An in-depth discussion on breast lift surgery: part 2

In the second article of a two-part series, distinguished consultant plastic surgeon Mr Haitham Khashaba explains more about breast lift surgery, including the risks associated with the surgery and what happens during the recovery period.

Is a breast lift a risky procedure? Is it safer than having implants?

As is the case with any surgical procedure, a breast lift (mastopexy) carries a certain degree of risk. However, when performed by a qualified and experienced plastic surgeon, the procedure is generally considered safe.

It is important to note that complications are rare, and the majority of patients undergo the breast lift procedure without any significant issues. Before you make a decision about surgery, you must discuss the potential risks and complications with your surgeon.

Some potential risks and complications associated with a breast lift include:

• Infection: Infections can occur following surgery, however, thankfully, this does not occur often. Antibiotics are typically prescribed to minimise the risk of infection.
• Bleeding: Excessive bleeding during or after the procedure is not common. However, if it occurs, it may require additional surgical intervention.
• Changes in nipple or breast sensation: Temporary or permanent changes in nipple or breast sensation can occur due to nerve damage during the surgery. The sensation in the nipple may improve over time but in some cases, it may be permanent.
• Delayed wound healing: In rare cases, areas of the incision may experience delayed wound healing. This may require additional treatment or wound care.
• Scarring: Breast lift surgery involves incisions, therefore, as a result, scars will form. The extent and visibility of scars can vary depending on the incision pattern and individual healing characteristics. Skilled surgical techniques can help minimise the appearance of scars, and they typically fade over time.
• Asymmetry: While efforts are made to achieve symmetry, it's important to understand that perfect symmetry cannot be guaranteed. Minor differences in breast shape, size, or nipple position may persist.
• Partial or complete loss of the nipple and areole complex: while this is considered a devastating complication, it is highly unlikely that it will occur.  An experienced surgeon will be able to, not only avoid this, but if you are at risk, will inform you about your options. They will also be able to mitigate this risk pre-operatively, or even correct it if it happens.

Both breast lift and breast implant surgery procedures have their own associated risks. However, breast lift surgery generally has a lower risk profile compared to breast augmentation with implants. Breast implant surgery carries its own set of potential complications, including implant rupture, capsular contracture (scar tissue formation around the implant), implant displacement, and the need for implant revision or removal.

It should be noted that the safety of either procedure depends on various factors, including the surgeon's skill, adherence to proper surgical techniques and individual patient characteristics.

It is crucial to choose a qualified plastic surgeon with extensive experience in performing breast surgeries to minimise the risks and achieve the desired outcomes. Your surgeon will provide you with a thorough evaluation of the potential risks and benefits of a breast lift or breast implant surgery, taking into account your specific circumstances and goals, in order to help you make an informed decision.

What happens during the recovery period?

The recovery period after a breast lift procedure is an important phase for healing and achieving optimal results.

Below is an overview of what you should expect during the recovery period:

Immediate postoperative period

After the surgery, you will be closely monitored in a recovery area until the effects of anaesthesia wear off. You may experience grogginess and some discomfort during this time. Dressings or a surgical bra may be applied to provide support to the breasts and minimise swelling.

Discomfort and pain management

It's common to experience some discomfort, swelling and bruising in the breasts following a breast lift. Your surgeon will prescribe pain medication or recommend over-the-counter pain relievers to manage any discomfort. It's important to follow the prescribed pain management regimen and avoid any activities or medications that can increase the risk of bleeding or interfere with the healing process.

Postoperative instructions

Your surgeon will provide detailed postoperative instructions specific to your case. These instructions may include guidance on caring for the incisions, changing dressings, and showering. You may also be advised to wear a supportive bra or compression garment during the initial recovery phase to aid in healing and reduce swelling.

Restricted activities

During the early recovery period, it's important to avoid strenuous activities, heavy lifting, and exercises that engage the chest muscles. Your surgeon will provide specific guidelines on when you can gradually resume normal activities and exercise, which is typically around four to six weeks after surgery.

Swelling and bruising

Swelling and bruising are common after a breast lift and can take several weeks to subside. Your surgeon may recommend using cold compresses or ice packs in the initial days to help reduce swelling. Keeping your upper body elevated while resting or sleeping can also aid in minimizing swelling.

Follow-up appointments
 

Your surgeon will schedule follow-up appointments in order to monitor your healing progress. During these visits, they will check the incisions, remove any sutures if necessary, and assess your overall recovery.

It is important to attend these appointments and communicate any concerns or questions you may have.

Scar management

As with any surgical procedure, scarring is an inherent part of a breast lift. Your surgeon may provide instructions on scar management, including the use of topical treatments or silicone sheets to help minimise the appearance of scars over time. It's essential to protect your incisions from sun exposure and follow your surgeon's guidance on scar care.

Recovery times can vary among individuals, but most people can expect to resume their normal daily activities within a few weeks.

However, it should be noted that complete healing and final results may take several months. It is crucial to be patient, follow your surgeon's postoperative instructions diligently, and maintain open communication with your surgical team throughout the recovery period.

If you are considering a mastoplexy and would like to book a consultation with Mr Khashaba, simply visit his Top Doctors profile today.