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Our Essential Dermatology & Skin Cancer practice remains open

The Cadogan Clinic will continue to offer patients medical dermatology appointments throughout the COVID crisis, as well as critical skin cancer screening and removal services.

General medical dermatology consultations will be booked remotely, with 'time critical' appointments still available in-clinic for suspected skin cancer cases.

'Same-visit' skin cancer excision will be possible for all cases indicating for immediate and urgent removal, under the care of one of our specialist surgeons.

To find out more about the reduced services we are operating, please click HERE or visit our COVID-19 Patient Information page.

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What is a Breast Lift

A breast lift, or 'breast uplift' or 'mastopexy', is a surgical procedure designed to lift and/or reshape breasts that hang low over the chest and have the majority of their volume at their base. It is an effective procedure to restore firmer, more youthful-looking and voluminous breasts.

The Breast Lift, or mastopexy, procedure is ideal for patients with sagging or drooping breasts that have developed either over time due to the onset of age, following dramatic weight loss, or following pregnancy and breastfeeding, or occur naturally due to basic genetics.

Breast lift surgery restores the elasticity of the female breast tissue by removing excess sagging tissue in the breast, and reshaping and repositioning the breast mound and nipple. The blood supply is preserved at all times.

A slight 'over-correction' is typically performed in order to anticipate the breasts dropping into a more natural position as the swelling subsides. The overall effect created is a more ''pert'' and rejuvenated looking breast which falls naturally and proportionally in relation to the rest of the chest.

To ensure the best possible results, your surgeon may also recommend a breast enlargement or reduction, to be performed alongside your breast lift. This will be discussed at your initial consultation.

The Cadogan Clinic employ virtual imaging software to help you visualize potential outcomes in your individual case via Crisalix Imaging software, as well as carefully manage expectations and increase the chances of achieving your goals.

What does it involve

The Breast Lift, or mastopexy, procedure is an invasive surgical procedure that is performed under general anaesthetic and takes between 1.5 - 2 hours to perform.

The overall effect is to lift the breast position in order to generate a rejuvenated appearance of the breast. Whilst there are several techniques generally employed, largely relating to the location of the incision, each technique involves making an incision in or around the breast, the surgical excision of excess tissue and skin, the reshaping of the breast mound and lifting of the breast, and finally the repositioning of the nipple if required.

The procedure is commonly combined with a breast augmentation procedure to restore the optimal aesthetic and positioning of the breast post-surgery.

The blood supply is preserved to leave a fully functioning and proportionate breast post surgery, hanging in the most regular position.

Recovery time tends to be between 2 – 3 weeks, during which time we recommend some time off work and reduced physical movement until the swelling has subsided. Regular physical activity and exercise can be fully resumed in roughly 6 weeks.

Why do people have it

Breast lift surgery can help increase body confidence and self esteem for those whose breasts hang low over the chest and have the majority of their breast volume at their base.

A breast lift is the most effective and swift procedure to correct these symptoms, and provide a more rejuvenated and firm overall breast appearance.

Who is suitable

Cadogan Clinic considers individuals fit for the procedure, if all of the following are true of them:

  • Physically and psychologically fit and healthy, and have fully developed breasts
  • Concerned by the size, shape or position of at least one of their breasts
  • Have realistic expectations of what can be achieved by surgery

What to expect

CONSULTATION 

The first step for all of our patients is to meet with the surgeon we feel is most suite to you and best placed to perform your procedure for a consultation.

At the consultation you will be able to discuss with your surgeon what your hope to achieve from the breast lift procedure, as well as discuss in detail what may or may not be possible given your existing breast anatomy, bone structure and skin quality.

A comprehensive discussion regarding risks and complications will take place, alongside a discussion regarding the post procedure and recovery phase. Your previous medical history will also be recorded (including previous surgery, medications, allergies etc.) and an assessment of your fitness for surgery.

If your surgeon feels you are a good candidate for surgery, you are then invited to consider whether you would like to proceed for surgery or otherwise following a two week 'cooling off' period.

Within this period you are welcome to come in and discuss your potential surgery with your surgeon as many times as you like.

4D Augmented Reality Imaging

Augmented or adjusted breast size and shape in real time, observing movement and anatomical suitability.

