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Breast lift

A mastopexy (breast lift) is reshaping and raising the breast tissues and nipple to restore a more youthful breast appearance that suits your body frame.

Breast Lift (Mastopexy)

Dr Ilias Kotronakis and Dr Amira Sanki are highly experienced Sydney breast lift and breast lift with implants surgeons. Breast sagging or “ptosis” is commonly experienced after pregnancy and breast feeding, weight loss and ageing. The active lifestyles we have in Sydney leaves little room for wearing uncomfortable bras and clothing to help support sagging breasts. Breast lift and breast lift with implants are indicated if you have sagging breasts and feel

  • A loss of self-esteem when confronted by your body image
  • Discomfort when not wearing a bra
  • Limited in what clothing and bras you are able to wear
  • Itchy and hot at the fold of your breasts

Breast lift surgery involves removing excess skin, raising the nipple position and tightening the breast tissue whilst preserving breast volume. A breast lift can usually be performed without removing any breast tissue. Larger breasted women (DD cup and larger) wishing to have a breast lift, are usually recommended to have a small breast reduction. A breast lift produces a scar around the areola and also at the lower aspect of the breast. These scars will not be visible through your clothing or swimming costume.

Breast lift and enlargement (Augmentation mastopexy)

Some patients require their breasts to be lifted as well as enlarged, this is called an augmentation mastopexy and uses breast implants as well as rearrangement of the breast skin and tissue.

It is sometimes difficult to know whether you would benefit from a breast lift alone, breast implants alone or a combination of both. Dr Amira Sanki and Dr Ilias Kotronakis will be able to explain what effect each of these procedures would have on your appearance, as well as show you before and afters of women who have a similar problem to you.

What to expect at your first consultation

Dr Sanki and Dr Kotronakis, your Sydney breast lift surgeons, will listen to your concerns regarding your breast size and shape, and ask what your goals are. Most women see a plastic surgeon for breast lift surgery after suffering many years and after considering the surgery for a long time. While breast lift surgery is a safe and commonly performed operation, the consultation will be performed with sensitivity to your opinions and thoughtfulness to your concerns. Any additional health problems that might affect your treatment will be identified.

Following this, your breasts will be examined, with clinical measurements and photographs taken. It is a Medicare requirement that women seeking a breast lift in Sydney must have their photos mailed for pre-approval by the Medicare Claims officer.

Written information will be provided to you, so that you can consider your options. A breast lift is a major operation, so a second consultation to discuss the advice you are given is recommended.

Women having breast surgery should bring their most recent mammogram or ultrasound with them to the consultation.

Who shouldn’t have a mastopexy or augmentation mastopexy?

Breast lift surgery deals with a long-existing problem, and should therefore be done when you are best motivated and physically fit for the procedure. While the surgical standards for a breast lift in Sydney are one of the highest in the world, the cosmetic result and your health for an anaesthetic are adversely affected if you smoke or are obese.

After giving birth, your self-esteem can be damaged by your body’s fuller appearance and excess skin. While this can add to the difficulties of having a newborn, it is best to allow a year following childbirth for your body to settle before considering surgery.

What the procedure involves

A mastopexy is a two to three hour operation that is performed under a general anaesthetic in an accredited operating theatre. In common with most plastic surgeons in Sydney, Dr Kotronakis and Dr Sanki perform a vertical pattern breast lift operation that produces a lollipop shaped scar (around the areola and as a vertical line down the lower pole of the breast). Breast lift surgery involves removing excess skin whilst preserving the existing breast volume. The breast tissue and nipple are lifted to suit your body frame, and the skin is redraped. The exact position of the scars will be determined by the amount of lift necessary, but every effort is made to minimise your scars.

An augmentation mastopexy is a complex operation. Implants are inserted to produce a fuller bust after the breasts have been lifted. It is sometimes best performed as two operations separated by at least 12 weeks. A better and more predictable cosmetic result can be achieved this way. In most instances, the breasts are first matched in size and position in a mastopexy procedure. This allows you and your surgeon to more accurately pick the type and size of breast implant required. In the second procedure a small portion of your existing scar line is reopened to allow the implant to be inserted.

