A breast lift is a surgical procedure to correct sagging breasts.
From around 30 to 40 years of age, the skin and glandular tissue of the female breast can become congenitally saggy. This causes the breast to lose its youthful firmness. The result is a more or less pronounced sagging breast.
Also
- Pregnancies,
- breastfeeding and
- severe weight loss
can also weaken the tissue and lead to sagging breasts.
For many women, firm and shapely breasts are an expression of femininity and youth. This is why some women want an effective breast lift.
Before and after comparison images of a breast lift © Otto Placik - Own work, CC BY-SA 3.0, Link
Immediately before the operation, the surgeon makes a precise drawing of the breast. The drawing is essential as a guide for the procedure.
The surgical procedure usually takes place under general anesthesia in the presence of an anesthesiologist. Therefore, some preliminary examinations such as a blood test in the laboratory and possibly an ECG are necessary. Due to the general anesthesia, the procedure itself is painless for the patient.
The operation is usually performed on an inpatient basis, i.e. the patient remains in the clinic for a certain period of time after the operation. This means that the patient can also be provided with effective painkillers during the post-operative phase with the best possible monitoring.
The cost of such a procedure depends primarily on the complexity of the treatment method. In some cases, it may be advisable and necessary to perform a breast augmentation at the same time, which can increase the cost of treatment.
The price level for a breast lift is approximately between 4,000 and 6,000 EUR. The patient must bear the costs themselves.
Surgeons can use a variety of different surgical procedures for breast lifts.
The choice of surgical procedure depends on
- the anatomical characteristics of the patient and
- the surgeon's experience with certain surgical procedures.
The aim of all procedures is to create a well-formed, symmetrical breast with as few scars as possible.
Before an operation, the surgeon examines the patient personally. During the preliminary consultation, he explains the advantages and disadvantages of the procedure he has chosen. Here, the patient has the opportunity to clarify any open questions with the surgeon and express her wishes.
Basically, and visibly for the patient, the methods differ according to the scars remaining on the outside. With all methods, it is necessary to move the nipple upwards as it has sagged as a result of the skin slackening.
A perimammillary lift (Benelli) is possible if
- the nipple only needs to be moved slightly upwards,
- or there is only a slight to moderate excess of skin.
In this method, the surgeon removes the excess skin around the nipple in a ring shape. The shape of the nipple can also be optimized. If necessary, excess glandular tissue can also be removed and the entire breast reshaped. All that remains is a circular scar around the nipple.
The Lejour technique is used for more sagging breasts with greater excess skin and a severely sunken nipple. In these cases, it is often necessary to remove large amounts of skin. For this purpose, surgical procedures are used that
- a scar around the nipple and
- a vertical scar close to the underbust crease.
to the underbust crease.
Even more pronounced sagging breasts require procedures that
- a scar around the nipple perpendicular to the underbust crease and
- a scar in the underbust crease
produce.
Even with the greatest care, complications can occur during or after a procedure.
Bleeding can occur during the operation. Although it is extremely rare for blood loss during a breast lift to lead to a blood transfusion, it can never be completely ruled out.
Even more rarely, blood transfusions can lead to the transmission of pathogens such as HIV or hepatitis viruses. To avoid the risk of infection, discuss with your doctor whether it is possible and sensible to donate your own blood.
In rare cases, pressure damage to soft tissue or nerves can occur during an operation. This usually disappears within a few weeks after the operation.
Possible complications after a breast lift are
- Postoperative bleeding,
- Bruising,
- numbness in the area of the nipple and breast skin and
- Circulatory and wound healing disorders in the area of the scars or nipples.
The appearance of the scars varies from patient to patient depending on their constitution. With a corresponding predisposition, bulging, thick and painful scars (keloids) can develop. Such scars sometimes require corrective surgery.
Depending on the surgical procedure, the ability to breastfeed may be impaired after a breast lift or breast reduction. In most women, the breasts are not perfectly symmetrical even before surgery. Perfect symmetry is not to be expected even after surgery.
The surgeon makes every effort to achieve the best possible symmetry. However, if a noticeable asymmetry does occur, corrective surgery may be necessary.
Women usually have to wear a support and compression bra for six weeks after a breast lift. It must be worn around the clock in order to achieve an optimal result.
If non-absorbable sutures are used, the stitches are usually removed after 8-14 days. Physical exertion and sport should be avoided for the first six weeks.
Direct sunlight on the scars should be avoided for six months, as this can discolor the scars.