The loss of the old appearance of the breast occurs at different times in everyone. People with large breasts experience sagging at an earlier age. In addition, the use of an incorrect bra causes the breast to lose its vitality prematurely. Under normal conditions, the nipple should be above the breast fold line, while in sagging breasts, the nipple is at the fold level. In advanced cases, the nipple is under the breast fold.
Breast lift surgery, also known as breast lifting operation, is a kind of aesthetic operation performed in cases such as loss of fullness of the breast due to physical and environmental factors, and sagging of the nipple downwards. At this point, the basic principle is whether the nipple is at the level of the breast fold or below.
WHAT IS BREAST LIFT
Over the years, factors such as pregnancy, breastfeeding, gravity cause the elasticity of the skin and connective tissues in the breast to be lost. As a result, the shape of the breast deteriorates, it begins to soften and sag. In addition, the nipples may be wider than normal. Breast lift is a surgical procedure in which the excess skin on the breast is removed and the inner breast tissue is shaped to reshape, lift and harden sagging breasts. At the same time, the nipple and its circumference are brought to the required position and the width of the nipple circumference can be reduced. As an alternative method, in patients with low breast sagging, lifting can be achieved using only a silicone prosthesis.
Anyone with sagging breasts and excess skin can have breast lift surgery. Some patients undergo breast lift surgery after losing excessive weight or having weight loss surgery. Sometimes, this surgery is preferred to correct asymmetrical breasts without using a silicone prosthesis. However, the main reason why many patients want to have this surgery is to eliminate the negative consequences of the natural effect of gravity after weight gain, pregnancy and/or breastfeeding.
If you are planning to have children, tell your doctor about this as future pregnancy may affect the results of breast lift surgery. The interview with your doctor will clarify the features and details of the procedure. Before going to your appointment with your doctor, make sure you have done research on the results of breast lift surgery.
HOW IS BREAST LIFT SURGERY PERFORMED?
Breast lift surgery, which is defined as mastopexy in the medical language, is basically performed with two different methods. In people with small breasts, silicone is placed under the skin, and in those with large breasts, excess breast tissue is removed to give the breasts an upright appearance. In addition, the asymmetrical appearance between the breasts can be eliminated.
The examination process begins when the person who wants to have breast lift surgery applies to the doctor. During the examination, the breast tissue of the person and the position of the nipple are checked. The degree of sagging is determined. The person is informed about what to do during the operation. Then, the person is questioned in detail what kind of appearance they want to have. At this point, it is important that the person conveys his wishes to the physician correctly.
The physician simulates how the breasts will look after the operation to be sure. This makes it easier for the person to make a decision. During the examination process, some tests are requested from the person. With these tests, the presence of a condition that prevents the person from undergoing surgery is investigated.
It is questioned whether there are previous operations and regularly used drugs.
· After the mammography and / or ultrasound examinations, the day of the breast lift surgery is decided.
Breast lift surgery is performed under general anesthesia and the nipples are taken to the previously planned area during the operation. The breast tissue is shaped. At this stage, while tissue is removed from the large breasts, a silicone prosthesis is placed on the small breasts. Then, if necessary, excess skin is removed from the area and the operation is completed.
Breast lift surgeries usually take up to 2 hours. This period varies according to the degree of sagging of the breast, the size of the breast and areola (the colored ring around the nipple), posture, skin type and the amount of excess skin.
After the operation is completed, the person is awakened by the anesthesiologist and taken to the patient's room. The general health status of the person is checked and nutrition is provided. If everything seems fine, the patient is discharged on the day of the operation.
After breast augmentation surgery, there may be some swelling in and around the breast. After the first week following the operation, the swelling starts to go down. During this period, the breasts appear higher and upright than they should be. After the first month after the operation, the breast and the fold under the breast begin to take their natural form.
WHO IS SUITABLE FOR BREAST LIFT SURGERY?
Breast lift surgery is one of the surgeries performed on anyone who has completed their physical development and completed their physical development, and who is physically healthy and has deformation problems and sagging breasts. After the operation, surgical scars remain on the breasts.
However, this is not at a level to cause a problem. However, this information is given to the patient and if the patient does not mind, breast lift surgery is decided.
In addition, the scars that will occur in breast lift surgery vary from person to person. This depends on the skin structure.
The healing process differs from each other in skin thickness or thinner skin. It is one of the surgeries applied to people who experience serious breast sagging in the operation of breast lift and make it a psychological problem.
BREAST BREAST PTOSIS SHAPES
The downward displacement of the nipple (nipple) and the surrounding pink-brown area (areola), that is, the "nipple-areola complex," according to the NAK inframammary fold is called "breast sagging" or "breast ptosis".
When viewed from the side of a normal breast, the nipple is above the level of the inframammary fold, points slightly upwards, and the lower pole of the breast (the part between the nipple and the inframammary fold) is slightly curved outward, but not too loose and drooping. Breast sagging is graded according to the relationship of the nipple with the inframammary fold and lower pole of the breast ;
Slight sagging (1st degree): The nipple is at or just below the inframammary fold (about 1 cm), but above the lower mammary pole. Nipple points opposite.
