Mastopexy (breast lift) with breast augmentation is a combination procedure that lifts sagging breasts while increasing their size and enhancing their shape. Aging, pregnancy, weight loss and gravity can all cause breasts to sag. When sagging cannot be corrected by implants alone, augmentation mastopexy may be recommended. During mastopexy alone, excess skin is trimmed away, supporting tissue is tightened, the breasts are "lifted" to sit higher on the chest, and the nipple and areola are repositioned or resized. By adding augmentation with implants to the procedure, the breasts can also be made larger and firmer.
Good candidates for augmentation mastopexy have sagging breasts that have lost fullness at the top. Candidates must be in good overall health, maintain a stable weight, and have realistic expectations about what augmentation mastopexy can do. A woman who chooses to undergo augmentation mastopexy is unhappy with her breast size, and has one or more of the following:
A woman planning to have (more) children should not undergo augmentation mastopexy because pregnancy and nursing can counteract its benefits.
Augmentation mastopexy is performed on an outpatient basis under general anesthesia, and usually takes 1 to 3 hours. Depending on the degree of sagging, the amount of excess skin, and the size and type of the implants, one of the following types of incisions is often used:
After the incisions are made, excess skin is trimmed to create a tighter, more defined appearance. The nipple and areola are usually moved higher on the breast or resized. Implants made of either saline solution or silicone gel are inserted into the breast beneath the pectoral muscle or mammary gland. Incisions are then closed with stitches; the incisions used for augmentation mastopexy are larger than those for augmentation alone, which requires only an incision in the breast crease, the bottom of the areola or the armpit.
For a few days following augmentation mastopexy, patients are likely to have bruising, soreness and swelling that may last for several weeks. Breasts are usually wrapped in an elastic bandage or a surgical bra for about a week; a support bra is then worn continuously for a month. Stitches are removed after 1 to 2 weeks. Most patients return to work within a week; exercise and other strenuous activity should be avoided until the surgeon believes the patient to be sufficiently healed
In addition to the usual risks associated with surgery and anesthesia, risks specific to augmentation mastopexy include the following:
Depending on the incision type used, augmentation mastopexy can produce visible scars, although, in most cases, scars fade over time, becoming much less apparent.
Although there are instances in which they last much longer, breast implants have a life expectancy of about 10 years, so women who want to maintain the size and shape of their breasts should expect to undergo a number of surgeries to maintain results.