Plastic surgery

Breast Lift

Pregnancy, nursing, gravity and time can all take their toll on your breasts. Other causes of breast sagging include considerable weight loss. The procedure to raise breasts is called a Breast Lift or mastopexy. During the procedure the plastic surgeon will reconstruct the shape of the breasts and will improve the size and location of the nipple/areola complex. Breast Lift may be combined with breast augmentation using a silicone implant.

The surgery is performed under general anaesthesia and lasts approximately 3 hours. It involves reshaping the gland and lifting the nipple/areola complex. The incisions are made around the areola and in most cases run vertically down to the inframammary crease.

Post surgery there may be pain, swelling and bruising. Breast swelling may persist up to a few weeks. Physical exertion should be avoided for 4 weeks following the surgery. Patients are instructed to wear a special bra for 2 months. After 3 weeks post surgery the scar should be massaged and special creams should be used.

The surgery is performed on patients who are in general good shape and have normal lab results.

Contraindications to the surgery

  • unrealistic expectations of the patient
  • active infectious disease
  • mental illness
  • untreated hypertension
  • untreated heart diseases
  • untreated diabetes
  • untreated hormonal imbalances
  • untreated bronchial asthma
  • venous thrombosis
  • menstrual bleeding
  • pregnancy

Lab tests required

General anaesthesia:

  • blood group
  • CBC
  • coagulation parameters (PT/INR, APTT)
  • electrolytes (Na, K)
  • glucose
  • creatinine
  • anti-HCV and anti-HIV antibodies
  • urinalysis
  • electrocardiogram
  • chest X-ray


Local anaesthesia:

  • blood group
  • CBC
  • coagulation parameters (PT/INR, APTT)
  • electrolytes (Na, K)

The patient must be vaccinated against hepatitis B virus.

Preparation for the surgery

Before the scheduled surgery, you have to inform the doctor about any existing medical conditions as well as about any medications you are taking or allergies you have.

  • at least 4 weeks before the scheduled surgery you have to stop taking any hormonal contraception or replacement therapy (HRT);
  • at least 3 weeks before the scheduled surgery you must refrain from smoking
  • 14 days prior to the surgery you should not take any salicylates (Aspirin, Polopiryna, etc.) or other substances affecting blood coagulation (e.g. herbs, garlic);
  • 3 days before the surgery you must refrain from taking pain medication: paracetamol, pyralgin and NSAID drugs (e.g. Ketonal, Ibuprofen, Naproxen, etc.);
  • 6 hours before the surgery you must refrain from eating, drinking or chewing gum;
  • you must take your chronic medication with a small amount of water.