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    Breast lift

    Mastopexy; Breast lift with reduction; Breast lift with augmentation

    A breast lift, or mastopexy, is cosmetic breast surgery to lift the breasts. The surgery may also involve changing the position of the areola and nipple.

    Description

    Cosmetic breast surgery can be done at an outpatient surgery clinic or in a hospital.

    You willlikely receive general anesthesia (asleep and pain-free)before this procedure. Or, you may receive medicine to help you relax and local anesthesia to numb the area around the breasts to block pain. You will be awake but unable to feel pain.

    Thesurgeon will make 1 to 3 surgical cuts in your breast. Extra skin will be removedand your nipple and areola may be moved.

    Sometimes, women have breast augmentation (enlargementwith implants) when they have a breast lift.

    Why the Procedure Is Performed

    Cosmetic breast surgery is surgery you choose to have. You do not need it for medical reasons.

    Women usually have breast lifts to lift sagging, loose breasts. Pregnancy, breastfeeding, and normal aging may cause a woman to have stretched skin and smaller breasts.

    You should probably wait to have a breast lift if you are:

    • Planning to lose weight
    • Pregnant or still nursing a child
    • Planning to have more children

    Talk with a plastic surgeon if you are considering cosmetic breast surgery. Discuss how you expect to look and feel better. Keep in mind that the desired result is improvement, not perfection.

    Risks

    Risksof any surgery are:

    • Bleeding
    • Infection

    Risksof any anesthesia are:

    • Breathing problems, such as pneumonia
    • Heart problems
    • Reactions to medicines

    Risksof breast surgery are:

    • Inability to nurse a baby after surgery
    • Large scars that take a long time to heal
    • Loss of sensation around the nipples
    • One breast that is larger than the other (asymmetry of the breasts)
    • Uneven position of the nipples

    The emotional risks of surgery may include feeling that your breasts do notlook perfect. Or you may be disappointed with people's reactions to your "new" breasts.

    Before the Procedure

    If you smoke, you must stop. Women who smoke after breast surgery have a higher risk of poor healing, infection, and scarring. Youshouldeven avoid breathing in secondhand smoke.

    Tell your surgeon:

    • If you are or could be pregnant
    • What drugs you are taking, even drugs, supplements, or herbs you bought without a prescription

    Before surgery:

    • You may need to have amammogram. Your plastic surgeon will do a routine breast exam.
    • You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and any other drugs that make it hard for your blood to clot.
    • Ask yoursurgeon which drugs you should still take on the day of surgery.
    • You may need to fill prescriptions for pain medicines before surgery.
    • Arrange for someone to drive you home after surgery and help you around your house forseveral days.

    On the day of your surgery:

    • Follow your surgeon's instructions about not eating and drinking.
    • Take the drugs yoursurgeon told you to take with a small sip of water.
    • Wear or bring loose clothing that buttons or zips in front.
    • Arrive at the clinic or hospital on time.

    After the Procedure

    A gauze dressing (bandage) will be wrapped around your breasts and chest. Or youwill wear a surgical bra. Wear the surgical bra or a soft supportive bra for as long as your surgeon tells you to. This will likely be for several week.

    Drainage tubes may be attached to your breasts. These will be removed withina fewdays.

    Schedule a follow-up visit with your surgeon.At that time youwill be checked for howyou arehealing. Sutures (stitches) will be removed if needed.The surgeon or nurse will discuss special exercises or massaging techniques with you.

    Outlook (Prognosis)

    You are likely to have a very good outcome from breast surgery. You may feel better about your appearance and yourself. You may need to wear a special supportive bra for a few months.

    Scars are permanent and are often very visible for up to a year after surgery. After a year they mayfade but will not become invisible. Your surgeon will try to place the cuts so that scars are hidden from view. Surgical cuts are usually made on the underside of the breast. Your scars will generally not be noticeable, even in low-cut clothing.

    Normal aging, pregnancy, and changes in your weight may all cause your breasts to sag again.

    References

    McGrath MH, Pomerantz J. Plastic surgery. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 19th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 69.

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                  Review Date: 1/24/2013

                  Reviewed By: Debra G. Wechter, MD, FACS, General Surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.

                  The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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