BREAST LIFT (MASTOPEXY)
What is a breast lift (mastopexy)?
A breast lift (mastopexy) is a surgical procedure aimed at improving the shape and position of the breasts, restoring the nipple-areola complex to its correct anatomical position. The procedure restores a firm and well-shaped breast.
Which women are ideal candidates for a breast lift?
A breast lift is suitable for women who:
• Have breasts that have lost their shape and volume, appearing sagging, empty, or aged.
• Have nipples positioned below the inframammary fold or pointing downward.
• Experience skin laxity and loss of firmness, usually due to pregnancy, breastfeeding, weight fluctuations, gravity, aging, or genetics.
• Have breast asymmetry, with one breast positioned lower than the other.
The procedure is recommended once breast development is complete, typically after the age of 18.
What are the degrees of breast sagging and when is a breast lift indicated?
Breast ptosis is determined by the position of the nipple in relation to the inframammary fold and is classified into degrees:
• Pseudoptosis: The nipple is above the fold, but most of the breast volume lies below it. Often corrected with breast augmentation using small implants.
• Mild ptosis (Grade 1): The nipple is approximately at the level of the inframammary fold.
• Moderate ptosis (Grade 2): The nipple is below the fold but still above the main breast volume.
• Severe ptosis (Grade 3): The nipple is clearly positioned below the inframammary fold.
Dr. Floros, after a detailed examination, selects the appropriate technique (breast lift alone or combined with augmentation/reduction).
What are the main advantages of a breast lift?
A breast lift offers significant benefits:
• Dramatic lifting of sagging breasts and a more youthful shape.
• Restoration of volume in the upper pole of the breast.
• Firmer skin and reduction of stretch marks associated with sagging.
• Correction of breast asymmetry.
• Improvement of overall appearance and boost in self-confidence.
• Preservation of breastfeeding ability (does not affect the mammary glands).
What techniques are used in a breast lift?
The choice of technique depends on the degree of sagging, breast size, and the surgeon’s assessment and preference. Depending on the procedure, incisions may include:
• Around the nipple (periareolar lift).
• Around the nipple and vertically down to the inframammary fold (vertical mastopexy).
• Around the nipple with vertical and horizontal incision at the inframammary fold (inverted T).
Each of the above incisions represents a different type of procedure and is selected based on safety, size, shape, and the appearance of post-operative scars. Dr. Floros always aims for the best possible shape with the least visible scarring.
Can a breast lift be combined with augmentation or reduction?
Yes, a breast lift can be combined in the same surgical session with:
• Breast Augmentation: For women with sagging and small breast size or volume loss. Silicone implants restore upper pole fullness, tighten loose skin, and achieve both lift and increase in size, offering a firm and lifted result.
• Breast Reduction: For women with excessively large and sagging breasts. The procedure removes excess glandular tissue and fat, corrects sagging, and repositions the nipple higher, improving both appearance and relieving functional issues (such as back/neck pain).
What is the procedure and duration of a breast lift?
• Anesthesia: A breast lift is usually performed under general anesthesia.
• Duration: The procedure lasts approximately 1.5 to 3.5 hours.
• Procedure: The surgeon removes excess skin, repositions the nipple to a higher position, reshapes and tightens the breast tissue internally to create a new, firm contour.
What is the recovery time after a breast lift?
• Hospital stay: Usually one overnight stay is required for monitoring. In some modern techniques or milder cases, return home may be possible the same day.
• Return to work: For office work, return is possible within 7–10 days.
• Physical activity/exercise: Intense exercise and heavy lifting should be avoided for 4–8 weeks. Sudden movements and sexual activity should be avoided for about 2–3 weeks.
• Special bra: Wearing a supportive sports bra (without underwire) is recommended for about 1 month.
• Result: Results are visible immediately, but finalize within 3–6 months as swelling subsides and the breasts settle into their final position.
Are there risks or possible complications?
Like any surgical procedure, a breast lift carries rare risks, such as:
• Mild inflammation or hematoma.
• Temporary changes in nipple or surrounding skin sensitivity.
• Visible scarring that may require treatment.
• Symmetry issues.
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Dr. Konstantinos Floros was born in Athens, studied Medicine at the University of Thessaloniki, and specialized in Plastic Surgery in the United Kingdom. He has participated in specialized aesthetic surgery seminars in London and New York. In Greece, he practices privately with a focus on aesthetic plastic surgery and modern applications of cosmetic medicine and anti-aging. He has served as a Plastic Surgery registrar at the university hospitals Queen Mary’s University Hospital in London and Addenbrooke’s Hospital in Cambridge.
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