Project Description

Breast Surgery

Breast Lift

Women who have either had children and breastfed or lost vast amounts of weight, often experience the deflated feeling of losing the youthful fullness and volume of their breasts. If this is the case for you, then you would benefit from a breast lift. As the years pass, your nipple seems to point further down and you find that even the best “pushup” bra doesn’t seem to prevent the sagging.

The reason for this is that over time, your breasts lose their volume and elasticity, causing them to sag, droop or change shape. If you are therefore requiring a firmer breast, then you are a candidate for a breast lift. During this procedure, I tighten the loose skin, reshape the sagging breast tissue and lift the areola, restoring them back to their perkier, younger breast shape.

As a female I understand  your needs on a personal level and am with you from your first consultation until after your breast lift has been performed. I try to understand every patient’s unique needs, and always ensure you know what to expect.

Breast lifts are a very  common procedure in my practice, but it’s still important for you to conduct research into the topic of mastopexy to make sure it’s the right option for you. Choosing to have any cosmetic surgery is a big decision to make and it’s important to know that you’re not just making a physical change to your body, but an emotional one as well. This is why having a good understanding of the procedure and getting to know the team that will be performing it is vital.

As a female I understand  your needs on a personal level and am with you from your first consultation until after your breast lift has been performed. I try to understand every patient’s unique needs, and always ensure you know what to expect.

Not only does this procedure enhance the natural look of your breasts, but it also improves your posture and overall self-confidence. Physically, a mastopexy procedure alters the shape, contour, and projection of your breasts for enhanced aesthetic appeal.

If, however your expectations include visions of a full, rounded breast upper pole, then only a breast augmentation will be able to achieve this result. Remember that a natural breast has a pear shape and this is the result you will achieve with a breast lift/ mastopexy with or without fat grafting to the upper pole.

If you are considering having your breasts lifted, remember you are going to have the associated scars. Most of my patients accept these scars in exchange for the freedom to wear revealing clothes and swimming costumes with confidence.

You can expect the results of your breast lift to last for a number of years. However, as your body matures further, gravity will slowly start to take its toll again. The good news is that after a few years, you can undergo a second breast lift procedure to maintain the results of the first.

It’s vitally important to remember that choosing to have plastic surgery is not about vanity, but rather about being proud of your body. Loving yourself is an integral part of enjoying your life, and I am there to help you along this journey.

“I wish everything I ate went straight to my breasts.”

As with any invasive surgery, there are always risks involved. However, you should know that major complications are rare. While the drawbacks may be few and far between, it’s important to take note of them and ensure that you’re prepared to make the final decision of undergoing a breast lift.

Scars: The scars are specially designed to be hidden by your bra and swimming costume. The scars are however visible on the breasts. At first, they may seem red and elevated, but with time they will fade to thin white lines. However, some patients are genetically predisposed to keloid or hypertrophic scars. And it is important to show me any other scars you may have that have not healed perfectly. Additionally, it is more common in smokers for poor healing and wider scars to occur.

Some of the other risks involved in undergoing a breast lift include:

  • Loss of nipple sensitivity; your nipple will probably lose or experience some change in  sensation after your surgery. This is usually temporary, however can in a very small amount of patients be permanent. If nipple sensation is therefore very important to you, this must be an important consideration before you decide on a breast lift procedure.
  • Loss of a nipple: This is an extremely rare complication, however there is a small chance that the blood supply to the nipple is restricted during your recovery and can result in partial or total nipple/ areola loss. There is a slightly higher risk when combining a breast lift with a breast augmentation and in patients who smoke.
  • Bleeding
  • Infection
  • Negative reactions to anaesthetic

The Procedure

During your consultation process, I will select the correct mastopexy procedure for you to achieve optimal results. In most cases I use the “short scar” technique or the so called “lollipop lift” to achieve the optimal lift with the least visible scarring. Ordinarily, you can expect to have around 2 consultations before undergoing your procedure. This is to ensure that you and I are on the same page in terms of your needs and expectations.

During your consult, I use your  physical examination, measurements, and photographs to assess your breasts for surgery. I also takes into account the size and shape of your breasts, skin quality, nipple and areola placement, and general medical history. This includes information about any medical conditions, drug allergies, medical treatments, current medication, and previous surgeries.