Moderate sagging (Degree 2): The nipple is more than 1 cm below the inframammary fold, but there is still some lower pole of the nipple under the nipple. Nipple pointing slightly down.
Severe sagging (3rd degree): The nipple is far below the inframammary fold and there is no breast tissue below, the nipple is the lowest. Nipple pointing all the way down.
False sagging (pseudoptosis): The nipple is above the inframammary fold, but the lower pole of the breast has drooped, that is, it has descended under the inframammary fold.
FREQUENTLY ASKED QUESTIONS
Breast Lift Surgery Recovery Process
Swelling and bruises due to the operation are common in the early period after breast lift surgery. We recommend using pain relievers and edema reducing drugs for a few days after the operation. Reducing arm movements in the first week after surgery will positively affect recovery.
You can take a shower from the 4th day after the Breast Lift. Your return to normal life is 5-7 days. At the end of this period, you can start work, travel and board the plane.
Avoid raising your arms over your shoulders for three weeks and avoid picking up objects weighing more than two pounds during this time
You should not lie on the breast for the first 1 month after the operation. After the first month, you can connect it to light sports.
After the 6th week, you can swim in the sea.
Pain and swelling will gradually decrease in the first few months after a breast lift, and you can wear a non-wired bra again about 8 weeks after the surgery.
After the 3rd month, there is nothing that prevents you from doing heavy sports.
The issue that patients are most worried about is the removal of stitches. Since self-shedding sutures are used in our operations, there is no procedure such as suture removal after this operation.
Is There Any Scar After Breast Lift Surgery?
Although some scars remain in breast lift surgeries performed with current techniques and materials, the scars are at a level that cannot be seen unless carefully looked at. It is more difficult to see the surgical scar in people with dark skin. However, it is recommended that people who are sensitive about this issue discuss the issue in detail with their physician before the operation. In today's conditions, it is not possible to perform scarless breast lift surgery.
Can breast lift and breast augmentation be done together?
In some cases, a breast lift alone may not achieve the results you want. If you think your breasts are "deflated" or have lost volume due to aging, weight loss or pregnancy, they may place breast implants during breast lift surgery to add fullness and shape to the breast. These two operations can be performed together in a single procedure.
Is There Any Problem With Sensation Or Circulation Of My Nipple After Breast Lift Surgery?
As a book, there is a very low probability of having a problem with the sensation or circulation of the nipple. Because in this surgery, the nipple is transferred to its new position on a thin stem. Although there is no way to definitively understand the power of this stem to feed the nipple during surgery, this risk is minimized with various precautions and experience.
Complications and Possible Problems
As with any surgery, bleeding and infection are among the problems you may encounter after this surgery.
There is almost no chance of serious bleeding in this type of surgery. Bleeding may be in the form of blood accumulation, or “hematoma”, on one side of the breast. Your doctor may want to take you back to the operating room to clean this build-up and stop the bleeding, if it continues.
Likewise, a unilateral swelling around the fifth day after the operation may be a sign of infection. Again, the solution will be to clear the infection and of course antibiotic treatment.
Skin loss, although rare, is among the complications that can be seen. It usually appears in patients who smoke after surgery. The skin becomes black and hard and may need to be dressed for a long time. One way to shorten this period is to clean the dead skin with a small intervention. The same skin problem can be seen on the nipple. After a period of dressing, such problems usually heal better than expected. Don't start smoking just because nothing will happen. Remember that the first two weeks after surgery are critical.
Wound healing problems are usually caused by thick sutures used in surgery. They heal after a few days of dressing.
Aesthetic problems: Asymmetry is among the problems that may be encountered after this surgery. Severe asymmetries may require retouching surgery. Of course, there is always the possibility that you will not like your breast shape as a result of this surgery. In this case, you have a chance for a second surgery. Usually, asymmetries are easy to correct. The most difficult to correct deformities are those in which the nipple is raised more than necessary.
Will There Be Sagging Again After Breast Lift Surgery?
Depending on the technique used in the operation and the structure of the breast, sagging does not occur for a long time after the operation, but if silicone is used in the operation of breast lift and the silicone used is a large silicone, there will be a certain amount of sagging in the breasts due to the advancement of age due to the effect of gravity.
However, this sagging is never a sagging that occurs before the surgery. However, if the breast prosthesis used is an above-average breast prosthesis, sagging may occur. After this, the breast is opened again and that breast prosthesis is changed and the breast is lifted again.
Breastfeeding After Breast Lift Surgery
Since the surgical technique does not require cutting the milk ducts, there is no problem in breastfeeding if the patient gives birth in the future. Specific complications that may occur very rarely due to circulatory problems are necrosis of adipose tissue or nipple tissue. Stitches are removed in 12-15 days. After the operation, the patient may complain of pain for the first day or two. These pains are relieved with painkillers. After dressing for a few days after surgery, the patient is put on a bra. It is recommended that the bra to be used should be non-wired, soft combed and covering the entire chest.