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Cosmetic breast surgery - Overview

Alternative Names

Mastopexy; Mammoplasty; Breast size reduction; Breast lift; Breast lift with reduction; Breast lift with augmentation

Definition of Cosmetic breast surgery:

Cosmetic breast surgery is a surgical procedure to change the size or shape of the breasts.

Description:

Cosmetic breast surgery can be done in an outpatient surgical facility or in a hospital. Most people are asleep and feeling no pain (general anesthesia), although local anesthesia may be used to numb the area around the breasts.

For a breast reduction, the surgeon removes some of the breast tissue and may move the nipples higher on the breasts for cosmetic reasons. In general, the operation lasts 3 - 6 hours.

During a breast lift, the doctor makes incisions along the natural creases in the breast and around the dark skin surrounding the nipple (areola). A keyhole-shaped incision is made above the areola to define the new location for the nipple. The surgeon removes skin from the lower section of the breast and raises the areola, nipple, and underlying breast tissue. The nipple is moved and incisions are closed with sutures. The procedure can last 3 - 5 hours, depending on the extent of the surgery.

Indications:

If you are considering cosmetic breast surgery, talk to a plastic surgeon. Discuss your expectations about looking and feeling better, keeping in mind that the desired result is improvement, not perfection. Emotional stability is an important factor. Breast surgery can renew your self-confidence and improve your appearance, but the rest is up to you.

You may need mammograms or breast x-rays before the surgery. The plastic surgeon will perform a routine breast exam.

Mastopexy is typically done to lift sagging, loose breasts. The size of the areola, the dark pink skin surrounding the nipple, can also be reduced.

Breast reduction may be recommended for:

  • Colored bra-strap groove
  • Cystic breast infections (polycystic mastitis)
  • Enlarged breasts (macromastia)
  • Pain from the weight of large breasts that is not relieved by a supporting bra
  • Arm or finger numbness caused by large breasts
  • Back pain, neck pain, or shoulder pain
  • Breast pain
  • Headache
  • Loss of sensation in the breasts
  • Poor posture caused by large breasts
  • Sleeping problem caused by large breasts
  • Scar-like lines (striae) on the breasts

Breast reduction is not recommended if you have one of these conditions:

  • Reviewed last on: 10/19/2007
  • Hebe Molmenti, M.D., Ph.D., Private Practice specializing in Plastic and Reconstructive Surgery, Baltimore, MD. Review provided by VeriMed Healthcare Network.
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