In addition, it’s important to inform me of future plans, such as dramatic weight loss or breastfeeding. Many women find their breasts sag or shrink with weight loss. In this instance I may recommend that you schedule surgery once your target weight has been achieved.

Most importantly, if you’re planning on breastfeeding after your breast lift surgery, you need to mention this during your consultation. If you have not had children and plan on having a breast lift, you may wish to wait until your childbearing and breastfeeding days are over. Many women however have breast lift surgeries before childbirth knowing that they may need a revision mastopexy afterwards.

It is usually possible to breastfeed after a breast lift as the milk ducts and nipples are left intact. There are several mastopexy procedures available, and this information will determine the type of surgery that is best for you.

The breast lift surgery is performed while you’re under conscious sedation using female anesthetists in our private day clinic and is completed in a few simple steps:

  • Incisions – The incisions will depend on the extent of your breast sagging. In most cases, I make a small incision around the areola and vertically down, to the crease of the breast. This is known as the ‘lollipop’ technique and is preferred as it leaves minimal scarring. Additionally, it  also optimises your chances of breastfeeding in future, should you wish to do so. This is because your remaining breast tissue isn’t detached from the nipple. Alternatively, the ‘doughnut’ (or concentric) mastopexy is reserved for those patients with small breasts and minimal sagging. With this incision, the scar is limited to the areola. However in cases where the breast droop is extensive, I may need to use the older traditional “inverted T” scar incision where the lollipop  scar includes and incision in the breast fold.  In general, I will remove excess breast skin, raising, reshaping and firming up the breasts in the process.
  • Tightening and Lifting – Then, instead of utilising your skin to elevate each breast, I  construct an ‘internal bra’. I reshape the more fibrotic breast tissue into a cone shape and move the lower sagging breast tissue  to a new position to augment the fullness in the upper pole of the breast. This is to ensure that your breasts sit and stay  in the desired, higher position. It is also at this time that any other recommendations are implemented. For example, you may want the size of your areolas reduced.
  • Finishing touches – The wounds  are closed with dissolvable stitches and the area is cleaned. Small drains may be inserted to avoid fluid build-up and you will have dressings on your breasts over the surgery site.
I advise that you spend  the night under our nursing care on the day of your surgery. However, you can be discharged on the same day. You can expect to have some discomfort for a few days. However, most patients are surprised at how little pain they actually experience after a breast lift.  Post-op, you can expect a recovery period of up to 10 days after your breast lift surgery, during which you shouldn’t take part in any strenuous activities. You’ll also be required to wear a surgical bra during the postoperative phase and Dr Wilkinson may insert temporary drainage tubes for 2 to 3 days if required.

You’ll be encouraged to get out of bed for short periods of time on the day after surgery.  Straining, bending, and lifting must be avoided for several days as this could result in bleeding or swelling. It’s also important that you sleep on your back, which keeps the pressure off your breasts.

If drainage tubes have been used, they’ll be removed after a few days and your dressings will also be changed after 7 days. As far as your stitches are concerned, they are usually taken out on the tenth day after your procedure. Scars are made as inconspicuous as possible and should fade entirely after a couple of months. You will be supplied with scar reducing tapes that are worn for 6-12 weeks depending on  the quality of your scars.

In most cases it’s possible for patients to resume work within a week after a breast lift surgery unless the nature of the work is excessively strenuous. You may also resume exercise, starting slowly, within a few weeks.

Dr Wilkinson stresses that you need not be concerned if your breasts take some time to regain a natural shape and for the scarring to subside. This is completely normal, and you shouldn’t exert any energy on worrying during your recovery, which can last around 12 months.

For more information on what to expect during your recovery period, and to ensure that everything goes smoothly after your procedure, refer to my general recovery page.

I’m more than capable of providing optimal breast lift procedures in South Africa. With over 18 years of experience, I have gained a unique understanding of how to best address my patients’ needs and provide what they want, physically and emotionally.

Contact my practice today to find out more about a breast lift done by me.

Testimonials
“Nerina – just to say a MASSIVE thank you to you for the incredible job you did on my boobs – I wasn’t sure what to expect, but am beyond thrilled, you surpassed all my expectations! Many thanks to you and your great team!”
C Wilson, Breast Surgery
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