Breast Lift with Implants, also known as Augmentation Mastopexy. This procedure combines a breast lift with a breast augmentation in a single operative session.
Combining the two procedures into one procedure is commonly performed such as in a “mommy makeover”. The breast lift procedure is intended to give you a full, pert, projecting breast, more youthful breast contour, as well as nipple-areolar complexes of the desired size at the correct height. This procedure may be performed for cosmetic purposes, or as part of a reconstructive procedure.
Women who find they liked the fullness of their breasts during pregnancy better than post-pregnancy are good candidates for a breast lift with implants. Augmenting while lifting the breast often solves the following concerns:
- Breasts that are pendulous but adequate in size.
- Asymmetrical breasts.
- Breasts that are large and heavy can be lifted, but the results may not be as long-lasting as a breast lift performed on smaller breasts; the weight of larger breasts works against surgical changes.
- Loss of fullness in the top portion of breasts.
- Breasts that lack substance or firmness.
- Stretch marks on the breasts.
- Nipples and areolas that point downward, especially if they are positioned below the breast crease.
Preparation For Your Operation
You will usually have your breast lift with implants under a general anaesthetic. This means you will be asleep during the procedure. No food is allowed at least 8 hours prior to any surgery, this includes any sweet like chewing gum. If there is no fasting instructions given, you must not consume any food or drink from midnight before your scheduled surgery. Clients who do not comply with this requirement risk having their surgery delayed or risk being denied surgery.
DO NOT take any Aspirin and NSAIDS drugs for at least 2 weeks prior to surgery. (Aspirin may be re commenced after 48hrs post op.) If you take Aspirin or any other form of blood thinning medication for a medical condition, please discuss this with Dr. Thanakom.
Smoking must be stopped at least 3-4 weeks. If you cannot quit, cut back as much as possible. Smoking constrict the blood vessels, which can delay wound healing. While drinking alcohol must be stopped at least a day or two prior to surgery.
The procedure usually takes 4-5 hours and you are required to stay in hospital overnight.
Do not wear contact lenses, makeup, nail polish, jewelry, including any body piercings, hair accessories containing metal (such as barrettes or clips with metal springs, etc.) on the day of your surgery.
Step 1 – Anesthesia
Medications are administered. The choices include intravenous sedation or general anesthesia.
Step 2 – Skin Incision
Different techniques for removing breast skin and reshaping the breast determine the location of the incisions and resulting scars. Dr Thanakom will select a technique based on your breast size and shape, areola size and position, degree of breast sagging, skin quality and elasticity and how much extra skin you have. Incision options include:
- The “anchor” incision or “Inverted-T” incision made around the perimeter of the areola, vertically down from the areola to the breast crease and horizontally along the breast crease, produces the most scarring. It is for women with a severe degree of sagging who will not be helped sufficiently by less invasive techniques. This incision, which is the oldest technique, is often used for a breast lift in conjunction with a breast reduction.
- The “lollipop” lift, also known as a “Vertical” incision, made around the perimeter of the areola and vertically down from the areola to the breast crease, is suitable for women with a moderate degree of sagging who will not be helped sufficiently by the periareolar technique and who do not want breast implants.
- The “donut” lift, also known as the “periareolar incision”, made around the perimeter of the areola only, is suitable for women with a mild-to-moderate degree of sagging.
- The “crescent” lift, which is less commonly used, is an incision that lies just along the upper half of the areola. A crescent-shaped piece of skin is removed above that line, and the surrounding skin is reattached to the areola. This type of lift is usually done in conjunction with breast augmentation in women with minor sagging. It cannot accomplish the same degree of lifting as the other incision techniques.
Step 3 – Placing the implants
The breast implant is inserted, usually behind the chest muscle, and then the nipple is lifted to a new, higher position, tightening the breast tissue inside. Implants can also be placed at:
- Over the muscle (Submammary/ Subglandular).
- Dual Plane (The upper pole of the implant is placed under the muscle, while the lower pole is placed over the muscle.
The method for inserting and positioning breast implants depends on the type of implant, degree of enlargement desired, your body type and your surgeon’s recommendations.
Step 4 – Closing the Incisions
The lower breast is then reshaped with internal stitches, then skin is closed using dissolving stitches to assist in minimizing scarring.
Dr Thanakom will provide set of medications such as pain killers, antibiotics, anti-inflammatory etc. These will be provided following breast lift with implants surgery.
While you’ll be able to get up and walk around on the same day or a day after surgery, take it easy for the first few days. Also, expect to sleep on your back for the first several weeks or more after surgery. If you normally sleep on your side or stomach, invest in some extra pillows to help keep you from turning over.
You may be instructed to wear a support bra around the clock for the first week or two. It will be important to keep your incision clean and dry at all times. Be sure to follow all instructions carefully.
The stitches are taken out after 2 weeks. If you have dissolvable stitches, the amount of time they will take to disappear depends on the type of stitches. However, for this procedure, they should usually disappear in about six weeks.
Physical activity is limited for the first several weeks, with most patients able to return to work and their normal activities within two to three weeks.
The common recovery side effects include bruising, numbness, or changes in nipple sensitivity, itching around incision sites and increased firmness or fullness in the breast tissue. These side effects should subside over the next few weeks, with some residual effects lasting up to three months following the surgery. Contact the clinic where the operation was carried out as soon as possible if you have severe pain or any unexpected symptoms.
What are the risks and possible complications?
Any surgery poses a certain amount of risk and potential complications. Potential complications include, but are not limited to:
- Collections of fluid or blood within your abdomen
- Sensation changes to the breast or nipple
- Delayed healing
- Bruising and swelling
- Irritation from dressings
- Nipple Sensation
- Nerve injury
- Poor scars
- Skin contour irregularities (stretch marks, rippling and wrinkles
- Changes in size and shape with age & weight fluctuations
- Capsular contracture
During your consultation, Dr Thanakom will explain all these risks, what they do to avoid and treat them, and the rates at which they occur.
Is it possible to breastfeed after breast lift surgery?
The possibility of breastfeeding will depend on the type of incision. It is still possible to breast feed after breast lift as long as the nipple is left attached to the underlying breast tissue. However in most of the cases, breast lift will result to diminished sensation and can hinder the ability to breastfeed.
Should I wait until after pregnancy to get a breast lift?
Pregnancy can change a woman’s breasts. Dr Thanakom usually recommend to delay breast surgery if patient plans to get pregnant. The reasons is that the breast will be different after pregnancy. How different a breast will become is impossible to predict.
How Long Do Results of a Breast Lift Last?
Most women can expect long-lasting results after going through breast lift surgery. Several factors affect the longevity of a breast lift. Poor skin elasticity and lack of firmness can shorten the duration of your results, and the need for breast implants to restore volume and firmness will also affect longevity.
What kind of bra should I wear after breast augmentation?
Generally, a soft, comfortable bra, without under-wires is most appropriate. Dr Thanakom usually recommend a very supportive bra to hold the bases of the implants in place. Support bra needs to be worn at least 6 weeks following surgery.
When can I shower after surgery?
The following day. Dr Thanakom will place a waterproof plaster on top of your incision sites, thus taking a shower is not prohibited after breast surgery.