Breast lift, also known as mastopexy, serves to correct the appearance of sagging, deflated breasts. There are many reasons why breasts become sagging or flat including natural ageing, weight loss, pregnancy, abnormal breast development (see tuberous breast deformity) and genetic factors.
Breast lift raises the breasts by removing excess or stretched out breast skin and reshaping the tissue to create a new breast shape. Many women who feel they have a flat chest can greatly benefit from breast lift. Mr Karri is a specialist in breast lift, as well as breast enlargement, and can create breasts with a more youthful profile and firmness.
The sagging appearance of breasts is known as ptosis (pronounced ‘toh-sis’) and there are different grades depending on the position of the nipple relative to the inframammary fold (IMF)
Grades of Breast Ptosis
Grade 1 – the nipple is located at the inframammary fold
Grade 2 – the nipple is located below the inframammary fold
Grade 3 – the nipple is located below the inframammary fold and below the lower pole of the breast
Pseudoptosis – the nipple is located at or above the inframammary fold, while the lower half of the breast hangs below the inframammary fold.
Am I A Good Candidate For A Breast Lift?
The best candidates for breast lift surgery are women;
- With breasts that have lost volume and are sagging due to weight loss, pregnancy, breastfeeding and/or natural ageing
- With breasts that are pendulous, that have lost firmness, have nipples that fall below the inframammary fold or point downwards
- Who have finished having children
- Who are generally healthy and do not have a medical condition that could impede healing
- Who do not smoke
- Who have realistic expectations of the results and willing to follow all pre-op and post-op instructions
How Long Will My Breast Lift Last For?
The results of a breast lift are long-lasting but with ageing and the effect of gravity, your breasts will invariably change shape over time. There are many other factors that also influence how quickly your breasts age, including skin quality, sun exposure, smoking history, changes in weight, pregnancy and breastfeeding. Breast lift may not last as long in women who have large breasts.
What Breast Lift Surgery Won’t Do
Breast lift will not change the size of your breasts as the tissue is reshaped and not increased. If you want your breasts to look fuller, then a breast lift and enlargement is more appropriate. Although breast lift will improve the fullness of the upper half of the breast, the fullness will not be the same as that achieved with breast enlargement.
There are three different types of breast lift, each characterised by the type of incision and corresponding scar. The choice of which breast lift is ideal for you depends on how much your breasts hang down, elasticity of the breast skin, existing breast anatomy and your aesthetic goals.
The three types of breast lift are;
Periareolar scar– also known as circumareolar, Benelli or Doughnut lift, involves a single incision around the areola, which allows for resizing of the areola and repositioning of the nipple. This type of breast lift produces 1-2cm of lift and is therefore only suited for mildly sagging breasts. The resulting scar is usually well-concealed as it is located at the natural junction of dark areola skin and lighter breast skin.
Vertical scar – also known as lollipop scar, involves an incision around the areola and a vertical incision on the lower half of the breast, down the the inframammary fold. Through this incision the areola is resized, the nipple repositioned and the breast tissue reshaped. Vertical scar lift produces more elevation than the periareolar scar and is therefore suited for moderately sagging breasts.
Inverted-T scar – also known as Wise-pattern or Anchor scar, is the same as vertical scar but has an additional horizontal incision in the inframammary fold. This is ideal for breasts that are heavily sagging. Of the three techniques, the inverted-T lift results in the most scarring and overall longer recovery.
Speak to a member of our team for further information or to arrange a consultation
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As with any surgery, breast enlargement does have some risks associated with it. Very rarely some of these risks can result in a second operation and/or removal of the implant.
Scar / poor scarring – the inframammary fold incision usually heals to leave a inconspicuous scar. In some patients the scar can thicken and remain red. The scars from breast augmentation can usually be hidden by bras and swimsuits.
Infection – very rarely a severe infection can arise which may require removal of the implant. It may be a number of months before a new implant can be placed to restore symmetry.
Haematoma – excessive bleeding into the breast can occur (known as a haematoma) and may require drainage. It is important that you you do not take any products containing aspirin, anti-inflammatories, blood thinners or vitamin E for 14 days prior to your operation as these medications can greatly increase the risk of bleeding.
Changes in nipple or breast sensation – while sensation typically returns within several weeks, some loss of feeling may be permanent.
Implant malposition – the implant may not remain in the correct position after breast enlargement. The implant may sit up too high, off to the side, or too low. The breast implant needs to sit properly behind the breast itself. It is important to remember that breasts come in many different sizes and shapes.
Capsular contracture – this describes a thick scar forming around the implant causing deformity and pain. There are varying grades of capsular contracture, from the breast feeling slightly firm to the breast becoming hard, deformed and painful.
Limited lifespan of breast implants – breast implants are not designed to last forever. Therefore all women should expect their implants to be replaced during their lifetime.
Difficulty with breast cancer detection – although there is no increased risk of breast cancer from breast enlargement, interpretation of mammograms may be more difficult. As such, further investigation with ultrasound or MRI may be necessary.
Implant rupture or leakage – an implant may rupture for a variety of reasons such as, improper manufacture, damage to the implant at the time of surgery or trauma to the breast.
Difficulty breast-feeding – some women might have difficulty producing enough milk for breast feeding after breast augmentation.
Need for revision surgery in the future.
Implant-associated Anaplastic Large Cell Lymphoma (ALCL) – there is some evidence that breast implants can cause a very rare cancer of the immune system called anaplastic large cell lymphoma. There is very limited data and the risk appears to be around 1 in 50,000 to 1 in 300,000. ALCL usually presents with rapid swelling of one breast some years after the implants were inserted. Treatment usually requires complete removal of the implant and the capsule around it.
Risks of general anaesthesia, such as feeling sick and vomiting, deep vein thrombosis, shivering and sore throat.
Pricing & Finance
When you’re considering a cosmetic procedure, there’s a lot to think about – the choice of treatments available, the results you want to achieve, the recovery time, any potential risks and, of course, the cost.