How Is The Mammary Gland Affected During Breast Lift? Genetics as well as other factors such as weight fluctuations, hormonal imbalance, and even something as trivial as wearing the wrong type of bra can cause breast ptosis. Breast ptosis is defined by the sagginess of the breasts. The breasts lose their shape and firmness and start dropping low on the chest wall. The breast lift procedure is the optimal solution to correct breast sagginess. Unfortunately, there are no other “natural” methods to fix this condition. Breast sagginess means that the ligaments supporting the breasts have relaxed with an excess of skin tissue. Breast sagginess can only be corrected with the help of plastic surgery that has to excise the surplus skin and re-center the mammary gland to a normal anatomical position. The breast lift procedure is often recommended for patients who had one or multiple pregnancies, but the recommendation is to undergo mastopexy when you are done having children as an ulterior pregnancy can negatively impact the appearance of the breasts again. Depending on how severe the breast ptosis is, the plastic surgeon will perform one and up to three incisions to eliminate the excess skin. The procedure often takes two to three hours. It is not an overly complex procedure; however, it is mandatory to be performed by a board-certified, experienced plastic surgeon in an accredited medical facility. When considering the breast lift, many patients are interested to find out how is the mammary gland affected during the procedure. To better understand this aspect, we need to see how the procedure is performed. At the beginning of the surgery, the patient is put under general anesthesia and the plastic surgeon starts making the incisions. If only a periareolar incision is required, the surgeon will make incisions around the areola’s edge and eliminate the surrounding excess skin. If the sagginess is more pronounced, a vertical incision will be required as well, and for severe cases of sagginess, a third incision will be positioned in the inframammary fold. The incisions are used to eliminate the excess skin and the plastic surgeon will also re-center the mammary gland and position it higher on the chest wall for a perkier appearance. The nipple and areola complex can also be addressed, and their size will be corrected. The mammary gland is not injured in any way during the breast lift procedure. Unlike the breast reduction during which the plastic surgeon will eliminate a part of the mammary gland, aside from the skin tissue that is in excess, the mammary gland stays intact and it is just repositioned during the breast lift procedure. Many patients are concerned with this aspect and how the mammary gland is affected during surgery as they think about what to expect in case an ulterior pregnancy occurs and their ability to breastfeed. The lactation network that is located in the mammary gland is not affected by the procedure; however, the connection between the milk ducts and the nipple can be affected for some time after the procedure. This is the reason why your plastic surgeon will advise you to avoid pregnancy for at least two years after the surgery.