Plastic surgery restores form and function through reconstructive procedures, cosmetic enhancements, and body contouring.
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Breast lift surgery is typically performed under general anesthesia. This ensures the patient is completely unconscious and feels no pain during the procedure. The anesthesia is administered by a board-certified anesthesiologist or nurse anesthetist who monitors vital signs continuously.
The surgical facility adheres to strict safety protocols. This includes sterile technique to prevent infection and the use of sequential compression devices (SCDs) on the legs to promote blood circulation and prevent deep vein thrombosis (blood clots).
Once the patient is anesthetized, the surgeon prepares the skin with an antiseptic solution. The planned incision lines are verified. If an implant is being placed, the pocket is created first, usually under the pectoral muscle.
The surgeon then removes the excess skin according to the chosen pattern (donut, vertical, or anchor). The underlying breast tissue is reshaped and lifted. The nipple areola complex is moved to its new, higher position while maintaining its blood supply.
After the breast has been reshaped, the incisions are closed in layers. Deep sutures are used to support the breast tissue and hold the shape. These dissolvable sutures relieve tension on the skin edges.
The skin is closed with fine sutures, surgical tape, or skin adhesive. A sterile dressing is applied to protect the incisions. A surgical bra or compression wrap is placed on the patient to minimize swelling and support the new breast contour.
The patient is moved to the recovery room (PACU), where they wake up from anesthesia. Nursing staff monitor blood pressure, heart rate, and oxygen levels. Pain and nausea are managed with intravenous medications.
Patients typically spend 1 to 2 hours in the recovery room. Once they are alert, stable, and able to drink fluids, they are discharged. A responsible adult must drive the patient home and stay with them for the first 24 hours.
Pain is usually manageable with oral medication. Surgeons prescribe narcotic pain relievers for the first few days. Patients are encouraged to transition to non-narcotic pain relievers like acetaminophen (Tylenol) as soon as possible.
Muscle relaxants may be prescribed if implants were placed under the muscle, as this can cause tightness or spasms. Anti-inflammatory drugs (NSAIDs) are often avoided for the first week to reduce bleeding risk.
In some cases, surgical drains are placed to remove excess fluid and blood from the surgical site. These are small tubes that exit the skin near the incision. Not all breast lifts require drains; it depends on the extent of the surgery and the surgeon’s preference.
If drains are used, the patient is taught how to empty the bulbs and record the fluid output. Drains are typically removed in the surgeon’s office 2 to 5 days after surgery, once the fluid production decreases.
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The surgical bra or compression garment must be worn 24 hours a day, usually for the first 2 to 6 weeks. It provides support, reduces swelling, and helps the skin conform to the new breast shape.
Patients should not wear underwire bras during the recovery period. The wire can rub against the incisions, irritating the healing tissue. Soft, front-closing sports bras are the standard for recovery.
The first two days are the most uncomfortable. Patients should rest and keep their upper body elevated on pillows or a wedge. This position helps reduce swelling and discomfort.
Ice packs can help reduce pain and swelling, but they should not be placed directly on the skin or the nipple. Patients should limit arm movement and avoid lifting anything heavier than a few pounds.
Walking is encouraged immediately after surgery to promote circulation and prevent blood clots. Patients should take short walks around the house every few hours while awake.
Strenuous activity, heavy lifting, and overhead reaching are restricted for 4 to 6 weeks. This allows the internal sutures to heal and prevents scar widening. Most patients can return to a desk job within 1 week.
Patients can typically shower 48 hours after surgery, or after drains are removed. Water should be allowed to run gently over the incisions. Scrubbing or soaking in a bath is prohibited.
Incision care may involve applying antibiotic ointment or keeping the tape (Steri-Strips) dry. Patients should watch for signs of infection, such as increasing redness, fever, or foul-smelling discharge.
A breast lift typically takes 2 to 3 hours. If implants are added or if it is combined with a tummy tuck, the surgery time will be longer. The exact time depends on the complexity of the reshaping required.
It depends on your surgeon and the extent of the lift. Many modern techniques allow for a “drainless” recovery, but some surgeons prefer them to prevent fluid buildup. You will be told in advance if drains are likely to be needed.
You can drive when you are no longer taking narcotic pain medication and can move your arms comfortably enough to turn the steering wheel safely. This is usually about 5 to 7 days after surgery.
No, you must sleep on your back, preferably elevated, for at least 4 to 6 weeks. Sleeping on your stomach puts pressure on the breasts, which can distort the shape and stress the incisions.
Occasional sharp, shooting pains or “zaps” are typical as the nerves heal. However, if you have constant severe pain, sudden swelling on one side, or heat in the breast, contact your surgeon immediately, as these could be signs of a hematoma or infection.
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