Breast lift surgery (also known as mastopexy) is a procedure commonly offered by surgeons in Thailand in order to improve the appearance of saggy, droopy breasts by enhancing “lift” and contour. Several factors, such as pregnancy, weight fluctuations, heredity, or just plain aging, contribute to the loss of breast firmness over time, which causes them to sag. Mastopexy works to firm up and elevate the breasts through the removal of excess, loose skin, alongside tissue tightening and nipple repositioning.
Enlarged areola (the darkish/pinkish area around the nipples) may cause women to feel self-conscious about the appearance of their breasts. As such, areola reshaping and resizing can also be performed during breast lift surgery.
While this procedure is effective in helping you achieve a more visually appealing chest profile, it does not work to increase the size of the breasts, nor does it add plumpness to the upper breast area. For this to be done, you may need an additional treatment to be performed alongside breast lift surgery, such as breast augmentation or reduction.
Mastopexy aims to improve the appearance of the chest area by reshaping the breasts and repositioning the nipple and areola, all the while leaving a scar that is very discreet and almost unnoticeable.
Breast lifts are performed to:
$2,300 to $16,000
How breast lift surgery is performed is quite similar to that of breast reduction. Improvements in the procedure have led to new techniques that aim to reduce the appearance of scars for which many women are suitable candidates. The appropriate technique for your situation will depend on a couple of factors, such as how your breasts look in terms of shape and size, the location and size of the areolae, and the extent of breast sagging determined by the quality and elasticity/firmness of your skin, as well as how much excess skin is present.
Breast lift surgery typically involves the following steps:
1. Your surgeon will make markings on the breast tissue to aid in the proper repositioning of the nipple.
2. You will then be directed to the operating theater where either general anesthesia or sedation will be administered.
3. Incisions will be made and may be placed:
o Around the areolae
o Vertically downward from the areolae to the breast curve
o Horizontally along the breast curve
4. After all the necessary incisions have been placed, the breast tissue will be lifted to a higher position. Reshaping will also be performed to enhance contour and firmness, along with the repositioning of the nipple and areola. Enlarged areolae may also be treated via skin excision along the circumference. Any excess breast tissue will then be removed to improve skin elasticity.
5. If implants have been requested, they will be inserted before finally tightening the skin and closing the incisions with sutures, surgical tape, or skin adhesives. In order to provide adequate support to the breasts, sutures are layered downwards into the breast tissue. Some of the incision lines will be hidden within the breast contours while others may be noticeable on the surface. These are permanent but tend to gradually lessen in appearance over time.
It typically takes one to three hours for breast lift surgery to be completed, after which drains may be placed to prevent the accumulation of fluid. These will usually be removed after 24 to 48 hours.
Your surgeon will inform you of everything you need to know well before treatment, including advice on whether to stop smoking or taking particular medications, what items you need to bring to the hospital (if any), and how long before surgery should you stop eating/drinking. To guarantee a quick recovery and to ensure that you remain healthy both before and after treatment is completed, you must carefully follow these guidelines as well as those given after surgery.
The following gives you some idea as to the kind of instructions you might receive from your surgeon:
Some initial discomfort will typically be experienced after surgery, so you may have to take some pain medications as instructed by your surgeon in order to get some relief. Side effects may include:
o Some swelling or bruising, which will gradually lessen over two weeks
o Numbness in and around the skin on your breast, nipples, and areolae, which will usually subside within six weeks
o Aching, soreness, and redness around the incision sites, which may last for a couple of months
We understand you may want to change your plans due to the coronavirus (COVID-19) and its health implications.
This procedure may pose the following risks and complications:
If the peri-areolar technique was used during the procedure, scars will be visible in the area surrounding the areola. Wrinkles will also appear and may smoothen out over one to two years. On the other hand, if the Inverted-T approach was followed, scarring around the areola will typically include a straight line that extends downwards from the nipples and another one along the inframammary crease.
It is also important to note that while breast lift surgery may interfere with diagnostic procedures, it generally does not interfere with pregnancy. However, the usual breast changes that typically occur as a result of pregnancy and lactation may reverse the results obtained from surgery. Another thing to note is that since this procedure involves some breast tissue removal, it may affect the normal breastfeeding process as well.
Sutures used to close deeper incisions may suddenly emerge through the skin a few weeks after surgery, with absorption expected to take about four to six months. Since the sutures are considered foreign material by the body, they will be forced or pushed out during the healing phase.
Who are the best candidates for breast lift surgery?
The best candidates for this procedure are typically women who have droopy, saggy breasts owing to the effects of aging or childbirth, as well as those with large areolae. It is also most suitable for women with breasts that are smaller in size as opposed to larger ones as they are heavier and yield results that don’t last for very long.
Will I be asleep during surgery?
General anesthesia will be administered before surgery, so you will be asleep throughout.
How long will I stay in Bangkok?
Normally, you can expect to stay in the hospital for one to two nights prior to being discharged. Before your scheduled follow-up appointment, you can go shopping and take in some sightseeing, but you must avoid swimming, heavy lifting, and other strenuous activities. You can resume work or travel after attending your check-up appointment, which is typically scheduled 7 to 10 days after surgery.
How long is the recovery period?
Most patients are often able to walk slowly but carefully the day after surgery, with improvement anticipated over the following couple of days. You may experience some bruising or swelling, but it usually takes about two weeks for these side effects to gradually diminish over time. For the first four weeks, you must restrict physical activity and any contact with your breasts. Completion of the healing process and the full final results can be expected within the next 6 to 12 months.
How do I care for myself after the operation?
You will need to avoid wearing underwire bras and must instead wear a support bra for a couple of months as you recover.
Is the lifted result permanent?
Your results will inevitably undergo some changes throughout the years following surgery due to the effects of aging, which means that the breasts may gradually start to sag once again. These results may also be undone due to factors such as significant weight fluctuations, pregnancy, and lactation.
Aside from the improved appearance of my breasts, will there be other changes?
Breast lift surgery may affect mammogram results. As some breast tissue is removed during the procedure, this could also have a significant negative impact on your ability to breastfeed.