Breast Lift in Ogden Utah by Brian Brzowski, M.D.

 

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Breast Lift Overview

Sagging of the breasts is a very common complaint of women who have lost significant weight or who have been pregnant, particularly those who have significant changes in the size of their breasts during these events. The combined effects of gravity and aging often lead to stretching of the skin and tissues of the breast allowing them to lie in a lower position than desired. When these changes are accompanied by loss in breast size and volume, a breast implant may be suggested. Because breast lifts always compact the breasts to some extent, if the patient desires larger breasts or is resistant to the possibility of even a small perceived decrease in size, the addition of an implant is recommended. Mastopexy will only elevate the nipple and areola, so if volume in the upper chest is desired, an implant is the only way to improve this region. Additionally, because the diameter of the areola is usually enlarged during the sagging process, the procedure is designed to also reduce its size. There are four common types of breast lifting, and they are distinguished by the design of the incisions and there resulting scars. The choice of technique is determined by the amount of sagging. If a small amount is present, then a crescent shaped lift may be advised. This leaves a small scar along the upper edge of the areola – this style of lift will not reduce the diameter of the areola. With somewhat more looseness, a circumareolar lift might be suggested. This leaves a scar around the edge of the areola and does permit a reduction in the diameter. If even more looseness is present, a vertical scar extending from the lower edge of the areolar scar to the lower breast fold may be used. This results in a lollipop or balloon on a string type of scar. Lastly, in the more excessive cases, usually when the nipple points towards the floor, an upside down T or anchor scar may be necessary.

Breast Lift Risks

As with any operation, there are risks of bleeding, poor healing, infection, dissatisfaction with the results, and complications from the anesthetic such as blood clots and etc. Certain behaviors around the time of your surgery can influence your risks of problems such as smoking and failing to follow instructions regarding wound care and activities. Specifically, smokers are required to discontinue smoking a minimum of 3 weeks prior to surgery and not resume smoking until proper healing as been verified. Also differences in position of the nipples, shape of the nipples and breasts can occur despite every effort to make a perfect match. Recurrence of the sagging will occur over time and can only be slowed by the diligent use of a brassiere. When an implant is added, many plastic surgeons consider this operation to be the most difficult procedure to achieve reliable results. You need to be aware of the additional risks of using a breast implant. Touch up operations are not infrequent and usually result from the need to correct unfavorable scarring, asymmetries in position of the nipples, or failure of the tissues to hold up and support the breasts in the desired position leading to recurrent sagging. Because these are issues that we are not able to always predict or control, additional surgery to address these problems will result in additional financial expense to you.

Breast Lift Recovery Period

You will awaken from surgery in a bra and with gauze dressings over the breasts. Depending upon the type of lift you require, you will have dressings that you need to remove 24 hours after the surgery, or you will have a large square dressing that remains in place until your follow-up appointment in two weeks. The recovery room nurse will instruct you and your caregiver on the specific dressing used. After 24 hours you will then be able to shower. If the square dressing is used we simply ask you to avoid saturating the gauze in the shower. You will be asked to wear a bra around the clock for 2 weeks for support of the incisions during the early stages of wound healing. After the first 2 weeks we like you to wear the bra any time that you are upright and out of bed for more than a few minutes. Particularly during the first few days after your surgery, we like you to pay addition to the coloration of the nipple and surrounding skin any dark discoloration that seems excessive and not like typical bruising. If you notice this you should bring this to our attention immediately as it may represent poor circulation to the tissues.

Learn More about Breast Lifts

If you feel that a breast lift might be right for you, schedule a private consultation with Dr. Brzowski to discuss your desires.