One of most common cosmetic issues for which women seek treatment is to improve the shape of the breasts. Many women seek treatment, complaining of a loss of volume, loose skin, and sagging of the breasts. Many women presenting to the surgery desire a younger, more youthfully shaped breast, without significantly increasing the size of the breast, while other women desire both improvement in the shape and an increase in cup size. Many women wish to regain their pre-pregnancy shape and volume, while other women desire the fullness and shape found during pregnancy. Finally, other women may desire an even more enhanced shape and volume beyond what they have naturally experienced.
A number of factors can influence the volume and shape of the breasts over time. These include pregnancy and breast-feeding, age, sun exposure, and genetics. As the skin looses its elasticity over time, the breast begins to change shape. After pregnancy and breast-feeding and with advancing age, the amount of breast tissue will substantially decrease, causing the breast to loose volume. The breasts may then have a “deflated” or sagging appearance. Many women complain of excess, loose skin, and lowering of the nipple-areola on the surface of the breast. Many women complain of not being able to find properly fitting clothing and disproportion between the upper and lower body.
The goals for breast lifting are to tighten the skin of the breast, reshape the breast tissue and raise the position of the nipple and areola on the surface of the breast. The technique used is dependent on the starting size, shape, and quality of breast tissue found. Often, many women present for breast lifting will be found to have very little breast and fatty tissue within the breast itself. These women may require placement of a breast implant in addition to a breast lift. The breast implant will not only restore additional volume to the breast, but serves as a foundation to the breast.