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A woman's breasts help define her femininity and with the vast differences in shape size and appearance breast further help to define her individualism, therefore changes to the breast can be dissatisfying and make women feel as if they are losing some of their femininity and youthful vitality.
Like other areas of the body the breast undergo changes in response to factors such as genetics the aging process pregnancy and breastfeeding, weight gain or loss of hormonal fluctuations. Breasts that were once firm and shapely often begin to sag and droop giving them a loose or heavy appearance, a breast lift or mastopexy can help restore a firmer shapelier breast which will improve body contours and give the breast a perky youthful appearance.
Before you learn how a breast-lift can help to correct sagging breasts it is important that you understand the underlying Anatomy the breasts are composed of different types of tissue known as glandular, fatty, and fibrous tissue which lie over the pectoralis muscle. Along the chest wall the glandular tissues are composed of lobules and milk ducts, during lactation lobules and milk ducts are responsible for producing and transporting milk to the nipple, respectively the glands within the breasts are surrounded by a layer of fatty tissue that gives the breast shape and soft form, suspensory ligaments, which are made of fibrous or connective tissue are intertwined amongst the breast glands and milk ducts.
These suspensory ligaments attach the breast to the chest wall and allow it to remain suspended but move freely with the body, although there are many factors that can contribute to sagging of the breast, the aging process and the effects of gravity play a primary role in these changes just like facial skin, the skin around the breast loses its elasticity in response to a gradual breakdown of the skin support network which causes it to become lax.
In addition the suspensory ligaments that attached the breast to the chest wall weaken and stretch in response to gravity, the breasts enlarged during pregnancy and breastfeeding, which further causes the skin to stretch as the breasts reduced in size. Following pregnancy the skin that was once stretched is now loose and sags, lastly, fluctuations in your weight and even hormonal changes can cause your breasts to change in appearance in combination these factors can cause the breast to droop and sag or in some cases rotate in a downward direction.
During a breast lift procedure lose excess skin is removed and the remaining skin is tightened, as a result the overall shape of the breast is improved and they are lifted to a new more upright position. Your physician will assess the degree of ptosis or sagging of your breasts to determine the procedure that is best for you. There are generally three degrees of ptosis classified as minor, moderate, and severe, which are determined by the position of the areola relative to the infra mammary fold and the sternum.
In general miner ptosis exist if the area lies at the infra mammary fold if the areola lies approximately one to two centimeters below the infra mammary fold the breasts have moderate ptosis whereas the areola may lie 2 to 3 centimeters below the infra mammary fold and rotate downward, in cases of severe breast ptosis there are four basic breast-lift techniques known as the Perry area circum, areolar vertical, and anchor technique, used to correct increasing ptosis. Respectively the Perry areola or Crescent technique involves a crescent or Halfmoon shaped incision made around the top of the areola this technique is a minimally invasive procedure that achieves a small degree of lift, therefore it is appropriate for individuals with small breasts or minor breast ptosis.
The circum areolar or donut technique involves a circular incision made around the areola this technique is a minimally invasive procedure that achieves a small degree of lift. Therefore it is appropriate for individuals with small breasts or minor breast ptosis the vertical technique involves a v-shaped incision that extends around the top of the areola and down the midline of the breast although this procedure is slightly more invasive it achieves a large degree of lift therefore this type of incision is appropriate for individuals with larger breasts and moderate-to-severe breast ptosis the anchor technique involves an anchor shaped incision that extends around the top of the areola and laterally across the lower portion of the breast.
Although this technique is the most invasive type of breast lift it achieves the greatest amount of lift therefore it is appropriate for individuals with large breasts and severe breast ptosis this animation describes the anchor technique which is one of the most common techniques performed today a breast lift procedure may last approximately 1 24 hours depending on the complexity of the procedure and whether an additional procedure such as breast augmentation is performed at the same time.
Prior to the start of your procedure the treatment area will be cleansed and an anesthetic will be administered your physician will most likely administer general anesthesia in which you are asleep during the procedure in addition they will draw incision guidelines to indicate the areas of skin that will be removed during the procedure using a scalpel the physician carefully makes an incision along the pre marked lines the incision extends beyond the upper perimeter of the areola. This area Marks the new upper perimeter of the areola, the area below the areola will be pulled together and tightened resulting in a more upright breast position. Using a variety of surgical instruments the physician lifts the skin and separates it from the underlying tissues below the areola and nipple are left intact as the areas of surrounding skin are removed in order to ensure that the breast has complete mobility.
Tthe physician may use a coterie device to undermine or remove tissue along the perimeter of the incision line once the excess skin has been removed the physician we'll suture the uppermost perimeter of the areola to the outermost perimeter of the incision in doing so the areola and breast tissue are lifted to a new more upright position. T he physician will proceed to close the incision by placing sutures along the vertical midline and infra mammary fold as well as around the perimeter of the areola.
Ssome physicians may choose to place external sutures along the incision as well prior to closing the incision completely the physician may place a surgical drain inside each breast however some physicians prefer not to use surgical drains lastly steri-strips or gauze bandages may be applied in order to protect the incision sites as you heal your physician may recommend that you wear a type of compression garment following your procedure. This tight-fitting garment will help to reduce swelling by preventing fluid buildup as well as provide comfort and support as you heal. You will likely have to wear the compression garment for several weeks, if surgical drains are present they along with any bandages will likely be removed within a few days while any non dissolvable stitches may stay in place for one to two weeks. You may experience some minor pain bruising and swelling as well as numbness around the areola.
You should avoid strenuous exercise for several weeks although you may feel well enough to return to work in approximately one week you should continue to avoid strenuous activity such as exercise for three or four weeks after your procedure to allow your body sufficient time to heal you will be able to notice a dramatic difference in the shape and position of your breasts immediately following your procedure you may continue to notice a change in the appearance of your breasts as swelling subsides and they settle into their new positions in fact it may take up to one year before the final results from your procedure are apparent although you will have permanent scars following a breast lift the scars will slowly fade too thin white lines with time it is important to realize that if you become pregnant after having a breast lift the effects of pregnancy and breastfeeding may compromise the results and cause your breasts sag and change shape although a breast-lift cannot stop the aging process it can help you not only improve the position of your breasts but restore the fuller shapelier appearance that you desire for years to come