Introduction We haven’t yet discovered all causes of breast ptosis, but what we know for sure is that a combination of factors leads to the sagginess of the breasts that can occur sooner or later in a woman’s life. When wondering about the sustainability of the results of the breast lift, we need to pay attention to the causes of breast ptosis and try avoiding them as this is how we keep our breasts looking youthful and beautiful for longer after the procedure. The breast lift is often performed on women after 40 years old to help them regain the perky, youthful appearance of their breasts. After the procedure, the breasts will be elevated on the chest wall, with the nipple and areolas facing forward, firm and perky. But even if the procedure delivers permanent results, the appearance of your breasts won’t stay the same forever as the factors that created the sagginess in the first place will continue to put their marks on the new appearance of the breasts. In this article, we will discuss the sustainability of results after a breast lift. Results of the breast lift Sooner or later all breasts start sagging as skin loses elasticity and the ligaments holding the breasts start relaxing. Depending on the size and volume of the breasts, the natural predisposition, as well as other factors, breast sagginess can occur even in teenagers or more commonly, in women over 40 years old. To correct breast ptosis, we have one solution only, and it is plastic surgery. There are no creams, massages or physical exercises that can be performed to elevate your breasts. The breasts are made out of skin envelope, fat tissue, and mammary gland tissue. To elevate the breasts, we need to work on all the structures of the breasts to get results that are lasting, and this is what the breast lift does. The breast lift is also known as mastopexy in the medical world. The procedure entails the use of a general anesthetic to be performed for most cases for the comfort of the patient. The plastic surgeon will explain during the pre-operative consultation how many incisions are needed to perform the lifting. If the breast sagginess is not overly severe, a periareolar incision can be enough to allow the plastic surgeon to create the lifting effect. But for many patients, two or even three incisions will be necessary to elevate the breasts. The second incision is positioned on a vertical line from the areola’s edge towards the inframammary fold, and the third one is in the inframammary fold, perpendicular on the second one. Three incisions are needed to correct severe cases of breast ptosis where a significant amount of skin and underlying fat tissue will be eliminated. After the incisions are performed, the skin and fat are detached from the mammary gland tissue which is elevated and re-centered to create a nice shape. The skin tissue is then re-draped on the mammary gland, and the excess is eliminated. Sutures are used to close the incisions and dressings are applied on the wounds. The patient will be moved to a recovery room where she will stay until making a full recovery from the effects of the anesthesia. The hospitalization after the breast lift is not long, often just a few hours before the patient is released from the medical facility. The results are somewhat visible immediately after the procedure, especially if the patient was confronted with a severe case of breast sagginess. The breasts won’t be sagging on the chest wall but elevated on the thorax and perky. However, what you will notice in the first few days and weeks after the breast lift is not the final results of the procedure. It can take up a year to be able to properly evaluate the results of the breast lift, as this is how long it can take for the scars to heal and mature. Generally speaking, after about three to six months, the final results of the procedure start to transpire when the normal side effects that can occur such as the swelling and bruising disappear. Sustainability of the results after the breast lift Did you know that even something as trivial as wearing the wrong type of bra can lead to breast sagginess? This and other factors that have an impact and can lead to breast ptosis are important to know because only avoiding them you can ensure the sustainability of the results after the breast lift. The first thing the patient has to do to keep the breasts looking youthful and preserve the results is to follow the plastic surgeon’s recommendations for post-operative care. Many patients don’t understand that what happens and the patient’s behavior in the first month after the procedure has an impact on the results. The instructions that should be followed are meant to help you avoid complications that can occur and maximize the results that can be achieved. For example, the plastic surgeon will advise you not to sleep on the tummy for at least a month after the procedure. When sleeping on the tummy, we actually sleep on the breasts, and this means that the whole weight of the upper part of the body is on them. This kind of pressure on the breasts so soon after the procedure can lead to an alteration of the results, the opening of the incisions, and others. You should know that after the breast lift, the patient has to wear a good quality sports bra or a special post-op bra for at least three weeks non-stop and for another month or two only during the day. By wearing the compressive bra, we are trying to give the breasts the support that they need after the surgery and also reduce swelling and bruising. It is essential to avoid bras with wires for a few months after the procedure to avoid accidents on the breasts that could result in an alteration of the results achieved during the breast lift. Some patients ask whether they will ever need to wear a bra after the breast lift as they thought that wearing a bra caused the sagginess in the first place. I don’t really advise my patients to go braless, especially if it is too soon after the procedure and their breasts are on the large side. The breasts need support, and this comes from a good quality bra. Sagginess could be caused by an ill-fitting bra, but if you choose your bra wisely, it should help you sustain the results of the procedure for longer and not damage the results of the procedure. To be eligible to undergo the breast lift, the plastic surgeon will recommend that you stop smoking for at least three weeks before and after the procedure. If you managed to stay without smoking for so long and if you want to sustain the results for as long as possible, you might want to consider quitting smoking permanently. Smoking can lead to a poor skin tonus due to how it affects the production of elastin. This means that if you keep on smoking, it will eventually affect the appearance of your breasts as well. Conclusion After undergoing any type of plastic surgery procedure for aesthetic purposes, it is normal for patients to be concerned about sustaining the results of the procedure for longer. When it comes to the appearance of the breasts, this interest is only natural and present in most patients. They want to get perky, firm and youthful looking breasts, but also to sustain these results for as long as possible. When it comes to sustaining the results of the breast lift, it is important to understand that what you do after the procedure is just as important as what the plastic surgeon did when he performed the procedure. Following the post-operative recommendations is important for sustaining the results. The final results might take a year to transpire, but you can have an idea about what to expect as soon as the swelling and bruising subside a few months after the breast lift. During the recovery period, make sure not to sleep on the tummy as it might ruin the results and also wear the special post-op bra or sports bra recommended by the plastic surgeon to speed up the recovery and enhance the results. Also, a recommendation would be to stop smoking if you want to sustain the results for as long as possible as this can influence the skin quality of the breasts.