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Breast Lift

The effects of pregnancy, gravity, and time can take their toll on breast tissue and skin. Regardless of size, breasts can begin to sag over time, losing firmness and fullness. A procedure known as mastopexy, or breast lift, is available at our Gold Coast practice in Queensland and Ballina Practice in NSW for women who want to restore their breasts to a more youthful shape. Our experienced plastic surgeon looks forward to helping you reach your goals.

What is a breast lift?

A breast lift, also called a mastopexy, is a surgical procedure which aims to correct the problems associated with sagging breasts. The sagging can result from genetics, ageing, weight loss, or pregnancy. If the sagging is not too extensive, then sometimes the best thing to do is to insert a breast implant to better fill the breast envelope. If, however, the sagging is too great, then a breast lift procedure is required. This can be performed with or without the addition of a breast implant at the same time.

The operation involves a general anaesthetic and can be performed on an inpatient or day stay basis. The nipple and areola are moved to the correct position, the excess tissue is removed and the breast is moulded into a more youthful, pleasing shape. It usually involves a scar around the areola, another scar that runs vertically down to the fold under the breast, and sometimes a scar in the fold itself. Breast lift surgery has a very high patient satisfaction rate. The operation often attracts an item number from Medicare and therefore some of the costs will be borne by Medicare and your Private Health Fund.   To have your breast lift classified as medical your youngest child needs to be older then 12mths and youger then 7 years and your nipple needs to be below your breast fold.  If this is the case, your photos are sent to the Health Insurance Commission to be approved.  This process can take up to 3 months as the committee only meets bimonthly.

Breast Lift Photos

*Disclaimer:
These before and after photos are of patients that have had surgery performed by Dr Layt. These patients have consented to the photos to be shown. These are the actual photos and the photos have not been altered or digitally enhanced. Every patient is an individual and therefore final surgical results will vary from patient to patient.

Before*After*

*Disclaimer:
These before and after photos are of patients that have had surgery performed by Dr Layt. These patients have consented to the photos to be shown. These are the actual photos and the photos have not been altered or digitally enhanced. Every patient is an individual and therefore final surgical results will vary from patient to patient.

Who is a candidate?

A woman who is considering breast lift surgery at our Gold Coast, Queensland or Ballina, New South Wales office will have a consultation with Dr. Craig Layt to determine whether or not she is a candidate. This procedure can help women who have sagging breasts due to pregnancy, ageing, weight loss, or genetics. Women who have large areolae are often also candidates as the areolae can be reduced using this technique.

What can you expect after the operation?

Drains are rarely required.  Your pain will be controlled by oral medications. You will have an appointment to see us 24-48 hours after the operation for review of dressings, medications and exercises. If distance is a problem we can often address this over Skype, FaceTime or phone.  You will also be seen approximately 7 days post surgery to change dressings and review your surgical progress. Light activities can be resumed as tolerated. Aerobic activities can be started in about 3 weeks. We are always available to help should concerns arise. You are expected to attend 3 month and 12month reviews with Dr Layt.

The breast lift operation is not a particularly painful one. Pain is usually well controlled with oral medication and this means it is possible for you to go home soon after the operation. Depending on your specific circumstances, there are often no sutures to be removed as absorbable (dissolvable) sutures are placed under the skin.

What are the potential risks?

Modern surgery is safe. However, all surgery involves some level of risk. Potential complications that are associated with breast lift surgery include changes in nipple sensation and asymmetry of the breasts after healing. All precautions will be taken to minimise the chances of any adverse reaction. You will be fully briefed on pre- and post-operative procedures to assist you with the best possible surgery experience, recovery phase and final outcome.

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Specific Pre-operative Instructions

WASHING: Wash the evening prior to surgery and the day of surgery paying particular attention to the breast region. This decreases the bacterial count and should decrease the risks of infection.

PRODUCTS: Do not apply moisturisers, make-up, perfume/deodorant, nail polish or hair products after washing. Remove all jewellery.

CLOTHING: Wear loose, comfortable clothing and footwear. A shirt with a button or zipper opening is ideal for removal.

SMOKING: Smoking increases the risks of complications significantly and should be ceased 6-8 weeks prior to surgery.

FASTING: You should have nothing to eat or drink for 6 hours before your operation. If you are required to take medication during this time please speak with your physician to check if this can be taken before the 6 hour fasting period or after your procedure.

