Changes in both skin and breast tissue are associated with many factors, primarily genetic. The most affecting events are pregnancy / breastfeeding and serious weight loss. One or more of the following problems are present in patients undergoing breast lift surgery:
– Breast tissue is adequate but drooping. It was like the breast slipped over the chest wall.
– The amount of breast tissue is inadequate and also drooping. Patients in this group were generally satisfied with their breast size during the pregnancy / lactation period.
– The sagging of the breast tissue is mostly in the nipple area and there is a sagging with the nipple facing down.
In the preoperative evaluation, changes in the breast tissue and nipple of the patient are evaluated, measurements are made and the planned postoperative view is discussed with the patient. If there is a history of pregnancy / lactation and weight gain, the changes in the breasts during this period, whether there are any diseases or masses in the breasts, the results if biopsy is performed, and whether there are breast cancer in the family are questioned.
Breast lift operation is performed with or without prosthesis. Operations without prosthesis lasts approximately 2 hours. In cases where prosthesis is used, this time is about one hour longer.
Breast lift surgeries involve different techniques, but the most commonly used is the removal of the excess skin and lifting the breast tissue while the nipple being supported, depending on the degree of sagging. The location of the incision to be made in the skin can be in the form of a vertical incision leading to the line under the breast. And in more severe cases it can be in the form of a keyhole extending from both sides. The same incisions are also used for prosthesis placement in required cases.
It is much more comfortable after surgery in cases without prosthesis. The postoperative painful period ends in the day of operation. Pain and tenderness recede rapidly from the next day, and after 2-3 days the patient can use his new bra and start taking a shower. In cases where prosthesis is used, the postoperative period is almost like prosthetic cases. In cases where the prosthesis is placed under the muscles, the pain may increase with arm movements due to the tension in the muscles for 4-6 days postoperatively.
It is also important to note that especially light and thin-skinned patients are more prone to sagging due to their skin structure than thick and dark-skinned patients. Long-term evaluations showed that this group of patients lost the support provided earlier in the surgery. This makes it especially necessary for this group of patients to use a supportive bra in the long term even after such an operation. Breast lift surgery is in a sense a younger appearance of a deformed region that ages faster than the rest of the body. No aesthetic operation can stop aging. Maintaining the surgical effect is partly related to genetic factors and partly to external factors. In this sense, it should be emphasized that patients with weak skin – subcutaneous supportive tissue should wear supportive bra in the long term after surgery.
A few important notes about breast lift surgery:
It should be known that after breast lift surgery, breast shape – whether using prosthesis or without prosthesis – will be altered in part due to future pregnancy / lactation and weight fluctuations. Both the pregnancy / lactation period and weight changes are processes that are determined by genetic and hormonal factors in each body. In other words, the extent to which breasts grow during a pregnancy / lactation period or changes in breasts during weight gain and loss periods cannot be predetermined. The most accurate estimate is only the experience of patients who have had previous pregnancy or experienced weight changes. Changes in breasts of patients who become pregnant or gain weight again after breast lift operations are independent of this operation. For this reason, it is recommended that patients who have experienced significant breast growth during these periods should be operated when no new pregnancy is planned.