The surgeon needs to take the time to consider how the breast will be reshaped to provide support within the breast tissue, rather than relying solely on the skin to support the new breast shape.
The skin envelope should drape smoothly over the reshaped breast with minimal scarring and a good fit to the underlying reshaped tissue.
Where possible, the breast tissue should be suspended to the upper poles of the breast, to provide support and promote blood supply to the areola.
The placement of inferior tissue beneath a muscle sling if present to hold the reshaped tissue in place.
Aftercare is essential to the success of the procedure and the minimization of scarring. The wearing of a support bra, avoidance of exercise and other activities which could stress the reshaped breasts, and wound care including the prevention of infection (aided by taking antibiotics), are all essential to the outcome.
It may be difficult to create fullness in the upper part of the breasts with a breast lift on its own.
If a patient indicates that they want to achieve fullness in the cleavage area (the upper part of the breast), as well as bringing the lower part of the breast up through the lift, the surgeon may suggest mastopexy combined with silicone breast implant augmentation using a modestly sized implant to produce as close to a youthful full breast profile as possible.