Mammoplasty (Breast Job)
1. Breast Lift alone or augumetation mammoplasty with implants
2. Reduction mammoplasty
BreastLift and Augumentation Mammoplasty
Many factors can affect the shape of breasts, for example pregnancy, weight loss or simply aging, which can make them sag or droop. The upper part of the breast is no longer full and a deep breast fold forms; often the nipples may even move below the breast fold. In this case, a breast lift may be the answer. The nipple is moved upwards, and an implant inserted to make your breasts full again. A breast lift will leave more scars than ‘normal’ breast augmentation. But nonetheless, most women are very pleased with the result.
Ideals of breast beauty:
- Upper pole to lower pole ratio of 45%-55%(i.e. slightly fuller lower pole than upper pole): the "45:55 breast"
- Skyward-pointing nipple (20 degree mean angle)
- Straight/mildly concave upper pole slope
- Tight lower pole convexity
What you can expect?
A breast lift can be done in a hospital or an outpatient surgical facility. Sometimes the procedure is done with sedation and local anesthesia, which numbs only part of your body. In other cases, general anesthesia — which renders you unconscious — is recommended.
Everything about the treatment will be discussed during your first consultation: the method that suits you best, the result you might expect, possible risks and follow-up care. During a consultation, you will always receive the detailed information about the treatment and the period thereafter.
During this consultation, the Dr Chauhan will assess which method,incision or technique is suitable for a breast lift to have good aesthetically pleasing breasts . The surgeon will ask for information about your current state of health, medical history and any medication you might be using so keep all records with you at the time of 1st consultation.
If you use medication or drugs such as disprine, aspirin & combiflam, Clexane, Warfarin, you must tell the plastic surgeon. You must not take any blood thinning medications, for up to two weeks before your surgery. We also recommend that you stop smoking 6 weeks before the surgery is due to take place because smoking constricts the blood vessels, which can cause problems reducing wound healing.
One of the most critical steps in achieving excellence in breast augmentation is is the preoperative evaluation. Such an evaluation should identify not only the appropriate implants to achieve optimal results but also the location of the incision, the implant pocket, asymmetries of the breast, chest wall, and nipple-areolar complex.
During the procedure
Techniques used to remove breast skin and reshape breast tissue vary. The specific technique your plastic surgeon chooses will determine the location of the incisions and the resulting scars. Your doctor might mark the incisions:
Around the areolae — the darker area surrounding the nipples or horizontally along the breast creases i.e. inframammary fold or if decided, axillary approach can be used for breast implants only.
Your doctor might place stitches deep within your breasts to reshape your breast tissue and, if necessary, reduce the size of your areolae. He will remove excess breast skin and shift the nipples to higher positions. Then your doctor will bring together the breast skin and close the incisions with stitches, surgical tape or skin adhesives.
The procedure typically takes two to three hours, and you can go home on the next day or after few days.
After The Procedure
After a breast lift, your breasts will likely be covered with gauze and a surgical support bra. Small tubes might be placed in your breasts to drain any excess blood or fluid. Your breasts will be swollen and bruised for few days. You'll likely feel pain and soreness around the incisions . Numbness in your nipples, areolae and breast skin might last for about six weeks.
In the first few days after a breast lift, take pain medication as recommended by your doctor. Avoid straining, bending and lifting. Sleep on your back or your side to keep pressure off your breasts. Ask your doctor when it's OK to resume daily activities, such as washing your hair, showering or bathing.
Drainage tubes may be placed near your incisions and are typically removed within a few days. When your doctor removes the tubes, he will also probably change or remove your bandages.
Continue to wear the surgical support bra round-the-clock for three or four days. Then you'll wear a soft support bra for three or four weeks. Your doctor might suggest using silicone tape or gel on your incisions to promote healing.
You'll notice an immediate change in the appearance of your breasts — although their shape will continue to change and settle over the next few months.
Initially, scars will be more apparent but they will soften and become thin and white within few months. Scars from a breast lift can usually be hidden by bras and bathing suits. You might notice that your bra size is a little smaller after a breast lift — even if you haven't had a breast reduction in combination with the procedure. This is simply a result of your breasts becoming firmer and rounder.
Breast lift results are excellent and for next 10 -12 years shape will be maintained. As you age, your skin will naturally become less elastic, and some sagging might occur — especially if you have larger, heavier breasts. Maintaining a stable, healthy weight can help you retain your results.
As with other types of surgery, a breast lift has risks. The wounds may become infected, but this is rare. Post-operation bleeding can sometimes occur. Specific risks for a breast lift involve areas of the skin at the edges of the scar becoming rippled and gathered. This may mean that recovery could take longer, but this will not have a negative effect on the final result. Other risks include numbness of the nipples, reduced or halted lactation, the formation of hypertrophic ( significantly thickened) scars. You should also be aware that the nipples will not always be completely symmetrical. When implants are placed, there is a low risk of capsular contraction.