MEDICATION: If you are having the operation as a day case, you will be given a script for antibiotics and pain relief tablets that you will need to purchase from the chemist and bring with you on the day of your procedure. Do not take these prior to surgery. The nursing staff will advise you and your carer after your procedure on how to administer them.

Certain over the counter products and prescription medicines can cause complications before and after surgery. They can reduce the ability of your blood to clot and could increase your tendency to bleed during and after surgery. Do not take any medication containing or related to aspirin 2 weeks prior to your procedure. This includes NSAID’S, anti-Inflammatory medications, blood thinning medications. Please see your doctor regarding if and when to cease this medication. *This is not an all inclusive list*.

Also avoid Vitamin E supplements and red wine. Stop all herbal medications before surgery. The most common herbs used are Echinacea, Ephedra, Garlic, Ginseng, Ginkogo, Kava, St. John’s Wort, and Valerian. They may adversely effect anesthetic drugs, prolong bleeding and impair healing after surgery. Please consult your physician before ceasing any medication.

ADMINISTRATION: Unfortunately, paperwork is a necessary evil. Each theatre complex has its own procedures. We have attempted to make it all easy by providing a simple series of steps to follow titled “SURGERY CHECKLIST” specific to the surgery center you are attending. Please follow these instructions. If you have any queries about this or anything else don’t hesitate to contact us on (07) 5597 4100.

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Specific Post-operative Instructions

POSITION: For the first week after surgery, try to sleep on your back, instead of your side. This will help reduce swelling. (It is more important for you to sleep than to rigidly adhere to this suggestion).

DRESSINGS & DRAINS: Drains are rarely required.  You may have ‘splash proof’ dressings over your suture sites. Your pain will be controlled by oral medications. You will have an appointment to see us 24-48 hours after the operation for review of dressings, medications and exercises. If distance is a problem we can often address this over Skype, FaceTime or phone.  You will also be seen approximately 7 days post surgery to change dressings and review your surgical progress. Light activities can be resumed as tolerated. Aerobic activities can be started in about 3 weeks. We are always available to help should concerns arise. You are expected to attend 3 month and 12month reviews with Dr Layt.

You will be fitted with a support bra, which you should wear day and night for 2 weeks after surgery. (You may, of course, remove it to shower and launder). After 2 weeks, you may sleep without the bra. You should not go braless during the day for 4 – 6 weeks after surgery. Once the swelling has decreased you can buy new bras to fit your new size. This usually takes 3 months.

SHOWERING: You may shower, remembering that your dressings are splash proof rather than waterproof.  If water gets underneath the dressing it is best to change it. If you prefer to bathe, do not allow the incision lines to soak for more than a few minutes in the bath water.  It is fine to take off your bra while you bathe or shower.

DRIVING AND ACTIVITIES: You may take a gentle walk the day after your surgery. It is advised to try to get up and move about as soon as you feel you can..  Do not return to aerobic exercise for 3 weeks.  You may drive when driving does not cause your pain, your vision, reflexes and thought processes are not impaired and you are confident in your driving ability.  This usually occurs in 4 – 6 days if you have a car with power steering.

SUTURES: The sutures used in the operation are usually dissolvable and don’t require removal.

SUNLIGHT: Scars take at least 1 year to fade completely. During this time, you must protect them from the sun. Even through a bathing suit, a good deal of sunlight can reach the skin and cause damage. Wear a sunscreen with a skin-protection factor (SPF) of at least 30 at all times when in the sun. Be extremely careful as areas of your breast skin may have reduced sensitivity.

TAPE: Dr Layt advises taping the wounds with Fixomull initially then Siltape for 8-12 weeks after your operation for optimal scar healing. Our nurse will change these dressings 1 week after your operation. You will be given a sample pack of Siltape that will last approximately 6 weeks, after this you will need to purchase the Siltape yourself.

TED STOCKINGS: You may be required to wear TED stockings for compression to prevent DVT (blood clotting) post-operatively. If required these will be fitted at the hospital on your admission day. The nursing staff will advise you on how long you need to wear these for.

MEDICATION: Take your pain relief and anti-biotic medication as directed. Any medication you ceased prior to surgery must not be taken after your surgery until you are completely healed or as directed by your physician.

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Contact Us

To schedule a consultation with Dr. Craig Layt, or to learn more about breast lift surgery, contact our Gold Coast practice in Queensland today. We will be happy to answer any questions you have.