Pasadena Breast Lift doctors

I think your breasts need augmetation as opposed to a lift.  I think you would get a wonderful result by simply going with some implants.  You would also get some upper pole filling that I think you may be attributing to "saggy breasts."  Above all else, make sure you see a board certified plastic surgeon and try not to go with the lowest bidder necessarily.

Occasional lactation 18 years after finishing breast feeding is unusual. If it is just a small amount with manipulation that is likely normal and OK. If it is significant milk production you should see your internist or endocrinologist for an evaluation. There are some medications that could contribute or there may be a hormone imbalance or it may be just normal for you. If your evaluation doesn't find a cause your internist may discuss a medicine that may minimize milk production.

I would recommend deferring the breast lift until the lactation issue is resolved.

Yes you need to re-schedule. Smoking has a significant effect wound healing and will increase your risk of complications. This is elective surgery, it needs to be as safe as possible. Please tell your surgeon and re-schedule.

Different techniques of breast lifts have varying degrees of risk to blood supply and healing. Your surgeon should be able to advise you the proper length of time. There is no proven correct period of time to be smoking free. For most procedures i would recommend a minimum of 3 weeks. For some procedures that have an inherent increased risk it could be longer.