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    Breast lift

    Breast Lift is a plastic surgery procedure aimed to remove the existing excess skin while preserving the gland tissue volume. As a result it can help to restore breasts to a more youthful and firm state with elevated bust line 

    Surgery type as well as the sites of placed incisions and their number depend on the excessive skin volume to be removed 
    Minor ptosis: Grade 1

    podtyajka1

    Pic.1.Post-lactation breast involution,Grade 1 mastoptosis. After breast reconstruction by round textured implants inserted via trans-axillary approach (armpit incisions) used simultaneously with (combined with) periareolar breast lift

    Breast skin lost its elasticity. Nipple is at the level of the inframammary fold.


    Moderate ptosis: Grade 2

    podtyajka2

    Pic.2.Post-lactation breast involution, Grade 2 mastoptosis.
    After sub-areolar breast implants placement combined with periareolar mastopexy

    Nipple has dropped below the inframammary (3 cm) fold but still higher than the majority of he breast mount.
    Severe ptosis: Grade 3

    podtyajka3

    Pic.3.Post-lactation breast involution, Grade 3 mastoptosis
    After breast implants placement using vertical mastopexy


    Nipple has dropped for more than 3 cm below the inframammary fold.

    Pseudo-Ptosis
    When the breast skin looses elasticity but the nipple is at the normal level above the infra-mammary fold. The procedure known as mastopexy is done to rearrange the skin and breast in order to give the breasts a more youthful, firm appearance. In cases where the patient’s breast tissue’s volume is enough to restore the appropriate volume, implant placement is not necessary.

    Breast lift effect by implant placement can be achieved when skin excess is minor like
    In the case of Grade 1 ptosis. In severe forms of sagging (Grade 2 and 3) implant placement is combined with mastopexy - relocation of the nipples and areola, along with skin tightening.

    Mastopexy operation incisions placement

    umenshenie3

    Pic.4.

    Depending upon the degree of sagging present, there are 3 different mastopexy approaches that may be used to tailor the skin:
    1. Periareolar approach - an incision is made around the areola and practically invisible.
    2. Vertical approach - an incision is extended vertically bellow the areola to the breast crease by the chest. This approach allows an additional strip of skin to be removed, giving the surgeon the option of greater correction.
    3 Anchor-Shaped approach - an incision is made above the nipple in the shape of an anchor, with a circle at the top. It forms the shape of the new breast with the nipple placed in the circle at the top of the anchor.
    Some patients with prominent sagging insist on implant placement. Sagging cases like Grade 2 and 3 require large volume implants. Too large implants will lead to additional sagging caused by gravity. On the other hand smaller sized implant is not always enough to shape the breast and compensate skin excess thus failing to create aesthetically pleasing result.

    podtyajka5

    Pic.5.Post-lactation breast involution, Grade 3 mastoptosis 
    Vertical breast lift result

    Breast lifts do not normally interfere with breast-feeding and so lactation is not hindered in this way. Although with some current mastopexy techniques breast tissue may be divided into flaps, rearranged and sutured in a special manner to provide long lasting and aesthetically pleasant effect. Such techniques do not preserve lactation functionality.
    Mastopexy surgery is done under general anesthesia and takes between 2 and 3 hours

    podtyajka6

    Pic.6.Mainat, Ortho-Sport Compression bra model

    Recovery is not typically difficult. The breast will be sore for about 1 week and is usually well controlled with the pain medication that is prescribed. A compression bra should be worn for one month.
    Breasts will settle down to their final shape in several months after the operation and may alter depending on hormonal changes, weigh fluctuations and pregnancy

     
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