IntroductionWomen begin worrying about sagging breasts as they age or after multiple pregnancies. While the majority of women are mostly concerned about breast size, there are others who pay more attention to its firmness or youthful aspect. Drooping of the breasts may be due to a couple of factors, but it is usually attributed to the loss of skin elasticity, which occurs naturally over time.Plastic surgery is the only solution to correct the sagging of the breasts. Alternative treatments advertised by the mass media such as creams, massages, and physical exercises provide no visible results. Breast lifting, or mastopexy, is a type of cosmetic surgery that is recommended for patients who have sagging breasts with satisfactory proportions but lack a firm consistency. The procedure is also advisable for patients whose nipple-areolar complex is directed towards the ground.It is also important to note that the post-operative care after breast lifting surgery is an essential part of the healing process.Breast sagginessThe aspect of the breasts also suffers modifications during pregnancy and breastfeeding wherein the breasts increase in size and volume. Hence, stretching of the skin and ligaments occurs. After breastfeeding is over, the breasts will start to deflate, and the skin on the chest that used to be taut may begin to droop. Additionally, weight fluctuations, hormonal changes, and the aging process can likewise cause sagging of the breasts.In many cases, the breast lifting intervention is performed together with a breast implant surgery to provide a more voluptuous and youthful aspect to the breasts.How is the breast lifting surgery performed?Mastopexy, otherwise known as breast lifting surgery, is performed by excising excess skin and fat tissue on the breasts. The intervention can be conducted using multiple techniques, depending on the anatomy of the patient and the complexity of the surgery.Today, the most frequently used method is the one that provides minimal scarring (vertical scars) and makes use of the anchor incision. After the vertical incisions are performed, the excess tegument is surgically removed and the nipple and areola will be repositioned, along with the mammary gland and pectoral muscle.In some cases, when the sagging breasts are big and heavy to such an extent that they also cause back pain, the mammary lifting procedure is combined with a breast reduction surgery. By performing both interventions simultaneously, the breasts will appear younger, firmer and perfectly sized.In the event that the patient also desires a breast augmentation, the plastic surgeon will be able to introduce the implants using the same vertical and periareolar incisions. Because two cosmetic interventions are performed in one operative time, the surgery becomes increasingly complex and would have to be performed under general anesthesia. In this procedure, the surgeon will insert the implants before excising the surplus skin. The areola and nipple with then be repositioned and the entire operation may take two hours to complete.Recovery after mastopexyAfter about a week from the procedure, the patient can resume her daily routine, but intense physical activities should be avoided for at least another four weeks post-surgery to allow the body to heal.After the operation, the surgeon will recommend wearing a compression bra that will ensure comfort and provide support to the breasts until the recovery is complete.Pain after mastopexy is minimal and can be kept under control with the help of over-the-counter painkillers. On the other hand, the swelling and bruising that may occur around the areola will disappear over the course of a few weeks.Any surgical intervention implies certain risks and the complications that can happen as a result of mastopexy are associated with general anesthesia, infection or hematoma.The new shape and position of the breasts will be visible shortly after the surgery, and the final result will be noticeable after a few more weeks. The scars left after the intervention will fade in time until they will become hardly discernible. The results of this type of intervention are not permanent as they can be easily altered by a new pregnancy or a significant weight gain. The breast lifting procedure by itself will yield more youthful and firmer breasts. Mammary reduction in conjunction with mastopexy will elevate the breasts and reduce their size at the same time while breast augmentation combined with breast lifting will enhance the size and firmness of the breasts.Post-operative care after mastopexyBreast lifting can cause mild pain that will disappear after antalgic treatment. A sensation of local tension around the surgical area can also be experienced during the first week. The bandages will be changed after 4 to 5 days, and the sutures will be removed after two weeks.Wearing the girdle constantly is mandatory for the first month after surgery. Mild physical exertion is allowed after the first week, but sports and excessive movements are only allowed after two months from the date of the surgery.ConclusionThe breast lifting procedure or mastopexy is a plastic surgery intervention that elevates the breasts to a more natural position. The intervention is designed for women of all ages whose breasts have begun to lose firmness. This surgery will correct the shape of the breasts while simultaneously toning them.When the breasts have a larger volume and a greater degree of sagging, the breast lifting surgery may be performed concurrently with a breast reduction procedure. The mammary lifting procedure can also correct asymmetries, and it can be done together with the breast augmentation surgery, which makes use of silicone implants.The breast lifting procedure is a fairly straightforward surgical procedure and it does not require extensive hospital confinement after the operation. The recovery period is usually no longer than two weeks. Post-operative care after mastopexy involves wearing compression garments consistently for the duration specified by the surgeon, as well as using pain medication and antibiotics to manage the discomfort and prevent infections.