Pros and Cons of Breast Lift Surgery

Pros:

• Rejuvenation: Restores a more youthful breast shape and position.

• Immediate Results: The effects of breast augmentation are visible immediately after surgery.

• Boost in Self-Image: Patients experience improved self-confidence and body image.

• Customizable: A breast lift can be performed alone or in conjunction with breast augmentation/reduction to achieve the patient's desired results.

• Durability: Results are long-lasting for many patients.

• Safe: When performed by a board-certified plastic surgeon, breast lifts are generally considered safe.

Cons:

• Surgical Risks: As with any surgery, there are risks of complications. Check with your doctor to see if the surgery is right for you.

• Recovery Time: Patients need to allow time for healing and may need to avoid strenuous exercise for a period of time. However, some procedure options have minimal to no downtime needed.

• Cost: Breast lifts can be expensive and are typically not covered by insurance when done for cosmetic reasons.

• Life Changes: Results may be affected by future pregnancies or weight fluctuations. Breast Lifts also do not prevent future sagging due to natural causes such as aging and gravity.

Cost of Breast Lift Surgery

The cost of a breast lift can vary widely depending on factors like:

• Surgeon's experience and geographic location

• Facility fees

• Anesthesia fees

• Post-surgery garments

• Prescription medications

On average, breast lift surgery in the United States typically costs between around $6,000, according to the American Society of Plastic Surgeons. This does not include the price of anesthesia, operating room facilities, or other related expenses. Costs can be higher in major metropolitan areas or when combined with other procedures like augmentation.

Most health insurance plans do not cover breast lifts if they are pursued for cosmetic reasons. However, some surgeons offer financing plans to help make the procedure more affordable.

How Breast Lift Surgery Works

A breast lift is usually performed as an outpatient procedure under general anesthesia. The entire procedure typically takes 2 to 3 hours to complete. The exact surgical technique used will depend on the patient's breast size and shape, degree of sagging, and desired outcome. The basic steps involved are:

1. Anesthesia: The patient is put under general anesthesia or intravenous sedation.

2. Incision: There are three common incision patterns:

   -Around the areola

   -Around the areola and vertically down to the breast crease

   -Around the areola, vertically down, and horizontally along the breast crease

3. Reshaping: The underlying breast tissue is reshaped to improve contour and firmness and excess skin is removed.

4. Repositioning: The nipple and areola are repositioned higher on the breast.

5. Closing the Incisions: Remaining skin is tightened and incisions are closed.

Types of Breast Lift Procedures

There are several different incision patterns and techniques used for breast lifts. The main types include:

• Crescent Lift: For minimal sagging, a small incision is made along the upper half of the areola. This technique is often combined with breast augmentation.

• Benelli or “Donut” or “Peri-Areolar” Lift (Circumareolar Lift): Involves a donut-shaped circular incision around the entire areola, used for slight nipple asymmetry or mild lift. Suitable for mild sagging and can reduce areola size.

• Vertical or "Lollipop" Lift: Uses a circular incision around the areola and a vertical incision down to the breast crease. Good for moderate sagging.

• Inverted T or "Anchor" Lift: Involves three incisions - around the areola, vertically down to the breast crease, and horizontally along the crease. Used for significant sagging or when combined with reduction.

• Vampire Breast Lift: A non-surgical and minimally invasive procedure that utilizes platelet-rich plasma (PRP) derived from the patient's own blood, sometimes combined with hyaluronic acid-based dermal fillers. This lift involves a series of injections into the breast tissue to stimulate collagen production and improve skin texture and volume. This procedure has minimal to no downtime; patients can typically resume normal activities immediately.

• Bilateral Breast Lift: This procedure is performed on both breasts simultaneously to ensure symmetry. This term is often used to distinguish from unilateral procedures where only one breast is lifted. The surgical technique for a bilateral breast lift is similar to other breast lift procedures, involving the removal of excess skin and reshaping of breast tissue to lift and firm the breasts.

The choice of technique depends on factors like breast size, degree of ptosis (sagging), skin quality, and the patient's goals. Consult with a board-certified plastic surgeon to recommend the best approach for your individual case.

Recovery After Breast Lift Surgery

Recovery from a breast lift (mastopexy) varies from person to person. On average, most patients can expect to resume their normal routines within four to six weeks, with fading of scars up to 18 months. By following post-operative care instructions and taking the necessary precautions, patients can ensure a smooth and successful recovery.

1. Immediate Post-Op (First 24-48 Hours): Expect to feel tired and sore for a few days. Rest at home with limited arm movement. Your surgeon will prescribe pain medication to manage discomfort.

