Breas-t lift

The ideal and youthful breas-t is located centrally on the chest wall (hemithorax), has a straight line or slightly convex upper pole and a full rounded lower pole with the nipple located at the point of maximum projection. 

The breas-t is a soft tissue structure, devoid of skeletal or bony support. It comprises of three components i.e skin, parenchyma and nipple-areola complex.

Each of these components can undergo changes due to developmental variations, pregnancy and childbirth, weight fluctuations and aging. These events can deviate from a pleasing breas-t contour.

The breas-t lift comprises of a group of surgical techniques to tackle the issue of the skin excess, nipple position, and the breas-t volume, to restore the breas-t to its youthful appearance. 

The techniques employed in the breas-t depends on the degree of ptosis (sagging) seen in the breas-t parenchyma, nipple position and amount of skin laxity.

Milder breas-t ptosis requires peri-areolar lift procedures, where the incisions are given around the nipple-areole complex.

Greater degree of breas-t ptosis requires techniques such as circum-vertical lifts, suture suspension, mesh suspension, internal breas-t flap etc. as per the requirement for that patient. These surgeries result in a peri-areolar and a vertical scar in the lower pole of the breas-t. Mastopexy or breas-t lift surgery can also be combined with a reduction or a breas-t implant depending on whether the patient has excess volume or depleted volume in breas-ts.

Patient Selection

Any woman over the age of 18 years who expresses a concern regarding the sagging appearance in her breas-t is an eligible candidate for mastopexy.

The choice of surgery to be performed is decided after a detailed history and examination. The patient is assessed for physical fitness for surgery, whether she is pregnant, lactating, gaining or losing weight etc. Screening mammogram is performed prior to surgery. 

General Surgical Information

The procedure is performed under general anaesthesia, average duration of surgery is 2.5hours. Most of the patients are discharged on the same day. Strenuous activity should be avoided for 4 weeks. Supportive garments are to be used for 4 weeks. The patient can resume daily activities from the next day of the surgery.

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