The ideal and youthful breast 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 breast 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 breast contour.
The breast lift comprises of a group of surgical techniques to tackle the issue of the skin excess, nipple position, and the breast volume, to restore the breast to its youthful appearance.
The techniques employed in the breast depends on the degree of ptosis (sagging) seen in the breast parenchyma, nipple position and amount of skin laxity.
Milder breast ptosis requires peri-areolar lift procedures, where the incisions are given around the nipple-areole complex.
Greater degree of breast ptosis requires techniques such as circum-vertical lifts, suture suspension, mesh suspension, internal breast 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 breast. Mastopexy or breast lift surgery can also be combined with a reduction or a breast implant depending on whether the patient has excess volume or depleted volume in breasts.
Any woman over the age of 18 years who expresses a concern regarding the sagging appearance in her breast 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.
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.