First mentions about breast lift surgery description are traced to 630-695 AD. But only late 19th century opened mastopexy surgery as procedure improving the problem of breasts sagging and the problem of increased pigmentation areas of nipples.
The beginning of 20th century became an powerful impulse for development of different techniques and essential elements of mastopexy surgery. Mamoplexy operation presents one of the biggest surgery miracles in today's beauty industry field. Numerous variants of mastopexy procedure are a set of challenges to breasts lifting and reshaping. Most women stepped the way of mastopexy surgery take an aesthetic aims of preserving youthful appearance and reducing the effect of ptosis. But unfortunately not everyone keeps the thought that as all surgeries this one holds a group of risks (breast lift surgery risks) and after surgery scars are first samples of them.
It is rather difficult to evaluate the growth of mastopexy surgery because of number of private service on this field but even relative research data shows constant speeding up of mastopexy procedure performances. The commonest factors causing ptosis are natural aging under the circumstances of gravity, breast-feeding, after pregnancy effects, engorgement, weight gain and loss, etc.
There are no strict contraindications for mastopexy surgery. But cosmetic surgeons recommend not to perform an operation in the case of future pregnancy planning as the effect will not be durable or if patient has a problem of capsular contracture. Main purposes of mastopexy surgery are restoring and balancing size and counter and achieve minimum number of incisions as a result no visible scars.
All mastopexy techniques run through the removing of the excess skin and replacing nipples and augmentation of volume (in the case of combining with breast augmentation). Patient's desires as well as the level of ptosis influence the choice of mastopexy procedure type that is classified in accordance with made scars.
There are four levels of ptosis that are determined depending on breast skin condition and nipple position. The first level of ptosis: mild ptosis, moderate ptosis, severe ptosis and pseudoptosis. It is very important to determine correctly the level of ptosis and afterwards to perform the mastopexy procedure in accordance with this conclusion.
The problems of the first level of mastopexy can be solved by the means of breast implant augmentation. Donut mastopexy technique and vertical scar method of mastopexy are perfect choices for the moderate ptosis. The severe level can be cracked only with T incisions mastopexy procedure. Nipple transposition is not necessary in the case of pseudoptosis; the classic breast augmentation is effective solution; the problem can be also overcome using the circumareolar cerclage technique.
The scientists forecast that mastopexy surgery popularity will depend on achievement on durable results. One of the possible alternatives to classical operation is endoscopic mastopexy procedure but this kind of operation has still many limited indication.