Purpose/Consultation
Breasts can sag for many reasons: loss of elasticity over time due to aging, pregnancy or post-breastfeeding or genetic predisposition. A breast list may be a good solution for women who are dissatisfied with their breast shape or size due to sagging or loss of firmness.
During an initial consultation (a surgeon most often won't perform the surgery if a person's breast tissue is still developing), a surgeon evaluates the breasts for size and shape and asks questions about desired effects.
Incision
A surgeon uses the breast lift consultation in order to determine the approach during surgery. Depending on how and where the breasts should be lifted, a surgeon determines where to make the incisions. The woman is sedated by an anesthesiologist, and then a surgeon makes incisions that follow the breast's shape, which makes for a better result. The nipple and areola also are relocated to a higher position.
Three incisions typically are used for breast lift surgery: the first is made around the areola, the second from the underside of the breast toward the areola and the third is a horizontal incision under the breast near the ribcage (this is known as a periareolar or "anchor" incision). However, more incisions may be utilized if a significant lift must be performed. The more degree of incision performed, the higher the lift.
Resizing the Breast Shape
Once all incisions are made, this creates a flap in order to remove breast tissue. This allows the surgeon to create a more firm breast. Also, a breast implant can be inserted if the patient so desires. If the areola has been stretched over time, a surgeon re-sizes the areola in order to improve the breast's appearance.
Following resizing the areola, a surgeon begins to re-attach the areola to the more firm breast tissue underneath. Attaching the areola to this tissue allows a woman to retain sensation in her nipple as well as allowing her to breast feed if desired. Stitching is then performed, which helps the tissue heal together, giving a more lifted appearance. On the whole, the procedure typically takes two to four hours. A patient may be asked to wear bandages or a surgical bra in order to reduce swelling and ensure the sutures properly heal together. These stitches are removed several weeks following surgery.



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