Mastopexy
breast lift
A breast lift (officially called a mastopexy) is the operation used to correct droopy breasts. Breasts drop with getting older or following pregnancy or weight loss. The mastopexy can be performed alone if you have enough breast volume or it can be combined with a breast implant to add volume. .
Benefits of Breast Lift
The main purpose is of a mastopexy is to restore the breast shape and position by lifting the breast tissue and suspending is a new higher position, without changing the size of the breast. The cup size might change because of the breast position. The procedure might be combined with an implant to increase breast size, or with fat transfer.
Breast Lift procedure
There are in fact several ways to perform a mastopexy procedure, depending on the desired result and on the existing breast shape. There are more scars with a mastopexy than a breast augmentation and the scars may be placed around the nipple, vertically or additionally horizontally in the breast crease.
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Breast Lift Options
The options of mastopexy are first framed in whether an implant will be used as part of the procedure or just a lift with or without fat transfer.
The first level of breast lift is what is called a circumarealor lift, where the scar is placed around the areola only. An areola reduction can be accomplished by this procedure also. If a further lift then a vertical scar is needed, and if a further lift is needed then an inverted T scar is needed to gain the shape and lift needed.
After Care
Immediately after the procedure the breasts will be supported by a self made bra made from tape and placed in the operating room. This will stay in place for 7 days. All sutures dissolve. At around 2 weeks it is possible to massage the scars and in around 3 weeks, it is possible to use silicone gel.
We recommend that you wear a sports bra or a medical garment for 3 months in total after surgery. It is possible to return to work in 2 weeks and to play all sports in 6 weeks after surgery.
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does mastopexy reduce size
No, a breast lift will not reduce the size, but the cup size might change once a bra is properly fitted,
Can I go bigger with a breast lift
Yes you can. We can add an implant or transfer some fat to increase the size of the breasts in the same operation.
How long does a breast lift last
It varies a lot and depends on changes in body, skin type, and pregnancies, but you would expect otherwise for the results to last between 5 to 10 years.
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Frequently asked questions about breast lift
The results duration depends on several factors, such as skin quality, weight of the breast and the use of implants. Typically results will last around 5 years but this is very variable.
Yes, a sports bra will support your new breast and maintain its shape for longer. Mr Souéid will advise you to wear a sports bra strictly for 6 weeks day and night, then for a further 6 weeks at night only.
Unfortunately smoking will negatively affect the wound healing and can lead to complications. You should stop smoking and be off nicotine replacement therapy for at least one month before and one month after the procedure.
Most commonly not, however there is a risk of change in nipple sensation. Most of the time if it does change it is temporary. Nipple sensation can change to become less sensitive or more sensitive.
Mastopexy procedures do not reduce breast volume, however you might find your bra size does change afterwards because the breast position on the chest wall has changed.
There are always potential risks and complications associated with surgery. Complications are rare but can occur. The main complications of breast lift surgery include:
Bleeding
Bleeding can occur after your procedure and oozing from the wounds is common. Some bleeding can accumulate under the skin resulting in a haematoma or blood collection. Small haematoma will usually resolve with time and may not need any further treatment. Larger haematomas, however, may need a return to theatre to remove them and find the source of bleeding.
Infection
Infection can occur and most often can be managed with antibiotics. Sterile procedures and antibiotics given during the operation try to reduce the risk of infection.
Wound breakdown and healing problems
The most common site of wound breakdown or healing delay is the so called T junction. This is the area where the vertical and horizontal scars meet and the point of maximum tension when the breast is stitched closed. If this occurs it may take longer to heal. There are pre-existing risk factors for poor wound healing such as smoking and diabetes.
Scarring
There will be permanent scars on the breast depending on the type of skin incision pattern. Scars can sometimes become hypertrophic or keloid which means they may be raised, red and lumpy. This can occur around the areolar or along all the scars. Patients will usually have a tendency to develop this type of scarring or there may be a family history of abnormal scarring.
Asymmetry
There is always some degree of asymmetry between breasts and nipple areolar complexes. Occasionally, after breast reduction there may be residual asymmetry or patients may become more aware of pre-existing asymmetries.
Change in Nipple Sensation
Due to the nature of surgery and movement of the nipple there is risk of changes to nipple sensation. This is usually reduced nipple sensation after surgery that is often temporary but may be permanent.
Nipple Loss
Very rarely there is risk of nipple loss that can occur when the blood supply to the nipple is disrupted. There is a higher risk of this when the breast is very big and the distance the nipple is moved is longer. In extreme cases, the nipple may be removed pre-emptively and used as a nipple graft.
Fat Necrosis
Fat necrosis occurs when the fat in the breast loses its blood supply. This may result in firm hard areas where the fat has not survived. Small areas often resolve with time.
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