Reshape your silhouette with a mastopexy
Breast Lift (Mastopexy) Surgery involves reshaping and repositioning the breasts to improve their aesthetic appearance. It is sometimes combined with breast augmentation.
Common reasons why women consider having breast lift surgery
- After children or having lost a significant amount of weight the breasts may be particularly droopy or “empty”.
- To correct changes that have occurred due to the ageing process.
- Skin irritations such as rashes/fungal infections beneath the breasts.
- Improve self-confidence.
- A desire to achieve a more pleasing shape with a balance between breasts and body.
What is involved with breast lift surgery?
- General anaesthetic.
- Surgery Duration: Approximately 2-3 hours.
- Complex pre-operative markings are made by Mr White which are created to best achieve the desired surgical outcome.
- Breast tissue including skin, some glandular tissue and fat is excised or repositioned.
- The breast is re-modelled and sutured together including repositioning of the nipple.
- A breast implant may be inserted if necessary.
- The final scar pattern varies depending on individual anatomy and desired results but usually involves a scar around the areolar (coloured skin around the nipple) and a vertical scar.
- Dressings are applied.
- Drain tubes are not routinely used.
Recovery after surgery for breast lift
- Patients most commonly require a hospital stay of 1-2 nights.
- The area will feel a little uncomfortable for a few days.
- Gradually increase mobility and activity; generally back to most normal day to day activities at two weeks.
- Most women allow approximately two – three weeks off work. However, you may require additional time if your job is more physically demanding. This can be discussed with Mr White.
- Able to drive when feel comfortable to do so.
- No heavy lifting or exercise for 6 weeks e.g. Avoid gym, aerobics, running.
POST-OPERATIVE CARE & REVIEW
Post-operative visits with Mr White
- Approximately one week after surgery
– Aim: To ensure you are healthy and to review the surgical wounds.
- Six weeks post-surgery
– At this time you will have a better idea of what the final result from surgery will be like. If all is progressing well, Mr White will give you the all-clear to resume normal activities.
- 12 months
– If there are any concerns you will be seen more frequently.
- YOUR SAFETY.
- Address the individual issues you will have discussed with Mr White related to your decision to have this particular surgery.
- Achieve good projection (“perkiness”) of the breasts.
- Achieve good cleavage area.
- Minimise scars.
- Durable, long term pleasing shape.
Before deciding to have breast lift surgery you should consider the following
- Desire for any further children:
– Breast lift surgery is best carried out once a woman has finished having children as any subsequent pregnancies will alter the improved shape of the breasts achieved with surgery.
- Stable, healthy weight.
- If you are a smoker: STOP Smoking.
- Generally fit and healthy.
- Be over 18 years old and have finished breast development.
- Breast screening up to date: In women over 50 and/or where regular breast screening and mammograms have been recommended.
Alternatives to surgery
- No surgery or delaying surgery.
- Using a professionally fitted and comfortable bra to enhance or improve your natural shape and appearance of your breasts.
- Liposuction – Rarely good for reduction and will make sagging worse as it doesn’t adequately address the ‘loose’ skin.
RISKS TO CONSIDER
Anaesthetic – In otherwise well people, general anaesthesia is very safe with modern techniques. Mr White’s rooms will give you the details of your anaesthetist prior to surgery to discuss any specific concerns.
Bleeding/Haematoma – This may need a return to the operating theatre to evacuate a blood clot. Infection in the wound – If this does occur, can usually be cleared up with antibiotic tablets.
DVT/PE (Deep venous thrombosis/pulmonary embolus) – These are blood clots that are potentially very serious and even life threatening which can form in the legs and travel to the lungs. Multiple strategies are employed to minimise the risk of these occurring.
Scars – Typically the resulting scars are at their thickest and reddest at 6-10 weeks after surgery. Scars continue to mature and improve for up to 18 months after surgery. Scar management advice will be discussed in your follow up visit with Mr White to assist in achieving the goal of a thin, barely noticeable scar. Wound separation/delayed healing – This is much more common in smokers or if there is an infection.
Sensation – This is very commonly altered with surgery. The nipple area is often numb or may even become more sensitive. This may effect both normal sensation and erotic sensation. Generally this settles down over weeks to months.
Nipple/Skin necrosis (death) – A rare complication that occurs most often in smokers. It may affect all or part of the nipple or part of the skin. It usually needs ongoing dressings but rarely may need further surgery.
Breast Symmetry – The final result will take several months to achieve. The majority of women have different sized or shaped breasts before surgery. These differences are taken into account for your operation but small differences may continue to exist or even new ones created. The scars may be slightly different on your right compared to left side.
Breast Feeding – Ability to breast feed after this surgery may be affected.
Breast Cancer – The risk of breast cancer is no higher or lower with this type of surgery. It is prudent to address any concerns in this area prior to breast surgery.
(In the interests of clarity not all possibilities are listed here but just the most common and the most serious.)
NO SURGERY IS RISK FREE
All surgery is a balance between realistic surgical goals and knowledge of possible risks and complications. Risks are minimised by careful patient selection and planning, high standards of surgical training, meticulous surgical technique and vigilant post-operative care. Small, less serious issues are common and every effort is made to resolve them quickly. These very rarely have any long term effect on an excellent final result.