What is a Breast Lift?
A breast lift (mastopexy) procedure is designed to correct the issues associated with sagging breasts – which is technically referred to as “breast ptosis.” The development of excess, inelastic breast skin can eventually cause the breasts to descend, leading to a sagging appearance. This may be due to genetics, the natural ageing process, weight loss, pregnancy, and/or environmental factors. In minor degrees of ptosis, the sagging may be improved by the insertion of breast implants; however, if the degree of breast ptosis is significant, breast lift surgery may be necessary to correct the position of the nipples and breast tissue and bring them to a higher, more youthful projection. A breast lift can be performed on its own, or a breast lift with implants procedure may be recommended in cases where additional volume is also desired. Occasionally, fat grafting may also be advised in order to further enhance breast shape and symmetry. If you feel your breasts are too large, Dr Layt may suggest a breast reduction, which is also capable of providing a degree of “lift” to the breasts. Dr Layt will talk with you about your concerns and help you determine the best option for your unique needs.
What are the Benefits of Breast Lift Surgery?
Breast lift surgery can significantly renew the appearance of the breasts by:
- Reducing excess, inelastic skin and tightening the remainder to create firmer, smoother results
- Lifting the breasts and nipples to a higher location, which can present a more youthful projection
- Enhancing the contours and shape of the breasts
- Centralising the location of the nipples
Breast Lift Before-and-After Photos
These before-and-after photos depict the results of breast lift surgery performed by Dr Layt. These patients have consented to the photos being shown. The images are actual photos and have not been altered or digitally enhanced. While every individual is unique and the final surgical results will vary from patient to patient, these photos can provide a general idea as to the outcomes that have been experienced with this treatment.
Am I a Candidate for Breast Lift Surgery?
Suitable candidates for breast lift surgery typically include women who are experiencing breast ptosis due to pregnancy, ageing, weight loss, genetics, or other factors. Dr Layt will consult with you to assess if this surgery is the right option for your needs. Women who have large areolae may also be good candidates for this procedure since it can be an effective option for reducing areolae size.
During your consultation with Dr Layt, the breasts will be examined for the degree of breast ptosis that is present. It is important to determine the precise level of breast sagginess because this will indicate which breast lift technique will be the most ideal for your specific needs.
Degrees of Breast Ptosis
Pseudoptosis (Glandular Ptosis)
Pseudoptosis, sometimes referred to as “glandular ptosis,” is the mildest form of breast ptosis. It is characterised by breasts that are falling just below the inframammary fold (the crease where the lower area of the breast meets the chest), but the nipples are still above the fold.
Grade I Ptosis
This degree of breast ptosis is slightly more severe than pseudoptosis. Grade I ptosis is characterised by breasts that have descended below the inframammary fold and nipples that appear at the same level as the fold.
Grade II Ptosis
This grade of ptosis indicates breasts and nipples that have sagged below the inframammary fold.
Grade III Ptosis
The most severe degree of breast sagginess is known as Grade III ptosis. This level of ptosis is diagnosed when the breasts and the nipples are sagging significantly below the inframammary fold and the nipples are pointing downward.
Once Dr Layt has talked with you about your concerns and performed an evaluation, he can determine whether you are an ideal candidate for breast lift surgery and explain the techniques which may be most suitable for your needs. If you are interested in adding volume to your breasts in addition to a breast lift, he can talk with you about the possibility of combining breast augmentation with the breast lift procedure to accomplish your goals.
What Does the Breast Lift Procedure Involve?
The breast lift procedure typically requires general anaesthesia; however, most patients can return home on the same day as the surgery. There are a number of breast lift techniques that can be utilised; Dr. Layt will determine the technique that will be necessary based on the level of breast ptosis you are experiencing and what is best for your unique needs and goals. In most cases, the breast lift will involve incisions that begin in the areolar regions and extend downward to the inframammary fold. Excess tissue will be removed and Dr Layt will then tighten the remaining skin. The breasts and nipples will be quite literally “lifted” to a higher position and carefully shaped and smoothed to produce firmer skin and a more youthful appearance.
It is important to note that any surgical or invasive procedure carries risks. We will explain all of the potential risks, however rare they may be, during your initial consultation. Before proceeding, you should seek a second opinion from an appropriately qualified practitioner.
What Can I Expect During Breast Lift Recovery?
During recovery, you can expect a certain level of soreness, swelling, and bruising in the surgical areas. The breasts may have patchy areas of numbness during the early post-operative period. Tingling, burning, or shooting pains generally indicate healing and should not alarm. Some asymmetry is normal after the operation as each breast swells to a different degree. The breasts will often appear a little flat at the bottom for a period after surgery. This is normal and is done on purpose as the breasts tend to bottom out more with time. Pain experienced in the course of the healing process can be controlled by oral medications. Some individuals are able to resume work or other non-strenuous activities after approximately one week of rest at home; however, others may need at least two weeks before returning to their normal daily routines.
