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Breast Lift

When to do a breast lift?

When we talk about breast surgery, some people mistakenly believe that it is all about increasing their size. According to dr. Pataki often women are entirely satisfied with the size of their breasts. Instead of it, they feel that it is their positioning, that is affecting their harmony and self-esteem.

Pregnancy, weight loss and ageing may all have a negative impact on the appearance of a breast, causing them to avoid wearing certain clothes and even in situations, such as dancing or swimming, where they feel that their breasts are more prone than usual.

Variety of Breast Sagging and Breast Lift

1. Slightly sagging breasts – Breast Augmentation with implants is enough, and leads to beautiful results. It is possible to regain the earlier form without Breast Lift. (Click here for further information.)

2. Moderately or severely sagging breasts – Breast Lift is necessary to remove loosing skin, with keeping breast glands intact. This means Breast Reduction without tissue reduction.

3. Small, but heavily sagging breasts – we perform Breast Lift and Breast Augmentation during the same surgery to achieve the most ideal form.

Breast Lift is often needed after childbirth and breastfeeding, greater weight loss, or because of a change in the shape and feel of the breasts (e.g. extreme softness).

Breast sagging always depends on the failure (elongation or inflexibility) of the connective tissue support, the breast glands, and the skin. Muscles are not involved in the process, so exercise alone will not help to shape the breasts.

During a Breast Lift surgery, we remove excess skin, place the breast glands into their original position, and make sure to hold them there with internal stitching. Breast Lift is usually under general anesthesia, rarely under local anesthesia.

Breast Lift Incisions

  • One incision around the areola.
  • An incision around the areola, plus a vertical one from the areola down through the breast.
  • Both of the above, completed with a horizontal incision, making an inverted „T” shaped one.

A Breast Lift means that we remove the excess skin and give a new shape to the breasts by compressing them with stitches on the desired height. Thus, the areola and the nipple will be also in their correct place. Areola reduction can be performed at the same time, if needed.

For fewer and less visible scars, a so-called Short Scar Breast Lift may be carried out. We do it less often, because this is effective only in case of relatively smaller excess skin area.

Breast Lift can be also combined with Brest Reduction, when the size of the sagging breasts does not fit to the body proportions, because they are too large. Many women find it disturbing to have large and drooping breasts: for them, Breast Lift with Breast Reduction is the perfect solution.

Incisions may be closed in the tissue of the skin and under the skin with double-layer subcuticular running closure. This is not visible from the outside, and done with a fine continuous suture, which is usually removable 2-3 weeks after the surgery (except for the dissolvable stitches).

At the end of the operation, we apply special sterile patches to fix the edges of the wounds, and the breasts, so they will not strain the incisions due to their weight. With these, the initial period of scarring will be optimized as well.

After Breast Lift Surgery

Patients usually spend one night at our hospital following a Breast Lift Surgery, then go home the next day. Follow-up examinations are required at specified intervals. Smaller bandages are removed immediately.

Rarely, a longer hospital stay is needed due to medical reasons. In this case, our patients will be cared for by our experienced staff for a few more days.

Stitch removal is usually done after 2-3 week, depending on their type. We often use dissolvable stitches, which do not require this removal process. Taking a shower is allowed after complete wound healing.

Wearing a special bra is recommended after Breast Lift Surgery to ensure strong hold for several weeks. We give one of these to our patients as a present. Following this period, another type of bras are suitable as well (e.g. sports bra).

In first few weeks, sudden movements (e.g. stretching, straining) are forbidden. The upper arm area should be moved in a gentle way. Patients should sleep on their backs to enhance internal wound healing.

The breasts must be taken care of with extreme caution for 2 months after Breast Lift Surgery, which involves avoiding any exertion. Household chores and sport activities are allowed according to the current state.

A full recovery is about 6 months. With proper wound care, the scars are thin and fine lines by then. Protect them from intense solar radiation to avoid pigmentation and discoloration!

One year after Breast Lift Surgery a mammography examination should be performed in order to assess the outcome of future screening tests properly. We recommend this test before the surgery for the same reason.

Smoking and frequent weight changes are also to be avoided. In case of larger breasts, we recommend to always wear a bra to delay the recurrence of drooping (this can be solved with another surgery). Every woman should wear a bra during sport!

The action does not affect breastfeeding ability in case of a later pregnancy. After that, the Breast Lift surgery can be performed again with the same risk factors without difficulty.

Laboratory Required Tests For General Anesthesia

  • Urine
  • Blood Type
  • Blood count, sedimentation rate
  • Bleeding, coagulation time
  • prothrombin time
  • Serum Creatinin, Urea, Nitrogen
  • Serum K, Na, blood sugar
  • GOT, GPT, GGT
  • 12-lead EKG
  • Chest X-ray (above 50 years of age, not older than 1 year)
  • Breast ultrasound (not older than 1/2 year)
  • Breast mammography if older than 35 years of age (according to our new guidelines

Breast Surgery Info

Complex information page with a description of the breast surgery procedures, a unique glossary - an explanation of the most important terms - and essential knowledge on the pre-and post-operative period.