What to expect after surgery

Breast lift surgery in Sydney, in most cases, has a predictable and reliable post-operative recovery. Local anaesthetic is also used during the surgery to minimise your post-operative pain. Despite the duration of the operation, most women describe that their recovery was much better than they expected. On waking, you will find that you have dressings over your incision wounds and in some cases, thin, plastic drain tubes attached to the skin adjacent to your breasts.

The skin incisions are mostly closed with dissolving stitches that lie under the skin. Initially the wounds will be pink. Over time the scars usually lighten. Having a fully qualified plastic surgeon open and close your incisions means you will have the finest technique in your surgery. However, the quality of your scars is also a function of your skin type and genetics.

How long will I stay in hospital?

Breast lift in Sydney may be a day surgery, or involve a 1 night stay in hospital, depending on the complexity of the case.

How long after my breast lift can I return to work, exercise and drive?

Most Sydney women having a breast lift are able to return to desk style work after one week. Women having large implants at the same time as their breast lift should expect more pressure and pain, and should plan to have two weeks off work. It is best not to perform any strong exercise for 6 weeks, to allow your wounds to mature so that you get the best possible cosmetic result.

Does breast lift surgery affect breast screening and the risk of breast cancer?

There is good evidence to suggest that breast lift surgery does not increase the risk of breast cancer. Since the surgery rearranges your breast tissue, a new “baseline” mammogram will need to be performed one year after the surgery.

Which hospitals do Dr Sanki and Dr Kotronakis operate in?

Dr Sanki and Dr Kotronakis are Sydney breast lift specialists, and perform their surgery at major hospital facilities including St George Private, Kareena Private, Hurstville and East Sydney Private hospitals. We select our hospitals based on their high standards of peri-operative care and their outstanding surgical equipment.

Is it possible to have an all female surgical team?

Dr Sanki has an all female, Sydney surgical team available weekly. Surgery can be a vulnerable time for women, and having the security of an all female surgical team can be comforting and reassuring. Dr Sanki’s team are not picked upon their gender, but are picked for their experience, dedication and skill.

Can private health insurance be used?

You can usually use your private health insurance for a breast lift in Sydney if you have pre-approval from Medicare using the photographs taken in our office. Medicare also requires that you have your surgery within 7 years of the birth of your last child. Private health insurance usually pays for all your operating theatre and hospital costs, including the post-operative stay. Medicare and your private insurance may also contribute to the doctors’ bills. You can call your health fund and see if you are covered for Medicare Benefits number 45558. Breast implants are not covered by Medicare or your health fund.

Who should perform breast lift and augmentation mastopexy operations?

A breast lift and a breast lift with implants may sound simple but it is real surgery, and should be performed with sophisticated surgical technique for the safest and best results. It carries real risks, and as such should be considered carefully. Fortunately, breast lift surgery in Sydney is safely performed by our highly experienced surgeons.

We recommend that you carefully consider your choice of surgeon. Unfortunately doctors without surgical qualifications beyond their medical degree are allowed to perform surgery. Your surgeon should be appropriately qualified with at least a Fellowship of the Royal Australasian College of Surgeons FRACS (plast) in plastic surgery, which means that they have specialist surgical training. FRACS(plast) is the standard qualification required in Australia to perform plastic surgery in private and public hospitals.
Members of the Australasian Society of Plastic Surgeons have a FRACS and specialised training in Plastic and Reconstructive Surgery, including breast lift surgery.

Our Sydney breast lift surgeons, Dr Amira Sanki and Dr Ilias Kotronakis are fully qualified Plastic Surgeons. They are both Australian University trained, having received Honours degrees in their medical schools. They both have FRACS qualifications as Specialist Surgeons in Plastic and Reconstructive Surgery, and are members of the Australasian Society of Plastic Surgeons. They both have extensive experience and training in breast lift and implants, including the most advanced and up to date techniques. They are committed to giving their patients the safest and best treatment available.

Where to get more information

A consultation with a qualified Plastic Surgeon is the best place to get the right advice. More information on breast lift is available online at the Australasian Society of Plastic Surgeons and Australasian Society of Aesthetic Plastic Surgeons websites.