Aesthetic Plastic/Reconstructive Surgery Specialist

444 69 94

Valikonağı cad. No:18/5 Nişantaşı/İstanbul

GENERAL INFORMATION

The breast loses volume and its aesthetic appearance gets spoiled after the completion of the lactation period, especially in breasts that have gain volume as a result of giving birth and breast feeding. The skin usually cannot accommodate itself to this loss of volume, and since it remains loose, the breast and the nipple sag downward. This sagging can be eliminated with breast lift surgery. In some patients, a decrease in the amount of breast tissue after excessive weight loss may lead to the same result.

The conditions that have risks include Obesity (especially if the weight is more than 25% of the ideal body weight) – Lung diseases (e.g. asthma), cardiovascular diseases (e.g. angina) – Thromboembolism story – Especially insulin-dependent diabetes – Smoking a great number of cigarettes – Radiation therapy given previously for breast cancer – Suspected breast cancer identified during physical examination or in the , medical history, and family history – or Mammography indication for patients who are at an increased risk of breast cancer.
Breast lift surgery is performed with the patient’s own tissues. Only the loose excess skin is removed by keeping intact the breast tissue. However, this removal process can be carried out based on a certain mold, in such a way as to form a cone-shaped, lifted breast. If there is excess breast tissue, the breast can be reduced as much as needed (breast reduction). If the volume of the breast tissue is not adequate, the breast lift procedure can be carried out in conjunction with breast augmentation using breast implants. However, surgical scars are likely to be more noticeable in such procedures, due to tension. As an alternative, breast augmentation with breast implants can be performed 6-12 months after breast lift. The sagging of breasts is classified in various ways. The term sagging is usually refers to the condition in which the nipple is at the level of the inframammary fold line or below it. If it is at the inframammary fold line or close to it, the condition is classified as 1st (mild) degree sagging. In such a case, a half-moon shaped part can be removed from the skin on the areola, and then the areola can be positioned a little bit higher. If the nipple position lies 1-3 cm below the inframammary fold line, the case includes a 2nd grade (moderate) sagging. In such a case, a larger part is removed from area around the areola during breast lift operation, and then the circle is puckered and sewn to the areola that is smaller than it. In such cases, a scar will remain only around the areola; however, the skin around the areola will look puckered for a few months. This appearance disappears gradually within 1-to 2 years. The method called ‘vertical scar’ can be used if this is wanted to be avoided. In this method, the skin gap that has occurred above is closed by sliding the skin under the areola, and by causing a vertical scar (vertical short scar technique) that extends downward, instead of puckering and sewing the circle. If the nipple position lies more than 3 cm below the inframammary fold line, there is a 3rd grade sagging. In such a case, verticle (keyhole) mastopexy technique is used, which remains a vertical inverted-T-shaped scar. In addition, a horizontal scar will remain under the breast. However, the superiority of this method is that it allows for forming a conic and round-shaped breast. In the vertical short scar technique, a slight pucker may remain under the breast. That pucker gradually disappears within 1-to 2 years. If the pucker does not fully disappear, it can be eliminated by removing a small horizontal ellipse-shaped skin part under local anesthesia. In another condition called pseudoptosis, the breast looks sagging although it is not actually sagging, due to the distance between the areola and the inframammary fold that is shorter than normal. The breast implant procedure can be carried out with small silicone breast implants, in order to solve the problem. Alternatively, the areola is positioned at a required higher level, with the vertical short scar technique. Silicone implant placement is more preferable because it leaves a very little scar.
Before cosmetic breast lift surgery, the new locations and diameters of the nipple and areola are calculated and marked based on the patient’s body size, by considering the certain anatomical points. The excess skin is removed from the appropriate locations. The nipple is positioned at a required higher level. At that level, the breast faces forward and slightly upward when the patient stands. Meanwhile, the nipple’s connections with the milk ducts are cut to a little extent. The surgery remains a scar around the areola that extends vertically down to the inframammary fold (inverted T-shaped). This scar is pink for the first 6 months, and then gradually gets white and diminishes. It becomes hardly visible within one to two years. Despite being rare, the scars may be excessively noticeable (hypertrophic scars or keloids); and in such a case, a corrective surgery (revision surgery) may be required. The plastic surgeon makes a decision about the method that will be used for the patient, based on the breast tissue to be removed, the degree of breast ptosis and other factors.
Complications that may occur after breast lift surgery include infection, bleeding and hematoma. However, they are very rare conditions. Since the surgical technique does not require cutting the milk ducts, the patient does not encounter any problem when breastfeeding if she gives birth in the future. Specific complications that may occur very rarely due to circulatory problems are necrosis of the adipose tissue and necrosis of nipple tissue. Since sutures are hidden (intradermic), there is no need to remove them. The patient may complain of pain for the first few days after surgery. These pains are eliminated with painkillers. Immediately after the surgery, a special corset bra is put on the patient. The bra is advised to be uninterruptedly worn for a month, except while bathing and in special circumstances.
The results are permanent unless there is excess weight loss and pregnancy. If your weight loss continues and you have a pregnancy plan, you should discuss it with your doctor. Breast scans can be performed regularly after surgery. Breast cancer does not increase the risk. There are high satisfaction rates. It increases the self-confidence and initiative of social environments. It should be remembered that, as in the case of every plastic surgery, the least reasonable period for the actual outcome is 6 months.
Genel

Anesthesia

General

2-4 Saat

Operation Time

1 - 2 Hours

14 - 21 Gün

Recovery Time

7 Days

6 - 22 Gün

Final Results

6 - 12 Months

Dolgu uygulamalarıyla desteklendiği sonuçlar çok daha tatmin edici olur.

Things To Pay Attention

It is recommended to use corset and sports bra after the procedure.

Sürekli

Usage Time

Continuous