Crisalix - 4D Augmented Reality Imaging at Cadogan Clinic

PRE – PROCEDURE

If you choose to proceed with surgery, the next time you come into the Clinic after your final consultation will be the day of your procedure.

Before admission the following behavioural changes are recommended / required:

  • In the 6 weeks before your procedure we recommend smoking is discontinued as patients who smoke have a higher risk of healing more slowly and with complications  
  • In the week before your procedure you must cease taking Aspirin or any medication that contains Aspirin
  • In the 6 hours prior to surgery you must not consume food or any drink, other than small sips of clear fluid (e.g. still water, black coffee, black tea) which are allowed up to 2 hours before admission 

DAY OF THE PROCEDURE

On the day of your procedure we ask that you arrive for your admission an hour before the agreed start time of surgery. At this point a nurse will come and record blood pressure and other relevant tests, you will meet with your anaesthetist and your surgeon who will make the final mark-ups.

The procedure itself is takes place under general anaesthetic over the course of between one and half and two hours. The surgery involves the placement of an incision around the nipple or underneath the breast, the reshaping and positioning of the breast mound, and finally the re-suturing of the breast in an elevated position.

Following the procedure, you will recover in our ambulatory recovery rooms for between two to three hours. Once our specialist nursing team are happy that your initial recovery is complete and you are safe to return home, you will be allowed to leave the Clinic accompanied by a friend or member of your family.

POST PROCEDURE & RECOVERY

Once home you will have access to our dedicated oncall nursing team 24 hours a day, 7 days a week. This team of specialists are dedicated to your comfort and recovery, and are there to field any questions you may have in the immediate post operative phase.

Breast Lift recovery is fairly swift and any residual discomfort should subside in a matter of days. Patients are able to return to a normal light routine and return to work after a 1 -2 weeks following the procedure. The full healing process takes between 6 – 8 weeks.

We advise patients to take at least a week off work whilst swelling is at its peak. We ask our patients to be sensitive to their breast area during this time, and not try to do too much too soon. We also recommend avoiding UV light for 2 -4 weeks to aid the scarring process.

We ask that you come in and see our nursing team 1 week after surgery to ensure your incision sites have been properly reviewed. At this juncture we also recommend you meet with one of our on site aestheticians to discuss ongoing treatment to support the healing process.

You should start to see your results clearly at the 6 week mark. We ask that you come in to see your surgeon after 6 weeks for a post procedure for a final check up.

Once home you will have access to our dedicated oncall nursing team 24 hours a day, 7 days a week. This team of specialists are dedicated to your comfort and recovery, and are there to field any questions you may have in the immediate post operative phase.

Breast Lift recovery is fairly swift and any residual discomfort should subside in a matter of days. Patients are able to return to a normal light routine and return to work after a 1 -2 weeks following the procedure. The full healing process takes between 6 – 8 weeks.

We advise patients to take at least a week off work whilst swelling is at its peak. We ask our patients to be sensitive to their breast area during this time, and not try to do too much too soon.  We also recommend avoiding UV light for 2 -4 weeks to aid the scarring process.

We ask that you come in and see our nursing team 1 week after surgery to ensure your incision sites have been properly reviewed. At this juncture we also recommend you meet with one of our on site aestheticians to discuss ongoing treatment to support the healing process.

You should start to see your results clearly at the 6 week mark. We ask that you come in to see your surgeon after 6 weeks for a post procedure for a final check up.

 

What are the risks

Complications are rare although, as with all surgery, possible. Your surgeon will discuss each of these risks comprehensively at your consultation. Read our FAQ section for more information.

Why come to The Cadogan Clinic for your breast lift?

  • Cadogan Clinic is an award winning specialist cosmetic clinic, with a track record of delivering safe, high quality cosmetic surgery  
  • Cadogan Clinic specialises in breast surgery and the latest surgical breast techniques. We have a roster of top breast specialists on our team
  • Unlike many of our competitors, we use the latest anaesthetic technologies to minimise your downtime, and allow you to return home on the day of your procedure 
  • Our nursing team provide a dedicated 24/7 oncall service during recovery – whatever your question, we can provide the answer 
  • We offer a complimentary consultation and treatment with our onsite team of aestheticians to ensure you heal quickly and scar well

Before & After Gallery

Breast Lift and Reconstruction Results

Click here to view our gallery of Before & Afters and Breast Lift and Reconstruction results

Frequently Asked Questions

Breast lift surgery, also known as Mastopexy, is an operation which lifts and reshapes the breasts using various techniques to rejuvenate the look of low-hanging, ‘empty’ breasts. Lifting the breasts also lifts self-confidence.

