In addition to the normal breast lift, you can also undergo a small breast correction. Basically, a patient comes under consideration for a breast lift if the nipple is in a lower position than the breast fold. Here we talk about a hanging breast or “ptosis”. When the breast has sagged but the nipple is in a normal position (above or at fold level) one may choose for a reduced breast enlargement. In this case, many less scars are made on the breast. Patients whose nipple has only minimally dropped out of position can have a nipple lift. When the breast hangs, it is often recommended to insert an implant to increase the breast volume (lift with implant).
The first consultation
During the first consultation it is important that you explain your wishes and expectations to the surgeon. Then will be decided which operation is necessary: nipple lift, breast lift with or without implant. The patient will be given all information about the operation and where exactly the scars will be.
The preparation
You will receive extensive instructions in order to prepare properly for the operation. You need to buy a sports bra with the agreed cup size. It is best to buy a bra with front closure. You should bring this bra with you because it will serve as a bandage when discharged from the clinic. Under certain circumstances, some preoperative examinations may be necessary. Medication use must sometimes be stopped or modified before the operation. The majority of patients may leave the clinic the same day. It is necessary to arrange for someone to pick you up and take you home safely. Because you have to stay calm after surgery, it is also recommended to organize additional household help.
Anaesthesia
A full breast lift is performed under general anaesthesia because of safety reasons and an increased comfort for the patient. Only a small breast or nipple lift is possible under local anaesthesia.
The operation
A full breast correction (with or without implant) takes about two to three hours. The surgeon makes an incision around the areola, then from the areola to the breast fold and sometimes also in the breast fold itself. Subsequently, the surgeon lifts the nipple and areola to a natural position. In most cases, the nipple remains connected to the nerves and blood vessels. A reduced nipple lift can be performed under local anaesthesia and the scar will normally be on the upper edge of the nipple although sometimes it will completely surround it.
After the operation
The first days after a complete breast lift (with or without implant) your breasts remain bandaged so you cannot immediately see the result. In the beginning, your breasts will feel slightly swollen. The pain is minimal and you will rarely need painkillers. The heavy feeling in the breasts may continue for one or two weeks. When the bandage is removed, you must wear a special sports bra day and night for about two weeks. Often there is a temporary sensory disorder of breast or nipple. In most women the feeling comes back after a few weeks or months. Sometimes it can take a year and only in exceptional cases your breasts will stay more or less numb. After about two weeks you can go back to work. Keep in mind that you should not lift heavy things in the first three to four weeks after surgery.
In case of a nipple lift, only the scar is taped. These are removed on your next follow-up consultation, one week after surgery. Usually you will not experience any pain after a nipple lift. Sensory disorders do not occur.
Complications
A breast lift should not be considered as heavy surgery. But as with many other operations complications can occur, such as bleeding, infection, necrosis of skin, nipple or fat or excess scar formation. There is also a minimal chance that the feeling in the nipples disappears totally or partially. You must, however, realize that these complications are extremely rare.