Mastopexy or breast lift:
As women age, the breasts may begin to sag or become ptotic. This process is often accelerated by pregnancy and nursing. Mastopexy, or breast lift, may be performed to enhance the shape of the breast and create a more youthful contour and appearance. Mastopexy may be performed under local anesthesia with sedation, or under a general anesthetic. Multiple techniques may be used, depending on the nature and degree of ptosis. Breast implants are sometimes used in conjunction with mastopexy, or even as an alternative to mastopexy for correction of modest ptosis (also termed pseudoptosis). Most breast lift surgeries involve placing an incision around the areola (the pigmented skin around the nipple), and sometimes under the nipple and within the fold under the breast. Excess skin is removed, and the breast is reshaped to recreate a more youthful appearance. The surgery usually lasts for one or two hours, and can be performed on an outpatient basis. Pain and discomfort following the surgery are typically controlled with oral pain medication, and are not severe. Stitches are removed within seven to ten days after surgery, and within one week most patients can return to work. The surgeon may recommend wearing a support bra for a few weeks after surgery. While most bruising resolves in a week or two, some swelling may persist for four to six weeks or longer, depending on the exact nature of the surgery and the patient.