Women consider their breasts to be a major part of their identity. The development of limp, sagging breasts is a loss of femininity. A surgical uplift (mastopexy), sometimes combined with a restoration of volume with implants or fat grafting (lipofilling) provides an immediate solution to restoring youthful firm breasts.

Here are the things to keep in mind to make sure that you a good candidate:

+ You should be in good enough overall health to undergo a surgical procedure. Diabetes and obesity, for example, may delay healing.
+ You must acknowledge the risks and side effects that might happen after the procedure as for instance slow healing and scars that take time to settle.
+ Have logical and reasonable expectations for the results of the surgery.
+ Be ready and able to follow all post-surgical instructions provided by your surgeon.
+ You should be in good mental health to enable you to make up a decision on whether you are able to do the surgery or not.
+ Smoking is is a considerable risk of healing.

To find out if a breast lift is right for you, please contact us at the Cadogan Clinic today to book a consultation with one of our surgeons.  

Breast lift surgery or mastopexy is performed under general anaesthesia as a day case procedure. At the Cadogan Clinic, we use TIVA (Total IntraVenous Anaesthesia), so you wake up quickly and do not feel sick. You are ready to go home. Pain is minimal, but you will be given simple analgesia as a stand-by.

There are various methods of breast uplift, but essentially the breast tissue is repositioned higher as a firm mound, the nipples put at the appropriate level with matching areolas and excess skin removed.

This will always necessitate a scar around the areola, the darker skin around the nipple. This may be adequate for a small breast lift, but usually more skin has to be removed leaving a vertical scar below the nipple and frequently another horizontal one in the fold beneath the breast. These scars are on the underside of the breast and therefore less obvious. Inevitably they will be red, to begin with, but with The Cadogan Clinic, scar treatment will eventually become inconspicuous.

The specific mastopexy used by your surgeon will depend on the size and shape of your breasts, skin elasticity, the size of your areolas, and the expected extent of the lift. Immediately before surgery, your surgeon will mark the breast lift on the skin in a standing position, establishing the position of the nipple on the lifted breast.

Yes. There are several options.

 A breast lift without implants (mastopexy) will give you a natural and more youthful breast shape by raising the position of the nipple and removing excess skin. This procedure elevates your nipple-areolar complex and reforms the natural breast tissues restoring your breasts to their youthful perky position. A mastopexy provides an opportunity to improve shape and symmetry. The correction of droopiness is a considerable confidence boost.

Most women, who want to regain their youthful appearance and correct the effects of ageing and pregnancy, prefer this procedure. The breasts will look smaller but that is just an illusion as only a small amount of skin tissue is removed. A mastopexy results in minimal changes in breast volume.

Lipofilling or fat grafting to the breast will lift the breasts in a similar way to using implants but has the added advantage that the shape can be adjusted by the placement of the fat. This is particularly good for filling the upper breast recreating that fullness of youth and defined cleavage.

The volume of the breast is not reduced significantly in a breast uplift surgery (mastopexy) procedure, so it’s more a case of re-shaping the volume you already have. Breast lift without implants generally results in minimal changes in breast size and volume because only a small amount of skin tissue is removed.

The usual outcome of the mastopexy procedure is a perky and curved breast with improved symmetry that will give you a youthful appearance. If the uplift is combined with a breast augmentation, then the cup size will obviously increase in proportion to the size of the implant; your surgeon will guide you in this regard.

Breast uplift surgery with implants results in a significant increase in breast size and volume. This gives you a better cleavage as compared to mastopexy alone. Mastopexy is the best option for you if you are craving for perky round breasts.

Different techniques may be required for different patients. This is often due to the age of the patient, the size of the breast, the amount of breast tissue to be removed and also depending on the end result the patient is looking for.

There are four main types of breast lift surgery technique:

Crescent Lift – involves a crescent of skin removed at the top of the nipple to improve nipple position. This is the least invasive breast lift.

