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To lift or not to lift sagging breasts?

Oct 7, 2008 by Dr. Majoe Juan Badiola

When you look in the mirror one morning, you notice in horror that your breasts are sagging, pendulous, and have lost their shape. If one breast is lower than the other, maybe your husband is not ambidextrous. But if your nipples and areolae are pointing downward, Houston we have a problem!

 

mastopexy.jpg
 

 

A woman’s breasts can change over time, losing their shape and firmness due to aging, breastfeeding, weight changes, gravity, and pregnancy. That is why some resort to mastopexy, or breast lift, in simple terms. By removing excess skin, tightening the surrounding tissue, and lifting the underlying breast tissue, the surgical procedure reshapes and improves breast contour. This can rejuvenate the breast profile and make it look youthful again. Mastopexy is different from breast augmentation or reduction since breast lifting does not significantly change your breast size.

After the lifting and reshaping process, the nipples and areolae are repositioned to a natural and more youthful height. If necessary, enlarged areolas are reduced by excising the skin perimeter, removing excess skin.

The best candidates for this procedure are women who are healthy and have a stable weight, are non-smokers, and of course, who can afford it. No absolute contraindications exist for breast lifting. Yet one relative contraindication is future pregnancy because of lactation complications.

Before the surgery, consider these things: choice of a surgeon you can trust and who adheres to a strict code of ethics, your general health status, your expectations and desired outcome. The type of incision should also be considered. You should ask what kind of anesthesia will be used because this substance might cause forgetfulness. Would you want that after surgery, you have nice firm breasts but can’t remember your husband’s name?

Getting mastopexy is a personal choice. If you think it will help boost your self-esteem, then go for it. But remember, medicine and surgery are not an exact science. While everybody hopes for the best, there is no guarantee. There are risks and possible complications like unfavorable scarring, infection, changes in nipple sensation, damage to deeper structures, persistent pain, and possible revisional surgery. We have not even mentioned yet the normal course of treatment, wherein there are post-operative medications and the need to wear bandages that bring huge discomfort. It is also worth noting that effects of gravity and aging will persist and sagging may gradually recur over time.

As early as now, we should accept that we shall grow old and beauty will wither. But age with grace; after all, it is not the destination—it’s the journey that matters most.

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