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  • Dr Juan Carlos Taglipietra
    Medical Director…


    Dr. Angel Gustavo Appiani
    VASER Lipo Selection


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    Breast Lift  
       

    Over the years, factors such as pregnancy, nursing, and the force of gravity take their toll on a woman's breasts. As the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag. Breast lift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts. Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple. If your breasts are small or have lost volume, for example after pregnancy, breast implants inserted in conjunction with mastopexy can increase both their firmness and size. If you're considering a breast lift, this information will give you a basic understanding of the procedure: when it can help, how it's performed, and what results you can expect.

    The Best Candidates For Breast Lift

    The best candidates for mastopexy are healthy, emotionally-stable women who are realistic about what the surgery can accomplish. The best results are usually achieved in women with small, sagging breasts. Breasts of any size can be lifted, but the results may not last as long in heavy breasts.

    Many women seek mastopexy because pregnancy and nursing have left them with stretched skin and less volume in their breasts. However, if you're planning to have more children, it may be a good idea to postpone your breast lift. While there are no special risks that affect future pregnancies (for example, mastopexy usually doesn't interfere with breast-feeding), pregnancy is likely to stretch your breasts again and offset the results of the procedure.


    The first consultation

    With Beauty Renaissance the first consultation is free of charge and is always with your surgeon who will assess and discuss your desired results.

    The surgeon will also answer all your questions and discuss the expectations that the client may have regarding the final result. Therefore, the surgeon will recommend the best solution for the procedure.


    Planning

    In your initial consultation, it is important to discuss your expectations with your surgeon. Every client has a different view of what is a desirable size and shape for breasts.

    The surgeon will examine your breasts and consider the variables that may affect the procedure such as your age, the size and shape of your breasts, the condition of your skin and whether an implant is advisable. Your surgeon will describe the procedure in detail, explaining the risks and limitations, and making sure you understand the minor scarring that may result.

    Don't hesitate to ask your surgeon any questions you may have, especially regarding your expectations and concerns about the results.

    Preparation

    Your surgeon may require you to have a mammogram (breast x-ray) before surgery. You will also receive specific instructions on how to prepare for the procedure, including guidelines on eating and drinking, smoking, taking or avoiding certain vitamins and medications.

    Types of Anesthesia

    Breast lifts are usually performed under general anesthesia, which means you'll sleep through the operation.

    The Procedure

    Mastopexy usually takes one and a half to three and a half hours. Techniques vary, but the most common procedure involves an anchor-shaped incision following the natural contour of the breast.

    The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. When the excess skin has been removed, the nipple and areola are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are usually located around the areola, in a vertical line extending downwards from the nipple area, and along the lower crease of the breast. Some patients, especially those with relatively small breasts and minimal sagging, may be candidates for modified procedures requiring less extensive incisions. One such procedure is the "doughnut (or concentric) mastopexy" in which circular incisions are made around the areola, and a doughnut-shaped area of skin is removed.

    If you're having an implant inserted along with your breast lift, it will be placed in a pocket directly under the breast tissue, or deeper, under the muscle of the chest wall.

    After Care

    After surgery your breasts will be bruised, swollen, and uncomfortable for a day or two, but the pain shouldn't be severe. Any discomfort you do feel can be relieved with medications prescribed by your surgeon.

    Within a few days, the bandages or surgical bra will be replaced by a soft support bra. You'll need to wear this bra around the clock for three to four weeks, over a layer of gauze. The stitches will be removed after a week or two.

    If your breast skin is very dry following surgery, you can apply a moisturiser several times a day. Be careful not to tug at your skin in the process, and keep the moisturiser away from the suture areas.

    You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. This numbness usually fades as the swelling subsides over the next six weeks or so. In some patients, however, it may last a year or more, and occasionally it may be permanent.

    Getting Back to Normal

    Healing is a gradual process. Although you may be up and about in a day or two, don't plan on returning to work for a week or more, depending on how you feel. And avoid lifting anything over your head for three to four weeks. If you have any unusual symptoms, don't hesitate to call your surgeon. Your surgeon will give you detailed instructions for resuming your normal activities.

    Follow up

    Here at Beauty Renaissance we uphold the highest degree of post operative quality care that goes beyond monitoring. For that reason detailed postoperative controls are made so that the patient feels safe and secure. There are a number of consultations to check that the healing process is without trauma.

    The first postoperative consultation is made the following day and the recovery process is followed in detail. The definitive discharge date does not occur until a year after the procedure.

    Your New Look

    Your surgeon will make every effort to make your scars as inconspicuous as possible. Still, it's important to remember that mastopexy scars are extensive and permanent. They often remain lumpy and red for months, and then gradually become less obvious, sometimes eventually fading to thin white lines. Fortunately, the scars can usually be placed so that you can wear even low-cut tops.

    You should also keep in mind that a breast lift won't keep you firm forever-the effects of gravity, pregnancy, aging, and weight fluctuations will eventually take their toll again. Women who have implants along with their breast lift may find the results last longer.

    Your satisfaction with a breast lift is likely to be greater if you understand the procedure thoroughly and if your expectations are realistic.

    All Surgery Carries Some Uncertainty and Risk

    A breast lift is not a simple operation, but it's normally safe when performed by a qualified plastic surgeon. Nevertheless, as with any procedure, there is always a possibility of complications or a reaction to the anesthesia. Bleeding and infection following a breast lift are uncommon, but they can cause scars to widen. You can reduce your risks by closely following your physician's advice both before and after the procedure. Mastopexy does leave noticeable, permanent scars, although they'll be covered by your bra or bathing suit. Poor healing and wider scars are more common in smokers.

    Note: The information offered in this Web site is directed to support and not to replace the relationship between you and your doctor.

    For more information about this or any of our other procedures please click here and complete our enquiry form.