Ask the plastic surgeon!

Hello Dr. Pataki,

I will include some background information about myself. I'm a 25 year old female in good health. I don't smoke and I don't have any illnesses. I lost over 45kg and I'm currently 63kg and 176cm tall. I have been at a stable weight for more than a year now. There is loose skin on my arms, stomach, thighs, breasts and lower back. I believe I will need a 360 lower body lift, thigh lift, breast lift and arm lift. Perhaps some liposuction for body sculpting but I don't know. I'm free this summer between July-October and I would like to have the surgery(ies) as early as possible in July.

If you could please answer the following questions:

1) your estimated quote for all the procedures combined. Will I get a discount as they will be several procedures all together?
2)How long will I stay in the clinic? Can you give me any deals on accommodation?
3) how many procedures can I have performed at the same time? Is it possible to do all at the same time? If not, how long will I have to wait to complete the other surgeries? Like I mentioned, I'm free for three months July-October and I would like very much to have it all completed within this time.

Many thanks in advance and I look forward to hearing from you soon.

Kind regards,

Amelia White

Click here to see the answer 2015-04-27

Dear Dr. Pataki,

I am a 25 year-old lady. In the course of the past 1.5 years I've lost a lot of weight and the shape of my breasts changed. They don't look too bad, still their appearance really bother me. My question would be whether it is possible to have a breast-lift procedure without general anaeshetics and perform it with local anaesthetics? I am scared of general anaesthesia and therefore would also like to know the side-effects please.

Thank you in advance.

Click here to see the answer 2013-05-16

Dear Doctor,

I have three beautiful sons, whom I have nursed for 6 years in all, each for 2 years. My breasts are are really sagging. Although I am happy with the size of them, but they are hanging down in an ugly way. I would like to ask whether there is anything to do with the issue, because it truly disturbs me.

Thank you for your answer in advance!

Click here to see the answer 2012-10-05

Dear Doctor,
I am 20 years old and I have absolutely small tuberous breasts, but fortunately they are the same size and shape. I would not like to enlarge them at all. It would be my biggest dream to have them a little more rounded.
Is it possible to change the shape of tuberous breasts with a quite small implant? I heard, that in case of tuberous breasts corrective surgeries (like breast lift surgery and nipple reduction) are necessary in addition to insertion of the implants.
To be honest, I could bear financially the insertion of the implants, but I cannot afford more surgeries. Is it possible to get off only with the breast augmentation, and have my breasts more rounded with nothing but the implants?
Thank you very much for your answer in advance!

Christina

Click here to see the answer 2012-01-07

Dear Dr. Pataki,
When I gave birth to my baby I was 80 kg and beforehand I was only 47kg. Currently, I am 54 kg and my height is 159 cm. My skin has become very loose on my abdomen and I might have hernia. I am not sure if there is a way of surgical correction?. Would my skin become like it used to be? Could the loose skin and fat be removed? I have a little abdominal apron, I had a Caesarian section. Currently I look like I was 5 months pregnant. I gave birth to my baby a year ago and I discussed my abdomen with my doctor on the 6-week check up and he said that my tummy was big because it was filled with air. Unfortunately, my breasts have changed a great deal after my pregnancy; they feel like empty bags now.
With many thanks,
Emily

Click here to see the answer 2011-10-17

Dear Doctor,

I had a breast lift five years ago and some pale lined wound has remained after the surgery. I would like to ask whether it is possible to remove them completely?

Thank you in advance!

Violet

Click here to see the answer 2011-09-05

Dear Doctor,

I have nursed three children and my problem is that my breasts have almost completely disappeared. It is true, that they weren’t big either before the lactation. I hate my body, I can’t even exist without a bra. I put at least four sponges into it to make it seem as if I had breasts. I heard that if a psychiatrist diagnoses that this problem makes me mentally ill, then the breast augmentation could be supported via national health insurance. Please give me some information about my opportunities in this issue.

Thank you!

Esthella

Click here to see the answer 2011-08-03

Dear Dr. Pataki,

First and foremost I would like to say thank you for your time.
I am 164 cm tall and weighed 100 kg when I started dieting. Currently I am 75kg. My goal is to reach 65kg. Would that qualify me for abdominoplasty supported via national insurance?

I delivered twins 13 years ago and another girl 6 years ago with Caesarean section. Would this be contraindicative for abdominoplasty? Could you tell me how long the waiting list is and what the application process is?

One final question; is it possible to have breast augmentation supported via national insurance? I think a breast lift would suffice but of course would need a consultation with a surgeon first. I was breastfeeding for a long time thus the change in the appearance of my breasts – this really disturbs me now.

Thank you for your answer in advance.

Click here to see the answer 2011-07-07

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