Over the years, factors such as pregnancy, nursing, and the force of gravity can influence the size and shape of a woman's breasts. Unfortunately, as the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag. A breastlift, or mastopexy, is a surgical procedure used to raise and reshape sagging breasts. A mastopexy can also be used to reduce the size of the areola which is the darker skin surrounding the nipple. In addition, many women have recently combined a mastopexy with a breast augmentation to increase both the firmness and size of the breasts.
The mastopexy procedure takes approximately one and a half to three and a half hours. Over the years, techniques have varied a great deal, but the most common procedure involves an anchor-shaped incision which follows the natural contour of the breast. The incision outlines the area from which breast skin will be removed and defines a new area for the nipple. When the excess skin has been removed, the nipple and areola are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the new breast. Stitches are usually located around the areola, in a vertical line extending downwards from the nipple area, and along the lower crease of the breast for a short distance.
The new shape and size of your breast will be immediately noticeable, but will change slightly as the swelling disappears. It's important to know that the scars are extensive and permanent. They often remain lumpy and red for months, then gradually become less obvious, sometimes eventually fading to thin white lines. Fortunately, the scars can usually be placed so that you can wear even low-cut tops.