DR G DE AGUIAR

PLASTIC, RECONSTRUCTIVE & COSMETIC SURGEON

Procedures - BREAST LIFT


Introduction:
Loss of skin elasticity, the force of gravity and other factors such as weight loss, pregnancy and breast-feeding ultimately affect the shape and firmness of a woman’s breasts. Breast lift surgery, also called mastopexy, removes excess breast skin to raise, reshape and firm breasts. The nipples and areolae (the pigmented skin surrounding the nipples) are repositioned, and the areolae sometimes may be reduced in size. If desired, implants may be inserted in conjunction with a breast lift to increase breast volume and firmness. A breast lift can be performed at any age, but plastic surgeons usually recommend waiting until breast development has stopped.

The Best Candidates For Breast Lift:
A breast lift can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.

The best candidates for mastopexy are healthy, non-smokers, emotionally-stable women who are realistic about what the surgery can accomplish. The best results are usually achieved in women with small, sagging breasts. Breasts of any size can be lifted, but the results may not last as long in heavy breasts. Many women seek mastopexy because pregnancy and breast-feeding have left them with stretched skin and less volume in their breasts. However, if you're planning to have more children, it may be a good idea to postpone your breast lift. While there are no special risks that affect future pregnancies (for example, mastopexy usually doesn't interfere with breast-feeding), pregnancy is likely to stretch your breasts again and offset the results of the procedure.

The Procedure:
Individual factors and personal preferences will determine the specific breast lift technique. A common method of lifting the breasts involves three incisions. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision is horizontal beneath the breast and follows the natural curve of the breast crease. After the excess breast skin is removed, the nipple and areola are shifted to a higher position. The areola, which in a sagging breast may have been stretched, can be reduced in size. Skin that was formerly located above the areola is brought down and together beneath it to reshape the breast. The nipples and areolae remain attached to underlying mounds of tissue, and this usually allows for the preservation of sensation and the ability to breast-feed. In some instances, it may be possible to avoid the horizontal incision beneath the breast, as well as the vertical incision that runs from the bottom edge of the areola to the breast crease. Some patients (especially those with relatively small breasts and minimal sagging) are good candidates for this limited scar technique, but this will depend on the extent of excess tissue and the amount of lift required.

Benefits:

  • Breasts are firmer and more uplifted. The position of the areolae and nipples is enhanced.
  • Many patients experience increased confidence and greater choice when selecting clothing, particularly swimwear and underwear.
  • Significant complications from breast lifts are infrequent
  • Unless the patient gains or loses a significant amount of weight or becomes pregnant, breast shape should remain fairly constant.


Risks and Considerations:
  • Every surgical procedure carries some uncertainty and risks. Potential complications include reaction to anaesthesia, bleeding, infection and poor healing.
  • Pregnancy and breast-feeding affects the size and shape of a woman’s breasts so it is recommended that patients undergoing a breast lift procedure do so after completing their family.
  • Patients may be instructed to wear a postoperative compression garment/support bra for a few weeks, until the swelling and discolouration of the breasts diminish.
  • Incision lines, which will heal and fade over time, will be permanently visible, although they are in locations easily concealed by clothing.
  • Breasts may not be perfectly symmetrical or nipple height may vary slightly. Minor adjustments often can be made at a later time, but patients should remember that natural breasts usually show some variation.
  • Permanent loss of sensation in the nipples or areas of breast skin may occur rarely.
  • Occasional poor healing of incisions may lead to necessary revision surgery.
  • Gravity and the effects of aging will eventually alter the size and shape of every woman’s breast, in which case the patient may choose to undergo a second breast lift procedure.

Procedures by Dr De Aguiar

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Body

Just as the facial muscles may sag or wrinkle with age, so can the skin on the torso, breasts, thighs and upper arms.

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Breast

Loss of skin elasticity, the force of gravity and other factors such as weight loss, pregnancy and breast-feeding ultimately affect the shape and firmness of a woman’s breasts.

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Face

As part of the natural aging process, our skin progressively loses its elasticity and our muscles tend to slacken.

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Reconstructive

From the top of the head to the tip of the toe, and from newborn babies to the very elderly, reconstructive surgery is used to treat a wide range of conditions.

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Non Surgical

Apart from the cosmetic uses of Botox, the drug has been used to treat more than 70 medical conditions.

Commitment

Choosing to have plastic surgery requires thorough research and educated decision-making. This website is designed to help guide you get to know a little bit more about my practice and understanding of the procedures and treatments available to you. I look forward to meeting you which will allow you to make a better informed decision around treatments or surgery best suited to you.

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TEL: 011 304 6642
FAX: 011 304 6800
CELL: 072 144 9901

ADDRESS: Room GF07, Netcare Waterfall City Hospital