Benelli Lift – Otherwise known as a Circumareolar Lift. This is best used for slight nipple asymmetry or a mild lift. A doughnut-shaped incision is made around the areola to remove tissue and the skin is then ‘purse-stringed’ to tighten the breast skin. It is less invasive than full mastopexy. A flattening effect on the breasts may occur.

Lollipop Lift – Or Vertical Scar Mastopexy. A lollipop-shaped incision is made from the crease of the breast vertically and surrounds the nipple. This is a very effective lift for many women with low hanging breasts.

Anchor Lift – For significant breast droop. This is when the incision is made similar to the lollipop, but also travels along the breast crease, forming an anchor shape. This is the most invasive breast lift procedure, but very effective for women with a long inframammary fold (distance from breast crease to nipple).

It is true that no woman has perfectly symmetrical breasts. However, there is a point where the difference in size and shape becomes, first noticeable to the patient, and then to others, causing distress. The asymmetry may also involve the chest wall (pectus excavatum and pectus carinatum).

The exact procedure will need to be customized to the patient and may involve augmentation, reduction and very likely an uplift or mastopexy on one or both sides.

The patient is quite likely to have a preference for one breast over the other and want to match the other one to it.  A common abnormality is the tubular breast or conical breast where there are varying degrees of large nipple mound and constricted base to the breast.

Surgery offers a good solution to the problem of uneven breasts and understanding surgeons at the Cadogan Clinic will need to discuss your precise requirements.

There is no durable way to lift and reshape sagging breasts without some type of surgical intervention. There are certain lasers, radiofrequency and ultrasound machines that can tighten the skin, however, if you require a significant lift this will not be sufficient. However, there are some natural methods you may attempt prior to seeking surgery if that is your desire. Keep in mind that for 99% of cases, surgical intervention is the only way to see viable results.

Here are some natural suggestions sometimes advised.

Firstly, exercise or working out is the first way. Pectoral muscles can be trained and toned to have a natural lift. Examples of the exercises include pushups, weighted chest presses, weighted chest fly’s, and the elbow squeeze.

Secondly, diet also could help in lifting the breast. Avoid excessive fatty proteins food like red meat and fried foods. You have to focus on vitamins, minerals and calcium by eating cruciferous vegetables like broccoli and cabbage.

Thirdly, do some massage to your breast as massage supplies your exercise program. With massage, you can use specific kinds of oils that help in preventing wrinkled skin and stimulate blood flow.

Fourthly, sleeping on the back is very beneficial to not cause sagging breast.

Fifthly, swimming for half an hour in the pool on a daily basis can greatly tighten up the muscles of the breast so this will cause great results to your breasts.

Finally and most importantly stop smoking is a very important way to have lift breast as smoking is one of the main reasons behind sagging breast. 

There is no durable way to lift and reshape sagging breasts without some type of surgical intervention. There are certain lasers that can tighten the skin, however, if you require a significant lift this will not be sufficient.

Breasts sag after weight loss because the ligaments that support the breast and the breast skin only have a limited ability to retract as the fatty element of the breast lose volume.

The skin envelope is relatively larger and the internal ligaments are overstretched by this point.

This effect can be compounded by genetic variance in skin elasticity and natural collagen levels. Patients, who naturally have large breasts, will also always suffer more than those with a flat chest since there is a greater weight and more to sag. Pregnancy can have the same effect.

The solution is to remove the sagging skin by breast lift (mastopexy) or increase the volume, or both.

It is usually recommended that patients should be 18 years old before undergoing cosmetic breast surgery. The argument is that the breasts may still be developing and, if surgery is too early, this development may continue requiring more surgery later. It is also felt that psychologically development is also incomplete.

However, there are good reasons why early surgery might be sensible. The breasts may be deformed, unequal in size and or very large, all causing psychological harm, which could be averted by surgery. The common deformity is tubular or conical breasts. On these occasions, the surgeon is likely to ask for confirmation from the parent, GP, and psychologist.

We use a variant of the general anaesthesia technique called TIVA (Total Intravenous Anaesthesia) that is delivered by our team of top anaesthetists. Intravenous delivery enables our anaesthetist team to monitor anaesthetic depth more closely via specialised computers to maintain an optimal level of anaesthesia. This means you will wake up feeling much better than with traditional alternatives and ready to go home shortly after.

