Breast Uplift with Implants

• Women who consider their breasts to be both too small and sagging.

It is important that before you see the surgeon, you consider what you are trying to achieve from your surgery.

Breast volume and size are important considerations when planning a breast uplift with Implant procedure, especially when enough breast tissue is not present to achieve an aesthetically pleasing appearance, or you wish to have a fuller upper breast pole or to increase the size as well as lifting your breasts.

Having breast implants has its pros and cons, yes it will achieve a fuller upper pole, maybe even a better aesthetic results but at the same time the weight of the implants will result in your breasts sagging faster than they normally would and also there is a greater risk for a minor revision surgery due to the fact that the implants will stretch the newly tightened skin and put tension over the incision areas causing areola size and shape asymmetry and irregularity during the healing process, especially if you have poor skin elasticity to start with.

Although this does not always occur, the risk is there, and the need of a minor revision surgery should be accepted by anyone considering breast uplift with implant surgery.

The goal of breast uplift with implant surgery is to create a sensible breast shape and size that is in proportion with the rest of the body.

The importance of the initial consultation cannot be overemphasised. Evaluation of anatomic features and determining the degree of breast ptosis is essential when planning breast uplift with implant surgery as it will indicate which technique is best suited to achieve the optimal result.

At your consultation, Mr Rezai will fully discuss every aspect of your aesthetic goals and address any concerns you may have; he places the utmost importance on providing his patients with all the information they need to make fully informed decisions, ensuring each one arrives at the outcome that’s best for them.

Your medical history will be discussed with you. It is important that you answer all questions as honestly and accurately as possible as failure to do so can have significant clinical repercussions. Please feel free to bring along any medical records that may be pertinent to the discussion. Also, it is important to alert Mr Rezai to any allergies or health issues you may have, along with a record of what medicines or vitamins you are taking and whether or not you smoke.

Routine blood tests are required for all patients, about 2 weeks prior to the surgery and a urine pregnancy test will also be performed in most cases, at the hospital on the day of surgery. An ECG is also required for patients over 50 years of age.

During the initial consultation, a relevant physical examination will be performed, and various anatomical measurements will be taken to determine the level of ptosis (sagging) and to form the basis for the type of surgical technique required to achieve the best possible results. Placement, types, sizes and various profiles of breast implants will also be discussed and considered when planning the procedure.

Working together during your consultation, a bespoke surgical plan will be developed for you. Mr Rezai will explain in detail the treatment options available, the techniques that would be used, and any potential risks and complications you need to be made aware of. Informational brochures and fact sheets explaining each procedure will be provided for your review. Mr Rezai will use his expertise and experience to guide you towards the best option, taking into account your anatomy, aesthetic goals and personal circumstances.

In Breast Uplift with Implant surgery there are various options available, depending upon the patient’s wishes, technical considerations and surgeon preference. The type and extent of incision pattern is determined by the degree of breast ptosis.

Here are the most common incision patterns:

Peri Areolar Incision– this involves a half circle incision on the upper half of the nipple areola. It produces the shortest possible scar and is well hidden within the nipple areola. This option is suitable for women with minor degree of ptosis requiring minimal elevation of the nipple areola.

Circum-areolar, Donut or “Benelli” Incision– this type of incision runs around the full length of the nipple areola and is best suited to correct mild to moderate ptosis where the nipple areola requires minimal lift. This incision type is also used to reduce the size of the areola in Areola reduction and Tubular breast correction surgeries.

Keyhole or Lollipop incision– the lollipop/keyhole incision is made around the areola and then down to the infra mammary fold. This type of incision is suitable for patients with moderate to severe ptosis but who do not have too much excess skin horizontally.

Inverted T or Anchor Incision– the incision is made around the areola, down towards the inframammary fold and then continuing horizontally along the fold. The anchor or inverted T incision is recommended for patients with significant ptosis and a big breast size or significant excess skin.

• The operation is performed under general anaesthesia
• It takes about 60-90 minutes
• Patients stay in hospital overnight
• If you work is not physically demanding, expect to return to work after 10-14 days
• Expect to be back to normal physical activity, including exercise and sports, within 6-8 weeks post-op

Following surgery some bruising and soreness is expected. The breasts will be firm and swollen at first, and will take several weeks to months, depending on the individual patient’s healing process, to settle and adopt a more natural position.

You may be asked to sleep on your back, and to avoid straining or bending for a few weeks. You are also required to wear a surgical support bra continuously for six weeks, with exception of one hour per day. During the first week after surgery, activities should be restricted as otherwise it will result in unnecessary complications.

Recovery after Breast Uplift with Implants is very individual and depends on the placement of the implants and type of incision used. Many can return to work and resume their normal daily routine within 10-14 days post-op. However, strenuous activities, exercising, and heavy lifting should not be resumed until 6-8 weeks post-op.

There will also be scarring and the extent, will depend on the type of incision used. As with all scars, they will fade over time – in many women, they heal to form very faint white lines. However, it is important to remember that no surgical scar ever totally disappears.

Mr Rezai and his team will provide you with detailed post-surgery instructions to expedite your recovery. Should you develop any doubts or concerns following your treatment, however, they would encourage you to contact them straight away.

Mr Rezai will see his patients for regular post-op follow ups and will guide and advise them on what to do at each stage to improve and maintain their results and how to identify possible complications if they were to develop.

Cosmetic surgery is amongst the very safest of medical procedures. However, all patients must understand and accept that no surgical procedure is absolutely free from risk.

For information regarding the risks and complications associated with Breast Uplift with Implants, please refer to Risks and Complications of Breast Uplift with Implants.

At Consultation, Mr Rezai will discuss these risks with you.

For the great majority of women, the results are usually good and patient satisfaction rate is high. Scarring is unfortunately unavoidable. In most cases, scars heal and fade into fine lines within 1-2 years after surgery. But sometimes, this is not the case and you may develop keloid (raised and dark) or hypertrophic (wide) scarring. If your body tends to develop such scarring, then it is inevitable regardless of how skilled your surgeon is or what aftercare measures are in place to reduce the risk of scarring. Some skin types are more prone to developing these types of scarring than others, and this can be assessed during your consultation, especially if you have had any previous surgery.

In terms of outcome, it takes time for the breasts to settle into their final shape and position. The tissue needs time to recover and settle after surgery, your body needs time to heal but week by week you’ll start noticing positive changes, and the final result will become obvious in six to twelve months.

Although both breasts will have same level and shape of nipple areola straight after surgery, healing process and the skin’s elasticity, will determine how the breasts heal. It is important to note that in some cases, minor revision procedure may be necessary within 9-12 months of initial surgery for optimum results.

Also, depending on what stage in your life you have the procedure, further surgery will be needed at some point in the future, because of the breast implants and also if you have breast uplift before completing your family. Breast shape can and most likely will change with pregnancy or significant weight fluctuations.

Here are tips that may help you maintain the results for longer:

• Wear a bra that gives your breasts adequate support, especially if you have implants.
• Wear extra high impact sports bra when exercising.
• Plan to have surgery after you complete your family
• Reach your ideal weight before undergoing surgery
• Stop Smoking, exercise and try to maintain a healthy diet.

• Breast Surgery Instructions

• Breast Enlargement
• Breast Uplift / Mastopexy