The abdominoplasty procedure is an operation which is performed to eliminate excess fatty tissue and skin folds in the mid to lower abdominal region. Often, women who have experienced multiple pregnancies have an excess amount of skin in this region as a result of abdominal swelling during pregnancy. During this procedure, the surgeon raises abdominal skin and tissue, stretching it downward and removing the excess with a closure within what is referred to as a “bikini line.” Repair of muscular structures is done at the same time. Often, the procedure involves repositioning the navel to a higher level. To enhance the result, liposuction of the hips and abdomen is often performed.

The procedure begins with the plastic surgeon making an incision that goes from hip to hip along the lower pubic area, made in an area that will allow the resulting scar from the procedure to be hidden under a bathing suit or underwear. The surgeon will then lift the loose skin from the abdominal wall, at which point the loosened “rectus” muscles that normally give the abdomen its strength are tightened and repaired. This provides essentially the same effect of an old-fashioned girdle.

The belly button, or “umbilicus,” will be disconnected from the abdomen. The loose skin will be removed, the abdominal wall will be tightened, the thighs and buttocks will be tightened, and the belly button will be reattached. Drains will be used on each side of the abdominal incision in order to remove excess fluid and prevent buildup after the procedure.

In the abdominoplasty, postoperative scarring is significant and may take from six months to a year for resolution; it will never disappear completely. Most often abdominoplasty is performed as an outpatient procedure under general anesthesia. Routine activity can be resumed within ten days, but sports and exercising are prohibited for six weeks to allow the muscle to heal properly.

Over the years, factors such as pregnancy, nursing, and the force of gravity take their toll on a woman's breasts. As the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag. Breastlift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts--at least, for a time. (No surgery can permanently delay the effects of gravity.) Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple. If your breasts are small or have lost volume--for example, after pregnancy--breast implants inserted in conjunction with mastopexy can increase both their firmness and their size. If you're considering a breast lift, this brochure will give you a basic understanding of the procedure--when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask your doctor if there is anything about the procedure you don't understand.

The Best Candidates for Breast Lift

A breast lift can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.

The best candidates for mastopexy are healthy, emotionally-stable women who are realistic about what the surgery can accomplish. The best results are usually achieved in women with small, sagging breasts. Breasts of any size can be lifted, but the results may not last as long in heavy breasts.

Many women seek mastopexy because pregnancy and nursing have left them with stretched skin and less volume in their breasts. However, if you're planning to have more children, it may be a good idea to postpone your breast lift. While there are no special risks that affect future pregnancies (for example, mastopexy usually doesn't interfere with breast-feeding), pregnancy is likely to stretch your breasts again and offset the results of the procedure.

Planning Your Surgery
In your initial consultation, it's important to discuss your expectations frankly with your surgeon, and to listen to his or her opinion. Every patient--and every cosmetic surgeon, as well--has a different view of what is a desirable size and shape for breasts.

The surgeon will examine your breasts and measure them while you're sitting or standing. He or she will discuss the variables that may affect the procedure--such as your age, the size and shape of your breasts, and the condition of your skin--and whether an implant is advisable.

The Surgery
Mastopexy usually takes one and a half to three and a half hours. Techniques vary, but the most common procedure involves an anchor-shaped incision following the natural contour of the breast.

The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. When the excess skin has been removed, the nipple and areola are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the breast.