“How long does a breast lift last?” is one of the most common questions a woman asks when she plans a breast lift. Well, it is possible to obtain long-lasting results from a breast lift. However, the truth is there is no single answer. Once a lift is performed your breasts will have a better shape, lifted and fuller, but your breasts are constantly ageing along with the rest of your body.   It takes time for the breasts to sag again and be reassured that most patients find that the one lift or mastopexy is adequate.

A true answer would be that it depends on the age, pregnancy, health, skin tone, weight of breasts, body weight and lifestyle of the woman.

You should not forget that the technique employed in the mastopexy is all important in determining not only the shape , but also the longevity of the result.

 

+ SURGERY TIME: 2 hours
+ HOSPITAL STAY: Day case
+ SLEEPING POSITION: Sleeping on back recommended for 1-2 weeks.
+ REASONABLY MOBILE: 1 day
+ WASHING: Shower after 1 week
+ DRIVING: 2 weeks
+ EXERCISE INCLUDING GYM: 6 weeks
+ SEXUAL ACTIVITY: Restricted activity after 4 weeks
+ FULL RECOVERY: 6-8 weeks
+ TIME OFF WORK: 1-2 weeks
+ BRAS & GARMENTS: Sports bra worn for 8 weeks
+ RESTING: 2-3 days
+ MEDICATIONS: Pain relief
+ PROCEDURE: Administration of anaesthetic medicine, incision and stitching
+ STRENUOS ACTIVITY: 1 month
+ EXPOSURE TO SUNLIGHT: Restricted for one year
+ REMOVAL OF STITCHES: After 1-2 weeks
+ SWELLING AND EDEMA: Several days
+ DISCOMFORT: Few weeks
+ BREAST IMPLANT MASSAGE: 5 times per day

Different surgeons have different protocols, but it is common for a garment to be worn in the immediate post operative phase. The wounds are generally closed with stitches under the surface, which then dissolve over a few weeks. You may have a strip dressing or reinforcement paper strips over or along the wound. There may also be gauze and stretchy Mefix paper dressing covering the wound and also supporting the breasts.

A compression garment is then generally worn to support the breasts and protect the wounds. Although some surgeons do not use them at all and recommend a sports bra instead, it is most common to wear a lycra compression bra made specifically for breast surgery of which there are many types. The team will fit the one most suitable for you and your surgery. There is one other lycra dressing, occasionally required, and that is a stretchy strap worn across the upper breast to hold the implant low.

The sports bras or lycra garments will be worn day and night for 3 weeks or more and then during the day for a longer time, particularly during exercise or sporting activity.

Sensation loss is rarely an issue after breast reduction, but on occasion can occur.

Women with very large breasts often never have significant feeling in the nipples and in the event that sensation is reduced after reduction surgery, it is unlikely to be missed.

Following traditional techniques, you should expect a small degree of scarring. There are of course different techniques for a breast uplift procedure and the scars created will depend on the technique employed as well as the patient, lifestyle and the level of ptosis (droop) of the breasts to begin with. Most commonly you should expect scarring around the nipple, across the natural fold underneath the breast and a vertical scar linking the nipple scar to the breast fold scar.

A breast lift (mastopexy), like any surgery, requires a skin incision and will leave a scar. Scarring fades nicely with time, but the final outcome is not something any surgeon can promise. A patient's propensity for good healing is genetic as well as technique dependent. In addition, scars near the middle of the chest have a greater tendency to keloid and those to the outer side of the chest may stretch. This is why we try to keep cars short and towards the middle of the breast.

But there are some ways that can minimize scars. Our surgeons advise patients to apply silicone gel or sheeting to the young scars until they are mature. This period can be 3 months or up to a year.

At Cadogan Clinic we offer the Cadogan Clinic Scar Program that will ensure your scars heal nicely. Feel free to contact us for a consultation to go over the scar after-care program with one of our doctors. We use a variety of treatments including specialized lasers.

Our expertise means that we see patients from elsewhere who have problems of shape and size in addition to poor scars and these patients may need surgery.

It is recommended that you take 2 to 3 weeks off from work however if you have a sedentary job one week is adequate. If you have an active hobby or leisure interest, please seek advice from your surgeon as to when you will be able to return to it following surgery.

