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Breast lift / Mastopexy

With age or after pregnancy, the tissue around the breasts can sag. Excess skin makes the breasts appear saggy. To correct this, many women undergo a surgical breast lift, also called a mastopexy. During this breast surgery, the breasts are tightened and excess tissue is removed. It is also possible to increase the volume of the breasts with implants during a breast lift.

What happens during a breast lift procedure?

A breast lift is similar in procedure to a breast reduction. The difference between the two treatments is that during a breast lift, only excess skin is removed and no glandular or fatty tissue. Mastopexy is performed either as an inpatient or outpatient procedure. It is performed under general anesthesia and the procedure takes about 2-3 hours.

 

There are three procedures for breast lift, which differ in their incisions, depending on the extent of sagging of the skin and the shape of the sagging breast.

  1. If there is only a slight sagging of the breast and the skin still has a good retraction capacity, a scar-saving method of mastopexy can be used. In this method, the incision runs around the areola to tighten the slightly sagging breast tissue.
  2. In the case of moderate ptosis of the breast, the breast lift is performed using an I-shaped/vertical or so-called lollipop incision. A circularly placed incision around the areola allows the nipple to be lifted and moved. Another vertical incision, which extends from the edge of the areola down to the crease under the breast, allows the actual lifting of the breast. Excess skin can be removed from the lower part of the breast through this incision.
  3. If the sagging of the breast is more pronounced and the skin of the breasts is rather weak, a third method of breast lift is used. In this technique, the I-shaped incision is supplemented by another incision in the inframammary fold. The inverted T incision has the advantage that the breast can thus be reduced not only in width but also in length, which lifts the breast and makes it firmer. Again, the nipple is repositioned and excess skin in the lower part of the breast is removed. Additionally, breast implants can be used to add volume. These can help the lift and make the breast appear fuller and rounder. Especially for small breasts that sag significantly, the insertion of implants can be useful as part of the breast lift procedure.

What should be taken into consideration after a breast lift?

The day after the breast lift, the drains are usually removed and the patient is given a special support bra, which should now be worn for a total of 6 weeks.

 

The bra protects the breasts from external influences and has a tissue-protecting function. It is worn to support healing and to prevent excessive scarring. Physical rest for 2 weeks is very important after a breast lift. Exercise can commence again after the 4th week and after 8-12 weeks without further restrictions.

 

About 8-12 weeks after the breast lift, the final result of the surgery is visible. The breast is clearly lifted, firmer, and tighter. Overall, the breast lift has a rejuvenating effect.

Q & A

Welche Art von Narkose ist notwendig? Vollnarkose
Wird der Eingriff stationär oder ambulant durchgeführt? stationär
Wie lange dauert der Aufenthalt in der Klinik? 1 Tag
Wie lange dauert die Operation? 1.5 – 2.5 Stunden
Muss ich nach der Operation spezielle Kompressionswäsche tragen? Stütz – BH
Wenn ja für wie lange? 4-6 Wochen
Welche Art von Verband muss ich nach der Operation tragen? Steri-Strips über die Naht
Wann darf ich wieder duschen? Ab dem 1. Tag nach der Operation
Wann darf ich wieder Sport treiben? nach 3-4 Wochen
Müssen die Fäden gezogen werden? nur die Fäden am Brustwarzenhof müssen gezogen werden, dieses erfolgt 14 Tagen
Werden Drainagen gelegt? ja
Wenn ja, wann werden sie gezogen? nach der Operation