Does a Breast Lift Increase the Risk of Cancer?

A breast lift, medically known as mastopexy, is a cosmetic surgical procedure designed to reshape and elevate sagging breasts. This operation removes excess skin, tightens surrounding tissue, and repositions the nipple and areola to achieve a more youthful breast contour. Many individuals considering this procedure often wonder about its safety, particularly concerning any potential connection to an increased risk of breast cancer. This concern stems from understandable apprehension about altering breast tissue.

Current Understanding of Breast Lifts and Cancer Risk

Current scientific and medical evidence indicates that breast lift surgery itself does not increase the risk of developing breast cancer. Studies consistently show that individuals who undergo mastopexy are not at a higher incidence of breast cancer compared to those who do not have the procedure. The surgery focuses on reshaping existing breast tissue and removing excess skin, without causing cellular or DNA changes that could lead to cancer formation. The procedure is widely considered safe in terms of oncological risk when performed by qualified professionals. Some medical opinions even suggest that the remaining breast tissue may be healthier after mastopexy due to improved firmness and blood supply.

How Breast Lifts Affect Cancer Screening

While a breast lift does not increase cancer risk, it can influence how breast cancer screenings are conducted and interpreted. The surgery alters breast tissue density and overall breast shape, which might make mammograms or self-examinations slightly more challenging. To address this, healthcare providers often recommend obtaining a new baseline mammogram approximately six months after the surgery. This new imaging becomes the standard for future comparisons, allowing radiologists to accurately track any changes in breast tissue. Radiologists and medical professionals are accustomed to imaging breasts after various surgeries and can adjust their techniques, so patients should always inform their healthcare team about their breast lift to facilitate appropriate imaging and interpretation.

Breast Lifts Versus Other Breast Procedures

It is important to differentiate breast lifts from other breast-related surgical procedures, as each carries a unique risk profile concerning cancer.

Breast Augmentation and BIA-ALCL

Breast augmentation, which involves placing implants to increase breast size, has been linked to a rare type of cancer called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). This is a cancer of the immune system that typically develops in the scar tissue around the implant, not in the breast tissue itself, and is distinct from common breast cancer. BIA-ALCL is more frequently associated with textured breast implants, with estimated lifetime risks varying significantly depending on implant type.

Breast Reduction and Cancer Risk

In contrast, breast lift surgery does not involve implants and is not associated with BIA-ALCL or an increased risk of general breast cancer. Breast reduction surgery, which removes glandular tissue, can sometimes even lower breast cancer risk, particularly in women over 40. The reduction in the amount of breast tissue lessens the volume where cancerous cells could potentially develop. While breast reduction is not considered a primary cancer prevention measure, it can improve the effectiveness of self-examinations and imaging due to less dense tissue.

Key Factors Influencing Breast Cancer Risk

Several established factors genuinely influence a person’s risk of developing breast cancer, none of which include breast lift surgery.

  • Age is a significant factor, with the risk increasing as women get older.
  • A family history of breast cancer also elevates risk, particularly if close relatives were diagnosed at a younger age.
  • Inherited genetic mutations, such as those in the BRCA1 and BRCA2 genes, are associated with a substantially higher lifetime risk of breast cancer.
  • Lifestyle choices also play a role, including regular alcohol consumption, maintaining excess body weight, and a lack of physical activity.
  • Reproductive history contributes to risk, with factors like early menstruation, late menopause, having a first child at an older age, or never having given birth influencing hormone exposure.
  • Prior radiation exposure to the chest, especially before age 30, can increase the risk.

These elements are recognized contributors to breast cancer development, unlike cosmetic breast lift procedures.