2. First Week: Wear a surgical or compression bra and avoid strenuous activities. Return to light activities and desk jobs and normal showering routines unless advised otherwise by the surgeon.

3. Weeks 2-3: Resume most normal activities but avoid heavy lifting and underwire bras. Sleep on your back with your upper body slightly elevated.

4. Weeks 4-6: Gradual resumption of normal activities and continued use of the compression garment until the six-week mark.

5. Over 6 Weeks: Most swelling and bruising should be resolved. Final results may take several months to fully manifest as tissues settle and scars mature.

Risks and Side Effects of Breast Lift Surgery

Breast Lifts are generally safe, but like any surgical procedure, can come with certain risks and potential side effects. However, understanding these risks and knowing how to mitigate them can help ensure a safe and successful outcome. Choosing an experienced, board-certified plastic surgeon is crucial in minimizing these risks and achieving the best possible results.

• Scarring: All surgical procedures result in some degree of scarring. The appearance of scars can vary based on surgical technique and individual healing. Scars usually fade over time. Following post-operative care instructions, such as keeping incisions clean and moisturized, can also promote better healing.

• Changes in Nipple or Breast Sensation: Some patients experience temporary or permanent changes in sensitivity. Most sensation changes are temporary and resolve over time. Discussing concerns with your surgeon can provide reassurance and guidance.

• Breastfeeding Challenges: Some women may experience difficulties with breastfeeding after a breast lift. Discussing future breastfeeding plans with your surgeon can help address concerns and tailor the surgical approach.

• Hematoma or Seroma: Hematomas are collections of blood that can form under the skin, while seromas are fluid collections. Both can cause swelling and discomfort. Monitoring for excessive swelling or pain and notifying your surgeon if these occur can help manage these conditions. In some cases, they may resolve on their own.

• Infection: Although rare, infections can occur at the incision sites. Ensuring the procedure is performed in a sterile environment and following post-operative care instructions are key.

• Tissue Necrosis: Rarely, compromised blood supply can lead to tissue death, particularly in smokers or those with certain health conditions. Avoiding smoking before and after surgery can reduce this risk.

• Deep Vein Thrombosis (DVT): DVT is a rare condition where blood clots form in the deep veins, potentially leading to complications. Staying active and following your surgeon's advice on mobility can prevent DVT during recovery.

• Asymmetry: Some patients may notice unevenness in breast shape or position post-surgery. A skilled surgeon will aim for symmetry, but minor adjustments may be needed in follow-up procedures if significant asymmetry occurs. Choosing a board-certified plastic surgeon is critical to minimizing this risk.

How to Choose a Breast Lift Surgeon

Selecting the right surgeon for your breast lift is a critical decision that can significantly impact the outcome of your procedure and your overall satisfaction. Set up a consultation to discuss your goals, ask questions, and determine if you feel comfortable with the surgeon.

Here are some essential factors to consider when choosing a surgeon:

• Board Certification: One of the most crucial aspects to look for in a surgeon is board certification. Surgeons certified have undergone rigorous training. They must pass comprehensive written and oral exams in plastic surgery. Certification also ensures that the surgeon has met high standards of education, training, and ethical practice.

• Experience and Specialization: Look for a surgeon who specializes in breast procedures and performs them regularly. Ask about their specific experience with the type of breast lift you're considering. A surgeon who frequently performs breast lifts is likely to have refined their technique, leading to better outcomes.

• Bedside Manner and Communication: Your surgeon should make you feel comfortable, confident, and heard. They should listen to your goals and concerns and provide clear, honest answers to your questions. A good surgeon will not pressure you into additional procedures and will suggest options that are best for your health and aesthetic goals. The relationship you build with your surgeon is important, as they will guide you through the entire process, from consultation to recovery.

• Before and After Photo: Reviewing before and after photos of previous patients can give you a sense of the surgeon's work and the results you can expect. These photos should be available during your consultation, even if they are not posted online due to privacy concerns. Look for results that align with your aesthetic goals and ensure that the "before" photos resemble your current body shape.

• Facility Accreditation: Ensure that the surgery will be performed in an accredited facility. Accredited surgical centers meet strict safety and quality standards, providing a safe environment for your procedure. Look for accreditation from organizations such as the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) or the Accreditation Association for Ambulatory Health Care (AAAHC).

Before & After

The journey of breast lifts lead to an impactful transformation in both physical appearance and self-confidence. These before and after images provide a visual representation of the results of the procedure.