Breast lift (mastopexy) surgeries start with a small incision and then progress to the careful reshaping and contouring of the underlying breast tissue. The surgeon then reconstructs the breast and closes the incisions for a lifted, tightened, and more youthful appearance. Continue reading below for a more in-depth description of the breast lift surgery procedure.
The first step of a breast lift procedure is the initial incision. There are three common incision patterns:
- Around the areola,
- Around the areola and vertically down from the areola to the breast crease, and
- Around the areola, vertically down from the breast crease, and horizontally along the breast crease.
You and your breast surgeon will consult on which of these incision patterns will create the best results for you, based on your unique anatomy and your goals.
Reshaping Your Breasts
After your doctor makes the initial incisions, the underlying breast tissue is lifted and reshaped to improve breast contour and firmness. Then, the nipple and areola are repositioned to a natural, more youthful height. If necessary, enlarged areolas are reduced by excising, or removing, skin at the perimeter. Excess breast skin is then removed to compensate for a loss of elasticity.
An implant may be added at this stage for increased breast volume and upper fullness. Dr. Zannis prefers to do breast lift with implants in one stage for an easier and better patient experience than two stages.
Closing the Incisions
After your breasts are reshaped and excess skin is removed, the remaining skin is tightened as the incisions are closed. Some incision lines resulting from the breast lift procedure are concealed in the natural breast contours. However, others are visible on the breast surface. Incision lines are permanent, but in most cases, they will fade and improve significantly over time.
To close the surgical incisions, sutures are layered deep within the breast tissue to create a lifted contour and support the newly shaped breasts. Sutures, skin adhesives, and/or surgical tape may be used to close the skin. The results of your breast lift surgery are immediately visible. Over time, post-surgical swelling will resolve itself, and incision lines will fade, and their appearance will be minimized within 6 to 12 months of your breast lift procedure.