Understanding Breast Ptosis
Breast ptosis refers to the position of breast tissue and the nipple-areola complex relative to the inframammary fold (the crease beneath the breast). Various factors can contribute to breast ptosis:
- Pregnancy and Breastfeeding: Hormonal changes during pregnancy can cause breast enlargement, followed by volume loss after breastfeeding, potentially leading to stretched skin and repositioned breast tissue.
- Weight Fluctuations: Significant weight gain and loss can stretch breast skin and ligaments, affecting breast shape and position.
- Ageing: Natural ageing processes may reduce skin elasticity and breast tissue volume over time, contributing to positional changes.
- Genetic Factors: Some individuals have genetic predispositions to breast tissue and skin characteristics that may influence the development of ptosis.
Functional Considerations of Breast Ptosis
Beyond aesthetic concerns, breast ptosis may have functional impacts:
- Skin Irritation: When breast tissue rests against the chest wall or abdomen, moisture can accumulate in the breast fold, sometimes leading to irritation, rashes, or dermatitis.
- Activity Limitations: Some patients report discomfort during physical activities due to inadequate support from existing breast tissue position.
- Clothing Fit: Changes in breast position can affect how clothing fits, potentially limiting wardrobe options or requiring specialized undergarments.
- Hygiene: Maintaining hygiene in the inframammary fold may require additional attention when breast ptosis is present.
Why Consider a Breast Lift?
A breast lift procedure addresses breast tissue position without significantly changing breast volume. This procedure may be appropriate for patients who:
- Have Experienced Positional Changes: Due to pregnancy, weight fluctuations, or ageing.
- Maintain Adequate Breast Volume: But wish to address the position of their breast tissue.
- Experience Functional Concerns: Related to breast position, such as skin irritation or activity limitations.
- Have Nipple Position Below the Inframammary Fold: Resulting in breast tissue resting against the chest wall.
Types of Breast Lift Techniques
Dr. Turner utilizes several breast lift techniques, selecting the most appropriate approach based on the degree of ptosis and individual anatomy:
Periareolar (Donut) Mastopexy
- Appropriate for: Mild ptosis
- Incision pattern: Circular incision around the areola
- Considerations: Limited degree of lifting; minimal visible scarring
Vertical (Lollipop) Mastopexy
- Appropriate for: Moderate ptosis
- Incision pattern: Around the areola and vertically down to the breast crease
- Considerations: Moderate degree of lifting; allows for more significant reshaping
Inverted-T (Anchor) Mastopexy
- Appropriate for: Significant ptosis
- Incision pattern: Around the areola, vertically down to the breast crease, and horizontally along the crease
- Considerations: Maximum degree of lifting and reshaping capability
Suitable Candidates for Breast Lift Surgery
Ideal candidates for breast lift surgery should meet the following criteria:
- Physical Health: Be in good overall health without underlying medical conditions that could interfere with healing or increase surgical risks.
- Emotional Well-being: Have realistic expectations regarding outcomes. As of July 1, 2023, patients are required to undergo psychological evaluation to ensure suitability for cosmetic procedures.
- Stable Weight: Candidates should be at or near their target weight, as significant weight fluctuations can affect surgical results.
- Non-smoker: Smoking or vaping significantly impacts healing and increases complication risks. Patients must cease smoking for a minimum of 6 weeks before and after surgery.
- Family Planning Considerations: Women should consider whether they plan to have more children, as pregnancy and breastfeeding can affect surgical results and potentially necessitate revision surgery.
How the Procedure is Performed
Dr. Turner performs all breast lift procedures under general anaesthesia in a fully accredited hospital with the assistance of a qualified anaesthetist. The procedure typically takes 2-3 hours, depending on complexity.
- Pre-operative Marking
Before surgery, Dr. Turner will make detailed markings on your breast while you are in an upright position. These markings serve as guides during the procedure to ensure optimal symmetry and precise tissue repositioning. - Incision and Access
The selected incision pattern (periareolar, vertical, or inverted-T) is made to allow access to the underlying breast tissue. - Tissue Reshaping
The breast tissue is reshaped and internally repositioned to create a more proportionate contour. This may involve the use of internal sutures to provide long-term support to the reshaped tissue. - Nipple Repositioning
The nipple-areola complex is repositioned to a more anatomically appropriate position on the breast. In most cases, the nipple remains attached to its original blood and nerve supply through a pedicle of tissue. - Skin Removal and Closure
Excess skin is removed, and the incisions are carefully closed with multiple layers of sutures to minimize tension and optimize scar appearance.
Combining Breast Lift with Other Procedures
Breast Lift with Implants
For patients who wish to address both breast position and volume, combining a breast lift with breast implants may be appropriate. This combined procedure (augmentation mastopexy) can reposition breast tissue while also adding volume.
Due to the complexity of combining these procedures, Dr. Turner carefully assesses each patient to determine whether a single-stage or two-stage approach is most appropriate based on individual factors.
Learn more about Breast Lift with Implants →
Breast Lift with Fat Grafting
Some patients may benefit from breast lift combined with fat grafting, which uses the patient’s own fat tissue to enhance breast volume in specific areas. This approach may be suitable for patients seeking modest volume enhancement with completely natural results.
The fat grafting process involves harvesting fat from another area of the body (commonly the abdomen, flanks, or thighs), processing it, and carefully injecting it into the breast tissue. This technique allows for precise contouring and can be particularly effective for addressing minor asymmetries or enhancing specific areas of the breast.
Dr. Turner will assess your individual anatomy and tissue characteristics to determine if fat grafting is an appropriate option for your situation.
Learn more about Fat Grafting →
Breast Lift as Part of Post-Pregnancy Surgery
Breast lift surgery is commonly included in a comprehensive approach to post-pregnancy body contouring. This may include combinations of procedures to address various areas affected by pregnancy and childbirth, such as the abdomen, breasts, and other regions that may experience changes during pregnancy and breastfeeding.
Dr. Turner can develop a personalized surgical plan addressing your specific post-pregnancy concerns during your consultation.