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  A woman’s breasts often change over time, losing their youthful shape and firmness.  These changes and loss of skin elasticity can result from:

• Pregnancy
• Breastfeeding
• Weight fluctuations
• Aging
• Gravity
• Heredity

  A breast lift, also known as a mastopexy, raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. Sometimes the areola becomes enlarged over time, and a breast lift will reduce this as well. A breast lift can rejuvenate your figure with a breast profile that is youthful and uplifted.



  Breast lift surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image. A breast lift is a good option for you if:

• You are physically healthy and maintain a stable weight
• You do not smoke
• You have realistic expectations
• You are bothered by the feeling that your breasts sag, have lost shape and volume
• Your breasts have a flatter, elongated shape or are pendulous
• When unsupported, your nipples fall below the breast crease
• Your nipples and areolas point downward
• You have stretched skin and enlarged areolas
• One breast is lower than the other

    Breast lift surgery does not significantly change the size of your breasts or round out the upper part of your breast. If you want your breasts to look fuller or smaller, you might want to consider either breast enlargement or breast reduction surgery.



  A consultation with Dr. Han is the first step to learn how a breast lift can enhance your body image. A consultation is designed to fully educate you about a breast lift in a non-pressured environment, and will include a discussion of:

• Why you want the surgery, your expectations and desired outcome
• Medical conditions, drug allergies and medical treatments
• Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
• Previous surgeries
• Family history of breast cancer and results of any mammograms or previous biopsies

  The doctor may also :

• Evaluate your general health status and any pre-existing health conditions or risk factors
• Examine your breasts, and may take detailed measurements of their size and shape, skin quality, placement of your nipples and areolas
• Take photographs for your medical record
• Discuss your options and recommend a course of treatment
• Discuss likely outcomes of breast reduction and any risks or potential complications
• Discuss the use of anesthesia during your breast reduction

  By making the decision to consult with a qualified plastic surgeon like Dr. Han and following all the instructions given, you are taking an important step in helping to assure your safety.

  Possible risks of a breast reduction include but are not limited too:

• Changes in nipple or breast sensation
• Bleeding (hematoma)
• Blood clots
• Poor would healing
• Breast contour and shape irregularities
• Skin discoloration, pigmentation changes, swelling and bruising
• Damage to nerves, blood vessels, muscles, and lungs
• Breast asymmetry
• Excessive firmness of the breast
• Potential partial or total loss of nipple and areola
• Deep vein thrombosis, cardiac and pulmonary complications
• Fatty tissue deep in the skin could die (fat necrosis)
• Possibility of revisional surgery

  You should know that:

• Breast lift surgery can interfere with diagnostic procedures
• Breast and nipple piercing can cause an infection
• Breast lift surgery does not normally interfere with pregnancy, but if you are planning to have a baby, your breast skin may stretch and offset the results of mastopexy and you may have more difficulty breastfeeding after this operation

  You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.



  Prior to surgery, you may be asked to:

• Get lab testing or a medical evaluation
• Take certain medications or adjust your current medications
• Get a baseline mammogram before surgery and another one after surgery to help detect any future changes in your breast tissue
• Stop smoking well in advance of surgery
• Avoid taking aspiring, ant-inflammatory drugs and herbal supplements as they can increase bleeding

  Special instructions you receive will cover:

• What to do on the day of surgery
• Post-operative care and follow-up

  It is natural to feel some anxiety, whether excitement for the anticipated outcome or preoperative stress. It’s very important to address all your questions and concerns directly with the doctor.



  Breast lift surgery may be performed in a hospital, an outpatient surgery center or our accredited office-based surgical suite. Anesthesia will be administered for your comfort during the surgical procedure, either intravenous sedation or general anesthesia.

  If your breast lift procedure is performed on an outpatient basis, be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.



  Your breast lift surgery can be achieved through a variety of incision patterns and techniques. The appropriate technique for you will be determined based on:

• Breast size and shape
• The size and position of your areolas
• The degree of breast sagging
• Skin quality and elasticity as well as the amount of extra skin

  Step 1 – An incision is made in one of three different patterns around the areola.

  Step 2 – After the doctor makes the incisions:

• The underlying breast tissue is lifted and reshaped to improve breast contour and firmness
• The nipple and areola are repositioned to a natural, more youthful height.
• If necessary, enlarged areolas are reduced by excising skin at the perimeter.
• Excess breast skin is removed to compensate for a loss of elasticity.

  Step 3 –The remaining skin is tightened as the incisions are closed.  Some incision lines resulting from breast lift are concealed in the natural breast contours, however, others are visible on the breast surface.  Incision lines are permanent, but in most cases will fade and significantly improve over time.

  When your procedure is complete dressings or bandages will be applied to the incisions. An elastic bandage or support bra may be worn to minimize swelling and support the breasts as they heal. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect.

  The doctor will also instruct you how to care for your surgical site(s) following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, specific concerns to look for at the surgical site or in your general health and when to come in for follow-up visits. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing.

  If you experience shortness of breath, chest pains or unusual heartbeats seek medical attention immediately.



  The results of breast lift surgery will be long-lasting. However, over time your breasts can change do to aging, weight fluctuations, hormonal factors and gravity. Maintaining your weight and keeping a healthy lifestyle are important in retaining you new look for longer.

  While a breast lift does not usually affect breast function, if you are planning to become pregnant, discuss this with the doctor. Changes that occur in the breasts during pregnancy can minimize or reverse the improvement a breast lift provides. Likewise, plans for significant weight loss should also be discussed.