tissues, the magnitude of surplus skin to be extracted, and the patient’s personal objective.

Operation Techniques

 

1.Lifting by Implant

 

This is an operation where breast lifts and breast augmentation are combined in one session procedure. The lift procedure accomplishes the purpose of repositioning the breast at an elevated level on the chest and the implant achieves the purpose of providing or restoring the upper pole fullness at the top area of the breast. This is a procedure that can also be undertaken for aesthetical purposes or for purposes of reconstruction.

Concerns and Conditions

 

Many women who opt for the breast lift procedure are interested in regaining full projecting breasts that they previously had when younger. The do not like the appearance of their breasts and the fact that their breasts have lost fullness in the upper areas is a concern to them. Here are some concerns that these women have.

  • Breasts that are sagging or hanging.
  • Breasts that have lost their fullness in the upper area.
  • Breasts that have become shapeless and also lost volume.
  • Breast which have stretch marks due to weight changes.
  • Irregularity of a lack of evenness with one or both breasts.

Operation Procedure

This procedure begins with consultations to determine what the objectives of the operation are. To correct the loss of volume and fullness in breasts, augmentation as well as implants is generally advocated for. General anesthesia is then administered to ensure that the patient is unconscious. The procedure begins with the removal of your outer layer of skin that is found around your nipple. The loose tissue that is found on the lower breast is also removed. The implant is then introduced mostly at the back of the chest muscle. When the implant is placed, it fills the top part of the breast thus enhancing projection. The nipple is then elevated to a new and higher level causing the breast tissue inside to tighten. The lower breast is also reshaped using internal stitches and the skin is closed with the help of dissolving stitches to help in lessening scarring.

Advantages

 

  • After this procedure, your breast will be noticeably firmer.
  • This will help in enhancing your self-confidence.
  • While your breasts will appear to be larger, the procedure does not increase their size. They seem to be larger because they are firmer and are projected properly.
  • Scaring is minimal and will be barely visible.

Disadvantages

  • This procedure is typically not applicable to women who already have big breasts.
  • There is also the likelihood that after the procedure, a woman might not be able to breastfeed.
  • The procedure is costly and can be compromised when a patient experiences pregnancy or their weight fluctuates.
Operation for Breast Lift at clinic in Bangkok, Thailand

2. The Sub AreolarLift

 

This incision is usually carried out around the nipple base to ensure that the scar is concealed. It is an approach that is also referred to as the mini lift and only works in the case of a small lifting. It is quite applicable in mild to moderate drooping breasts and can also be used effectively to help in the lifting of breasts that are little and have dropped.

Advantages

  • Since the sub-areolar is a mini lift and the incision is done around the base of the nipple, the scar is always concealed and cannot be easily detected.
  • It is also one of the least complicated procedures.

Disadvantages

 

This procedure is unfortunately suitable only to people who are interested in making a small lifting of the breast to give it a better shape.

3. The Vertical Scar Technique

 

The vertical scar technique also known as the lollipop is ideal for women who have mild to moderate breast ptosis, or rather sagging. When this technique is used, the main focus of this procedure is the V shaped incision that is made and runs around the top of the areola and then moves down to the center of the breast. While this operation is marginally more invasive, it realizes a higher degree of lift. This is why this dissection is quite ideal for women who have large breasts and suffer from severe to moderate breast ptosis.

Operating Procedure

Once the doctor and the patient have determined the objectives of the procedure, the patient is injected with anesthesia for purposes of insensitiveness or unconsciousness. The doctor then cuts off the sagging area and pulls the skin together to ensure that it achieves a tighter feel. The doctor will then stitch the cut together. Sometimes it might be necessary to make a small scar on the inflammatory fold to ensure that the closure is leveled out.

Advantages

 

  • There is no puckering of the skin as the breasts remain highly projected.
  • The bases are tight and flat right after the surgery has been completed.
  • This procedure is ideal for the lifting of big breasts and within weeks after the surgery, the breasts will become soft and will start to have a good appearance.

Disadvantages

 

  • A vertical scar will be left right in the middle of the breasts.