Drains are rarely used and not often required. Sutures are placed under the skin and are dissolvable. We will schedule a follow-up appointment 24 – 48 hours after the breast lift operation to review your dressings, medications, and exercises. You will also be seen approximately seven days post-surgery to change dressings and review your surgical progress. Light activities can be resumed as tolerated—our plastic surgery team will provide you with detailed instructions and recommendations. Aerobic activities can be started in approximately three weeks. We are always available to help should concerns arise. We also recommend that we see you for a three-month and 12-month follow-up appointment. If distance to our practice is a problem, we can often address these issues over Skype, FaceTime, or telephone.
How Noticeable are Breast Lift Scars?
Breast lift surgery will produce some degree of scarring; however, the extent and noticeability of breast lift scars will depend on the specific technique that is performed. For milder cases of breast ptosis, a technique such as a “donut” mastopexy may be ideal, which involves incisions around the areola. This typically results in a barely noticeable scar since it often blends in with the skin surrounding the nipple. However, many breast lift patients require a more traditional mastopexy technique, which involves incisions created around the areola down to the crease of the breast and along the breast fold. This technique will result in noticeable scars; however, Dr Layt has performed breast lift procedures many times and utilises suturing techniques designed to minimise their appearance as much as possible. Also, our practice offers a number of scar management options that can help reduce the visible signs of scarring. Additionally, it should be noted that residual scars should fade to a certain degree over time.
How Long Does a Breast Lift Last?
The results of a breast lift can last for many years as long as some general precautions are taken. Please keep in mind that the natural ageing process will continue to have an effect on the appearance of the breasts as time passes; however, these effects can be slowed and breast lift outcomes can be maintained for extended periods by limiting weight fluctuations, sticking to a healthy diet, wearing high-SPF sunscreens while out in the sun, refraining from smoking, and avoiding tanning booths. It is also recommended to wear a supportive bra as consistently as possible.
What are the Potential Risks of Breast Lift Surgery?
Modern surgery has developed over the years and the safety of surgery has improved greatly. There is however no such thing as “risk-free” surgery. The important thing is to understand any potential risks and minimise their occurrence by appropriate planning and management. Some specific possible risks include a lack of nipple sensation and asymmetry of the breasts after healing. Obviously, there will be some scars, and we will discuss how to minimise signs of them. At your consultation, the risks and potential complications of breast lift surgery will be explained and you will be given detailed information on the procedure.
How Much Does a Breast Lift Cost?
The total cost of a breast lift (without the addition of implants) at our practice typically falls in the range of $11,000 to $16,200—this includes the surgeon’s fee, anaesthetic fee, and operating theatre fee. Please note that this estimation of fees is subject to change. A firm quote can only be provided after your initial consultation with the surgeon. The cost of breast lift surgery can vary significantly from one patient to another based upon the specifics of their customised treatment plan. Ultimately, a number of factors will be taken into account for the final cost, including the breast lift technique utilised, whether breast implants will be placed in addition to the breast lift, the overall complexity of the procedure, the surgeon’s fee, costs associated with anaesthesia and use of the operating theatre, and other components. The total estimated cost of your breast lift surgery will be calculated once your treatment plan is developed during the initial consultation so that you have a full understanding of the financial obligations before the procedure takes place. A member of our team will be happy to answer any questions you may have about the many convenient payment methods we accept at The Layt Clinic.
Breast Lift Pre-Operative Instructions
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.
Do not apply moisturisers, make-up, perfume/deodorant, nail polish, or hair products after washing. Remove all jewelry.
Wear loose, comfortable clothing and footwear. A shirt with a button or zipper opening is ideal for removal.
Smoking increases the risks of complications significantly and should be ceased 6 – 8 weeks prior to surgery.
You should have nothing to eat or drink for six hours before your operation. If you are required to take medication during this time, please mention this to us to check if this can be taken before the six-hour fasting period or after your procedure.
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 two weeks prior to your procedure. This includes NSAIDS, anti-inflammatory medications, and blood thinning medications. Please see your doctor regarding if and when to cease this medication. Ibuprofen, Nurofen, and Aspirin are common medications that thin the blood. *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 affect anaesthetic drugs, prolong bleeding, and impair healing after surgery. Please consult your physician before ceasing any medication.
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 centre 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.
Breast Lift Post-Operative Instructions
For the first week after surgery, try to sleep on your back if you can instead of your side. Obviously, try not to sleep on your new breasts. 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/if ever 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. You will also be seen approximately seven 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 three weeks. We are always available to help should concerns arise. We would love to see you for a three month and 12-month follow-up appointment. If distance is a problem, we can often address this over Skype, FaceTime, or phone.
You will be fitted with a support bra and when we see you post-operatively we will check that it fits well and supply a second one. You should wear one of these day and night for two weeks after surgery. (You may, of course, remove it to shower and launder.) After two 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 three months.
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 three weeks. You may drive when driving does not cause you pain, and 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.
The sutures used in the operation are usually dissolvable and don’t require removal.
SUNLIGHT: Scars take at least one year to fade. 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.
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 one week after your operation. You will be given a pack of Siltape that will usually last until your 3-month appointment. Further Siltape is available for purchase.
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’ll need to wear these.
Take your pain relief and antibiotic 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.
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.