After one or more pregnancies, most women experience varying degrees of breast sagging and softening. With multiple pregnancies or alternate weight gain and loss, breast displacement and flattening become more noticeable. Similar progressive changes are normally noted in age periods from late twenties to mid forties. The size of the breast in total volume may remain the same, but the firmness and erect position of youth is lost.
Mastopexy ( breast lift) refers to the correction of breast position and firmness without a reduction or increase in size. This is either performed through a peri-areola scar (i.e. around the circumference of the areola) but in severe cases is performed by using a keyhole incision with the resultant scar around the areola and a very small and insignificant scar in the inframammary fold. A vertical scar joins these 2 scars. The patient usually requires a 24-hour hospital stay. Post-operatively, the patient has to wear a bra for 4 weeks day and night. Post operative scars are generally in the same position as those noted under Reduction Mammoplasty, but are more limited in extent. Risks of soft tissue loss are minimal, since less soft tissue is displaced than in a reduction mammaplasty. Under some circumstances, this procedure may be combined with the use of a small implant to achieve fullness or firmness when readjustment of the normal tissues alone will not be sufficient. Meticulous attention to the healing scar with taping and moisturisers for several months during the maturation process will usually culminate in very acceptable scarring. You will remain in hospital for one day and your recovery will take approximately ten days.
BEST CANDIDATES FOR A BREAST LIFT SURGERY
People who feel that their breasts have lost their firmness.
HOSPITAL STAY / OUTPATIENT
A minimum one day stay is advised with a breast lift. (especially if combined with another procedure). A breast lift can be performed on an outpatient basis although an overnight stay is advised.
GETTING BACK TO NORMAL
Temporary pain is treated with analgesics. Swelling, tenderness, numbness of breast skin, bruising, and tiredness, some, or all of these can last up to several weeks. Small drains, removed after a few days, are used to help avoid the accumulation of fluids under the breast. Dressings are applied and will be changed every other day for the first week. Stitches will be removed in stages over a period of one or two weeks. Recovery time (back to work): in 1 to 2 weeks. Strenuous exercising and sunbathing in 4 to 6 weeks or more. Fading and flattening of the scar occurs after 3 months and sometimes up to 2 years.
ARE THERE ANY COMPLICATIONS ASSOCIATED WITH THIS OPERATION?
Collection of liquid under the flap. Blood clots. Infection. Bleeding under the skin flap. Reactions to anesthesia. Delayed healing. Poor healing resulting in visible scarring or skin loss. Need for a second operation. Possibility of wide scars (keloids) in patients with a tendency. Any one of these complications could occur and every precaution is taken to minimize the possibility.