4. Inverted T Technique

 

The surgeon uses diverse surgical equipment to lift the skin and isolate it from the concealed tissues beneath. The areola and nipples are not touched while the encompassing skin is extracted. To be sure that the breast continues to be mobile, the surgeon removes tissue that is located on the edges of the incision line. After extracting excessive skin, the surgeon sutures the topmost area of the perimeter of the incision. This action ensures that the areola and breast are elevated to a new more vertical position.

Operational Procedures

 

The patient is given anesthesia to ensure that they are unconscious and then the surgeon makes a vertical incision as well as a crosswise incision on the breast fold. A combination of these incisions is ideal for maximal extraction of skin as well as the shaping of the breast. Apart from the extraction and tightening of the skin, the rooted layer of the breast can also be stitched together to ensure that the breast is properly shaped. Basically, the sagging area is cut, probably up to 1 cup off and the breast is given a new shape. Tubes can be used for a while after the surgery to ensure that the surgical area is drained.

Advantages

 

This breast lifting approach is one of the most popular because it can help make the right adjustments to the breast and works very well.

Disadvantage

 

  • It leaves a big scar.

5. Periareolar

The periareolar breast augmentation procedure can be undertaken using a half circle incision that is done on the lower edge of the areola. This crescent or halfmoon shaped incision is a basic intrusion that attains a minimal degree lift. The operation is ideal for people that have small breasts and slight breast ptosis. It also works well for people that have minor sagginess by elevating the nipple and areola to a higher position. It ensures that the breast is lifted considerably. Most women that have sagging breasts will probably also have wide nipples and areolas. This operation ensures that all these parts are compatible with the breast size.

Pre-Operation
  • Patients ought to let the surgeon know if they have any acute ailments.
  • Techniques 2 to 4 do not need patients to stay at the hospital and they can go home right after the procedure and rest. Technique one and 5 requires that the patients remain at the hospital for at least one day.
  • Standard laboratory testing is also undertaken and photographs are necessary for purposes of assessment so that the post-operative effectiveness of the procedure can be determined.
  • Aspirin, ibuprofen or any other such drugs must be avoided until a lapse of two weeks after the surgery. These medications have the capability to bring about excessive and needless bleeding at the time of operation and even after the procedure. If you unsure about drugs you are taking, it’s essential to get in touch with the doctor to seek clarification. This includes over the counter medication.
  • It’s advisable not to eat anything past midnight on the night before you go in for surgery. You should not take anything including coffee and juice on the morning of your surgery. Oral medication is also not advisable but can be taken with a little sip of water.
  • Make plans to rest for at least 7 days after the operation.
  • Have a friend go with you for the operation and drive you back home.
  • Shave your armpit.
The Procedure

With the periareolar procedure, the patient is first injected with general anesthesia since this is a minimally invasive operation. The areas with the sagging skin are then snipped off and the wound is stitched both from inside and oustside.

 Advantage

  • This operation involves a very small wound that heals very fast.

Disadvantage

                                   

  • It cannot be used to make major changes since it can only lift a bit of the breast.

Post Operation
  • A day after surgery, it is advisable to get out of bed for intermittent periods. You will be able to move without much difficulty after several days.
  • You shouldn’t strain yourself and should desist from such activities as bending, and lifting because they may increase swelling and bleeding.
  • Sleep on your back so that you do not apply any pressure to your breasts.

The Healing Period

  • The stitches can be taken off 5 days after your surgery.
  • Healing will take time and can take about one week or more. Your healing is dependent on a number of factors, but mostly on how you take care of yourself.
  • You should not try to lift anything over your head for a period of 3-4 weeks.
  • Your practitioner will give you detailed instructions that will help you get back to your daily routine.
  • The doctor might also ask you to avoid certain activities for a while. Such activities may include sex and sports activities. It might take a month before you can get back into such activities.
  • Should you get pregnant, the operation will not hamper your ability to breastfeed because your milk ducts and nipples will not be affected.
  • After surgery, you will be required to have a bandage or a surgical bra to cover the gauze dressings.