Ptotic or sagging breasts are a source of concern for many women. Breasts generally lose their aesthetic look, tightness and dynamic shape in time. Ageing, gravity, weight loss, heavy diet, pregnancy and breastfeeding contribute to the development of all sagging breasts.
Patients who are generally pleased with their size of breasts but have sagging breasts can have a breast lift operation to gain more aesthetic and tightened breasts which are not sagging anymore. Some patients can be unhappy because the volume of breasts may be significantly reduced in time. In such cases, breast prosthesis is placed and the size of breasts is increased and their shape and position are modified.
Breast lift is a good remedy for sagging breasts. Sometimes nipples start to enlarge in time, with breast lift nipples are made proportional and breasts gain an aesthetic and lifted breast profile.
Pencil test” is a good way to determine if breast lift operation is needed or not. Place a pencil under your breast. If the pencil stays there, you’ll benefit from the breast lift operation.
Classification of Breast Ptosis: Stage I; Nipple at inframammary line Stage II; Nipple under inframammary line, Stage III; Nipple at the lowest line of breast tissue and pointing downwards.
If you want your breasts to look well-rounded, think about breast lift and breast augmentation operations. If you want smaller breasts, think about the combination of breast lift and breast reduction.
In the interview, your complaints about breasts and expectations after the operation are primarily evaluated. You are interviewed about the size, shape of your breasts, status of your skin, your age, whether you will have children or not, new place of nipples. You are informed about the details of the operation, and also about the possible scars, nipple sensitiveness, breastfeeding, type of anesthesia and the risks of operation.
When you decide to have the operation, my assistant will plan the suitable day for the operation.
Preparation for Operation
For patients under 40, mammary ultrasonography is required and for those over 40, mammography tests are required. On the day of operation, you will need an attendant who will help you.
You should stop taking aspirin and its derivatives one week before the operation. (do not stop taking the medication you permanently use without consulting your doctor)
It is recommended not to smoke for a while before and after the operation.
Do not put on any makeup, do not use hair gel, wear comfortable clothes and leave your jewels at home before coming to the hospital for the operation.
Do not eat or drink anything 6 hours before the operation.
Be present at the hospital about one hour before the operation.
When you come to the room reserved for you, you may be given an oral drug if you want, it will relax you.
In breast lift operation, the patient and the surgeon decide for the ideal technique that will give the best results (Superior, Superolateral or Inferior Pediculate). Nipples and sagging breast tissue are reshaped. The nipple is restored to its original place, the extra skin is removed. Depending on the size of ptosis in breast, a hardly visible scar in different shapes (half-moon, circular scar on the nipple or a straight incision scar of 4-5 cm descending down from the nipple)may be left.
If you want to obtain full, nice round breasts, you should have breast lift and breast augmentation (silicone prosthesis) operations, if you want smaller breasts, you should have breast lift ad reduction operations, thus ptosis is removed. Scars are visible at the beginning, but become invisible in time.
Evaluation of the operation according to the breast ptosis; Stage I; Corrected with breast implant or correction is made with removal of skin by cutting the area around the nipples without breast implant (scar in the form of a new moon). Stage II; a lollipop-like technique is used for correction, in which the area around the nipple is cut or a scar of 4-5 cm going down from the nipple is left, Stage III; a lollipop-like technique which leaves a scar in the form of reverse T or a scar of 4-5 cm going down from the nipple is used for correction.
Type of Anesthesia
General anesthesia method is applied.
Duration of Operation
It takes about 3 hours.
Post-operation stage is generally easy. If breast prosthesis is used during the operation, you may have limitation in arm movements. The medical dressing is opened 2 days later and the wound is controlled. The bandage is opened 7 days later. The patient should wear sports bras for 6 weeks. There may be swelling, numbing or pinkish color change on the skin. They go away in a short time. You can get back to your work in 3-4 days depending on your work. You are recommended to avoid heavy sports for 3 months. The reshaped breasts are long lasting. Breast lift surgery is an operation that generally gives good and permanent results, restores the person’s and her spouse’s psychological state and make them lively more than ever.