If possible, avoid flying for the first six weeks. Do not sit out in strong sun for the first 2 weeks after surgery. 

Theoretically, you should be able to breastfeed so long as the milk ducts (channels from the gland to the nipple) are not cut during surgery.

In breast augmentation, the implant is placed behind the breast tissue. When incisions are made under the breast or in the armpit, the gland and ducts are not disturbed. A cosmetic incision around the areola extends directly through the breast and although a few ducts may be cut this does not matter in practice and most ducts remain intact.

With a breast lift or mastopexy, the gland and ducts are not disturbed.

In a breast reduction, part of the gland is removed, but it is already too large and theoretically, this should not matter as long as ducts still connect and drain the remaining breast. Older techniques would have cut many ducts, but newer techniques leave many ducts intact. This is a point to discuss carefully with your surgeon.

A point to remember is that many patients, particularly those with very large breasts are unable to breastfeed anyway and it is difficult to know after surgery whether you might be one of these and the inability to breastfeed is nothing to do with surgery.

Grafted fat is mostly placed around the edge of the glandular tissue and would not affect feeding. When fat is placed into glandular tissue, there may be pressure on the gland and ducts, but one would not expect this to be a long term issue. You will not be pregnant at the time of surgery and there will be plenty of time to settle in.

Occasionally patients with extremely large breasts are treated with a method which involves temporarily removing the nipple and areola completely, thus dividing all the ducts for certain. At the end of the procedure, the nipple is grafted back. All patients are told that they will never breastfeed. However, there are occasionally cases where patients were able to breastfeed after this.

Remember, there are a number of factors you should consider when determining which procedure is right for you. Each type of breast surgery will give you a different end look and may come with different concerns. It is important for you to keep that in mind when weighing other factors such as breastfeeding in the future.

Be open and honest about your plans, goals, and concerns with your surgeon during your consultation and rest assured that you’re in the best of care at the Cadogan Clinic.

We recommend that you do not sleep on your stomach immediately following surgery, perhaps for as many as two weeks.

Instead, we recommend you sleep slightly elevated on your back in order to reduce swelling.

You may find it useful to keep a pillow against one or both of your sides to tuck you into place. The pillows will help keep you from rolling in your sleep and unintentionally causing yourself more discomfort.

After a breast lift surgery procedure, the breasts will be supported in the bra; they will be swollen, firm and lumpy in the first few postoperative weeks. The breasts start to soften after around 6 weeks, and by 3 months the swelling should have gone down, leaving you with your new shape.

Massage/moisturize – Treat the whole breast, including scar. Use the palm of your hand in a gentle circular motion, using a moisturising cream for dry skin, e.g. E45. This helps to soften your skin, adjacent tissue, and adjust to its new contour. Experience how your breasts feel before letting anyone else touch them.

After the first 2 weeks, start returning to your normal activities of living. Be sensitive to your body and try not to do too much too soon. Therefore, if you experience any pain, stop and try again another day. You can drive and start lifting light objects if you feel comfortable. Gym activities, aerobics or sports that involve using your arms should be avoided for 6 weeks. You may start lower leg exercise after 4 weeks. You can start lifting your elbows above your shoulders, washing your hair, getting the washing off the line, etc.

This is completely normal and your surgeon will be able to assess how best to correct these variances during your procedure.

The nipple may be numb or hypersensitive immediately after the operation and it may then take some time (commonly up to a year) to fully recover and regain full sensation

There is not an easy answer. Opinions vary.

Traditionally patients were asked to massage the breasts after augmentation in order to stretch the pocket the implant lies in and thereby reduce the risk of the formation of a tight capsule deforming the shape. It might have helped.

Nowadays the surgical pockets are made to exact size and capsules, although still a problem, are less common. The usual advice is now to support the breasts in the correct position with a sports bra or medical equivalent for weeks or months.

Massage has never had a place in other types of breast surgery such as breast reduction, breast lift or mastopexy or breast reconstruction.

Again massaging scars has been almost universal as a means of helping them mature. There was nothing else to do.

Scar management at The Cadogan Clinic is now important with several levels of treatment. Sometimes massage is part of this. This applies to all scars and all types of breast surgery.

 

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